A nurse is caring for a client during an initial prenatal visit.
The client's last menstrual period was 18 weeks ago.
Which of the following actions should the nurse plan to take?

Obtain the client's personal and family medical history.

Obtain information about prior pregnancies.

Check the client's urine with a reagent strip.

Schedule the client for prenatal laboratory testing.

Discuss chorionic villus sampling with the client.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Obtaining the client's personal and family medical history is essential during the initial prenatal visit. This history helps identify any genetic disorders or chronic conditions that might affect the pregnancy. It also provides insight into the client's overall health and any potential risk factors.

Choice B rationale

Information about prior pregnancies is important but not the first priority. Prior pregnancy information can provide insights into previous complications, but a comprehensive medical history should come first.

Choice C rationale

Checking the client's urine with a reagent strip is not the primary action during an initial visit. Urine tests are useful for detecting infections and certain conditions, but they come after a thorough history has been obtained.

Choice D rationale

Scheduling the client for prenatal laboratory testing is necessary, but it follows the initial assessment and history-taking. Laboratory tests help confirm the pregnancy and assess overall health but are not the first step.

Choice E rationale

Discussing chorionic villus sampling (CVS) is premature at this stage. CVS is a prenatal test conducted around 10-13 weeks for detecting chromosomal abnormalities, but it's not relevant during the initial visit without understanding the client's medical history.

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Correct Answer is B

Explanation

Choice A rationale

Follicle Stimulating Hormone (FSH) is involved in the maturation of ovarian follicles and the menstrual cycle. While it is crucial for fertility, it is not directly responsible for maintaining pregnancy once implantation occurs.

Choice B rationale

Progesterone is essential for maintaining pregnancy. It prepares the endometrium for implantation and supports the early stages of pregnancy by preventing uterine contractions that could dislodge the embryo.

Choice C rationale

Human chorionic gonadotropin (HCG) supports the corpus luteum in early pregnancy, ensuring the continued production of progesterone and estrogen. However, implantation failure is less likely due to a lack of HCG.

Choice D rationale

Prolactin plays a role in lactation and has some influence on reproductive health, but it is not primarily responsible for implantation. A lack of prolactin is less likely to be the cause of failed implantation. .

A. 5-1-0-2-1 B. 5-1-0-1-3-2 C. 4-2-0-2-0-2 D. 3-1-2-0-2-2

Correct Answer is A

Explanation

Choice A rationale

This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.

Choice B rationale

Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.

Choice C rationale

Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.

Choice D rationale

Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.

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A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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A nurse is caring for a client during an initial prenatal visit.
The client's last menstrual period was 18 weeks ago.
Which of the following actions should the nurse plan to take?