Author Question: A 38-year-old woman with no prior pregnancies calls the clinic to inquire about preconception ... (Read 43 times)

shenderson6 · **on:** Jun 28, 2018

A 38-year-old woman with no prior pregnancies calls the clinic to inquire about preconception counseling. Which element of early prenatal education should the nurse expect to facilitate?

1. Availability of prenatal and genetic testing
2. Birth choices
3. Infertility counseling
4. Nutrition classes

Question 2

The prenatal clinic nurse has presented information on prenatal class options to a couple pregnant for the first time. Which statement made by the couple indicates that additional information is necessary? Prenatal classes:

1. Eliminate the risk of needing a vacuum extraction or cesarean birth.
2. Help parents cope with the discomforts and unknowns of childbirth.
3. Facilitate better communication between both partners.
4. Encourage participants to write a list of their requests for labor and birth.

momo1250 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Prenatal and genetic testing is incorporated among early prenatal classes, which often include pre-pregnant women. Due to maternal age, this woman is at increased risk for having a child with a chromosomal abnormality.
Rationale 2: Birth classes are incorporated into later classes; specifically, the second and third trimester.
Rationale 3: Infertility counseling is not incorporated within preconception counseling.
Rationale 4: Nutrition classes are incorporated among early prenatal education; however, due the woman's age, availability of prenatal and genetic testing is a higher priority.

Answer to Question 2

Correct Answer: 1
Rationale 1: This is false reassurance. There is no guarantee that an operative birth can be avoided, even if a couple attends prenatal classes.
Rationale 2: This is one of the main goals of prenatal classes: learning skills to help get through the discomforts of childbirth. Participants also learn how the birthing process progresses. This does not imply that students of prenatal classes don't get epidurals. But participants will learn new skills that will facilitate the birthing process.
Rationale 3: A secondary goal of prenatal classes is to facilitate communication between the pregnant woman and her partner. The primary goals are to inform participants of the birth process and teach them skills to cope with labor and birth.
Rationale 4: One of the strategies used in prenatal classes is to have participants write a birth plan that lists their requests for how they want their birthing experience to be. But putting their desires down in writing is less important than learning about the birth process and learning skills to cope with labor and delivery.