The pregnant patient has completed the prenatal questionnaire and ...

[Arii_bell]

The pregnant patient has completed the prenatal questionnaire and asks the nurse why this form had to be completed. The best response by the nurse is:
 
  1. Some people have things that have happened in the past that could impact their current pregnancy.
  2. The doctor wants all of the pregnant patients to complete the form so that our records are complete.
  3. We occasionally identify a health problem that puts the current pregnancy at higher risk.
  4. This form is designed to predict who will develop problems with their pregnancy or delivery.

Question 2

The pregnant patient's prenatal record indicates that she is a gravida 4 para 2022. The nurse understands that this indicates the patient had four pregnancies and:
 
  1. Has four living children.
  2. Delivered two infants preterm.
  3. Is pro-abortion.
  4. Delivered two term infants.

[josephsuarez]

Answer to Question 1

Correct Answer: 3
Rationale 1: Although this is true, this statement is too vague to be the best response. It is best to explain specifically that the impact on the current pregnancy might put the pregnancy at higher risk.
Rationale 2: The purpose of the form is to identify which patients have risk factors; the fact that records are complete is less important than identifying at risk pregnancies.
Rationale 3: This is the reason for risk assessment during pregnancy, whether it is a patient-completed questionnaire or a nurse assessment form.
Rationale 4: The form will identify those patients who have risk factors based on their medical history; prediction implies seeing into the future without a basis for the concern.

Answer to Question 2

Correct Answer: 4
Rationale 1: In the four digit number, the fourth number indicates the number of living children, which is 2.
Rationale 2: In the four digit number, the second digit indicates the number of preterm births, so the patient has had no preterm births.
Rationale 3: In the four digit number, the third digit indicates the number of abortions the patient has experienced. Because abortion may be spontaneous or therapeutic, this number does not does not necessarily reflect a woman's stance on surgical abortion.
Rationale 4: In the four digit number, the first digit indicates the number of term infants born, which is two.