A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.
After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?

Concerns about parenting.

Cultural practices related to childbearing.

Complications associated with childbirth.

Knowledge about labor and delivery.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Concerns about parenting. While concerns about parenting are important to address during prenatal care, the initial visit focuses on gathering essential information and providing education related to pregnancy and childbirth. Knowledge about labor and delivery is crucial for the client to understand the process and make informed decisions.

Choice B rationale:

Cultural practices related to childbearing. Cultural practices related to childbearing are also essential topics to discuss during prenatal care, but they may not be the highest priority at the initial visit. Understanding the client's cultural background and beliefs is important, but providing information about pregnancy and childbirth should take precedence during the first prenatal visit.

Choice C rationale:

Complications associated with childbirth. Discussing complications associated with childbirth is important, but it may be overwhelming for a client during the initial prenatal visit. The primary focus should be on providing basic information and addressing immediate questions and concerns, with more in-depth discussions about complications occurring in subsequent visits.

Choice D rationale:

Knowledge about labor and delivery. This is the correct choice because the initial prenatal visit should include education about pregnancy, labor, and delivery. Providing the client with essential knowledge about what to expect during labor and delivery empowers her to make informed decisions and plan for her childbirth experience.

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Correct Answer is B

Explanation

Choice A rationale:

Leaving the client alone to give them space is not an appropriate intervention for a client with depression and a history of suicide attempts. Isolation can increase feelings of hopelessness and despair, potentially leading to self-harm or suicidal thoughts.

Choice B rationale:

Removing any potential means of self-harm from the client's environment is the most essential intervention in this scenario. It is crucial to ensure the client's safety by eliminating access to items or substances that could be used for self-harm, such as medications, sharp objects, or other dangerous items. This intervention helps reduce the immediate risk of harm.

Choice C rationale:

Encouraging the client to confront their feelings of hopelessness is important in the long term, as it can be part of therapeutic interventions. However, it should not be the immediate priority when the client is at risk of self-harm. Ensuring their safety is paramount.

Choice D rationale:

Telling the client that they should be grateful for what they have is not an appropriate intervention. It can be perceived as dismissive of their feelings and may worsen their sense of hopelessness and isolation.

A. Procure platelet products from the blood bank. B. Titrate oxygen to the prescribed parameters. C. Monitor an intravenous infusion rate on an established schedule. D. Insert a urinary catheter for an uncomplicated client.

Correct Answer is C

Explanation

Choice A rationale:

Procuring platelet products from the blood bank is a task that should be performed by a licensed nurse, not an unlicensed assistive personnel (UAP). It involves assessing the client's needs, verifying orders, and administering the product, which require nursing judgment and skills.

Choice B rationale:

Titrating oxygen to prescribed parameters is a nursing task that requires clinical judgment, especially if the client's condition changes. UAPs do not have the training or scope of practice to adjust oxygen levels. This task should be assigned to a licensed nurse.

Choice D rationale:

Inserting a urinary catheter, even for an uncomplicated client, is a task that should be performed by a licensed nurse. It involves the potential risk of infection and injury, and it requires sterile technique and assessment of the client's condition. UAPs do not have the training or scope of practice to insert urinary catheters.

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A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with depression and has a history of suicide attempts.What intervention is essential for the nurse to implement?

Correct Answer is B

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

Correct Answer is C

Explanation

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. Which action should the nurse take first?

After an increase in the number of suicides in a community, the nurse is developing a class for adolescents about mental health.Which type of activity should the nurse include in the teaching?

The nurse is providing education to a client who receives a prescription for zolpidem.Which information about the medication should the nurse include?

The nurse completes percussion of the abdomen on an older adult client.Which finding is considered normal for this client?

A dentist informs the practical nurse (PN) that she has a family history of cancer and has increased the amount of dairy products in her diet to reduce the risk of gingivitis. How should the PN respond?

A nurse is administering tetracycline to a client who has acne vulgaris.The client tells the nurse that he usually takes calcium supplements with his meals.How should the nurse respond?

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

When caring for an older male client with urinary frequency, which measure is most important for the nurse to implement to help the client prepare to go to bed for the night?

A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.
After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?