A nurse is collecting data from a client who is at 23 weeks of gestation.
Which of the following client statements should the nurse identify as a potential psychosocial concern?
“I’ve started to purchase furniture for the baby’s room.”.
“I’m not sure if I want an epidural during labor.”.
“My partner is planning to attend birthing classes with me.”.
“I’m not sure my older child will accept the new baby.”.
The Correct Answer is D
Choice A rationale
Purchasing furniture for the baby’s room is a common and healthy behavior during pregnancy. It indicates that the client is preparing for the baby’s arrival and is excited about the new addition to the family. This behavior is generally seen as positive and supportive of the pregnancy.
Choice B rationale
Being unsure about wanting an epidural during labor is a normal concern for many pregnant individuals. It reflects the client’s consideration of pain management options and their desire to make an informed decision. This is not typically seen as a psychosocial concern.
Choice C rationale
The partner planning to attend birthing classes with the client is a positive sign of support and involvement in the pregnancy. It indicates that the partner is engaged and willing to participate in the childbirth process, which can be beneficial for the client’s emotional well-being.
Choice D rationale
Expressing uncertainty about whether an older child will accept the new baby can indicate underlying anxiety or stress about family dynamics and the impact of the new baby on existing relationships. This concern may require further exploration and support to ensure the client’s emotional health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A BP of 132/84 mm Hg is within the normal range for a pregnant woman and does not require immediate reporting.
Choice B rationale
A weight gain of 1 kg (2.2 lb) in one month is within the expected range for a pregnant woman at 26 weeks gestation.
Choice C rationale
Pedal edema is a common symptom in pregnancy and is usually not a cause for concern unless accompanied by other symptoms.
Choice D rationale
Double vision is a concerning symptom that could indicate a serious condition such as preeclampsia. It should be reported to the provider immediately.
Correct Answer is C
Explanation
Choice A rationale
Assessing the client’s socioeconomic status is important for understanding their overall health and access to resources, but it is not directly related to providing information about contraception.
Choice B rationale
Selecting the best method of contraception for the client is not the nurse’s role. The decision should be made by the client based on their individual preferences and health considerations.
Choice C rationale
Performing unbiased teaching is essential for providing accurate and comprehensive information about available methods of contraception. The nurse should present all options without imposing personal beliefs or preferences.
Choice D rationale
Providing information on all available methods is important, but it should be done in an unbiased manner. The nurse should ensure that the client has all the necessary information to make an informed decision.
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