A 38-year-old pregnant client is reluctant to attend prenatal ...

[corkyiscool3328]

A 38-year-old pregnant client is reluctant to attend prenatal classes because the other participants will be much younger. What should the nurse do to encourage this client's attendance at classes? Select all that apply.
 
  1. Support the client's strengths.
  2. Find a class with participants that are older.
  3. Encourage the client to read prenatal training material online.
  4. Nothing, since the client most likely has already researched the birthing process.
  5. Prepare a list of reasons for the late pregnancy to use as responses when others ask.

Question 2

The screening results of a quadruple screening completed on a 37-year-old pregnant client were not within the normal range. For which additional testing should the nurse prepare this client? Select all that apply.
 
  1. Ultrasound
  2. Serum glucose
  3. Amniocentesis
  4. Serum ferritin levels
  5. Fetal heart monitoring

[allisonblackmore]

Answer to Question 1

1, 2
Explanation:
1. Even though women who are over age 35 and having their first baby tend to be better educated than other healthcare consumers, it should not be assumed that anticipatory guidance and support are not needed. Instead, support the client's strengths and be sensitive to her individual needs.
2. Older expectant parents often feel uncomfortable in classes in which most of the participants are much younger. Because of this, classes for expectant parents over age 35 are now available in many communities.
3. The client needs support and not just information that can be read over the Internet.
4. The older client may be better informed. However, she still needs support.
5. There is no reason for the client to have a list of excuses for delaying pregnancy.

Answer to Question 2

1, 3
Explanation:
1. If the screening results are not in the normal range, follow-up testing using ultrasound is often indicated.
2. Serum glucose level is not used to detect fetal genetic abnormalities.
3. If the screening results are not in the normal range, follow-up testing using amniocentesis is often indicated.
4. Serum ferritin levels would measure iron level and will not detect fetal genetic abnormalities.
5. Fetal heart monitoring will not detect fetal genetic abnormalities.