A nurse is obtaining information about social determinants of health from a new client during their first prenatal visit. For which of the following responses by the client should the nurse seek more information?
I recently graduated and moved here for a full-time job that I love
I just moved here and don't know anyone. And my partner recently ended our relationship.
I have joined a group in my community for pregnant mothers
I have health insurance through my employer, and I have coverage for prenatal care.
The Correct Answer is B
A. This response does not raise immediate concerns. Having a full-time job that the client loves is a positive factor for their well-being.
B. This response indicates potential social isolation and emotional distress. The nurse should explore this further because the lack of social support and relationship challenges may affect the client's emotional and mental health during pregnancy.
C. Joining a community group for pregnant mothers is a positive step toward social support and can help alleviate isolation.
D. Having health insurance is a positive indicator that the client has access to prenatal care and is less likely to face financial barriers to healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 110 to 160/min is the normal range for a fetal heart rate at 12 weeks of gestation. The fetal heart rate tends to be higher early in pregnancy and stabilizes within this range by the second trimester.
B. 100 to 110/min is too low for a normal fetal heart rate.
C. 160 to 190/min is above the normal range and may suggest tachycardia, which requires further investigation.
D. 80 to 100/min is too low for a typical fetal heart rate and would be considered bradycardia, which could indicate a concern.
Correct Answer is D
Explanation
A. Estrogen plays a role in the development of the uterus and regulation of menstrual cycles, but it does not primarily reduce uterine contractions.
B. Testosterone is a male hormone and does not play a significant role in preventing uterine contractions during pregnancy.
C. Aldosterone helps regulate fluid balance and blood pressure, but it is not responsible for reducing uterine contractions during pregnancy.
D. Progesterone is the hormone primarily responsible for maintaining pregnancy by inhibiting uterine contractions, promoting uterine relaxation, and supporting the early stages of pregnancy. It plays a critical role in preventing spontaneous abortion, especially in early pregnancy.
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