Author Question: The nurse working in an obstetrician's office determines that which client is at high risk for ... (Read 53 times)

Evvie72 · **on:** Jul 22, 2018

The nurse working in an obstetrician's office determines that which client is at high risk for prenatal loss? (Select all that apply)

1. The woman recovering from a gastrointestinal virus
2. The woman who had a healthy baby six months ago resulting from a healthy pregnancy
3. The woman who lives in an urban area in a high-rise apartment
4. The unmarried 14-year-old woman living in a rural area
5. The woman who drinks one cup of coffee every morning

Question 2

What information will the nurse want to question specifically for the adolescent who was just informed she is pregnant?

1. Last menstrual period
2. Dietary habits
3. Use of substances such as drugs, alcohol, and tobacco
4. Previous reproductive history

s.meritte · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. The woman who had a healthy baby six months ago resulting from a healthy pregnancy
4. The unmarried 14-year-old woman living in a rural area

Rationale:
The woman who delivered a baby only six months ago is at higher risk because her body has not had time to fully recover from the previous birth. Adolescents under age 15 are at higher risk, and those living in rural areas where there may be limited access to healthcare providers also face greater challenges. A GI virus will not negatively impact the pregnancy, and those in urban areas have better access to healthcare. One cup of coffee is not excessive intake of caffeine.

Answer to Question 2

3. Use of substances such as drugs, alcohol, and tobacco

Rationale:
Although all pregnant women will be questioned about substance abuse, the nurse will be especially interested in asking an adolescent client about it. Adolescents have a higher rate of substance abuse, and the use of drugs, alcohol, and tobacco can have a negative impact on the outcome of the fetus. All pregnant women will be asked about last menstrual period, diet, and reproductive history. Last menstrual period is of less importance with the young adolescent whose periods tend to be irregular and cannot be counted on to indicate due date.