Question

1. The client has come to the clinic for her first prenatal visit at 18 weeks gestation. After the nurse explains the prenatal visit schedule. The client states, “I don’t really see any need to come back until I go into labor.” How should the nurse respond?
2. A woman who had twins, then one preterm infant, and is now pregnant again, what is her OB score? (GP TPAL).
3. The client who is 28 weeks gestation complains of fatigue. She reports difficulty sleeping. She says that she slept on her back before becoming pregnant, but now, she feels like she is going to faint in that position. How should the nurse respond?
4. The client, who has come to the clinic for her first prenatal visit, asks why she needs to be tested for HIV when only homosexual men are at risk for contracting the infection. How should you respond to the client?

Answer 1

1. The client has come to the clinic for her first prenatal visit at 18 weeks gestation. After the nurse explains the prenatal visit schedule. The client states, “I don’t really see any need to come back until I go into labor.” How should the nurse respond?

Answer: The nurse should inform the client that prenatal visits helps in determining the baby's growth and the well being of both the mother and child's health during the pregnacy since both the mother and child's hormones keep fluctuating during pregnancy. Since the fetus is growing, the hormone and the requirements that the mother needs would change, it is necessary to know the pregnancy status and act accordingly. It is necessary to perform scheduled tests and procedures at the correct time to have a healthy pregnancy.

2. A woman who had twins, then one preterm infant, and is now pregnant again, what is her OB score? (GP TPAL).

Answer: G3T1P1A0L3

3. The client who is 28 weeks gestation complains of fatigue. She reports difficulty sleeping. She says that she slept on her back before becoming pregnant, but now, she feels like she is going to faint in that position. How should the nurse respond?

Answer: During 28 weeks gestation the mother would have fatigue symptoms due to lack of sleep andd this is because the baby is getting heavier and also the baby would have their own periods of sleep and activity. A mother would be aware of the baby's movements.

Since the client is uncomfortable with sleeping on her back, she should be advised to sleep on her left side. It is observed that women who sleep on their rightside or back are at risk of stillbirth. So the best position for the patient to sleep is left side. The patient could use soft cushions to make herself comfortable.

4. The client, who has come to the clinic for her first prenatal visit, asks why she needs to be tested for HIV when only homosexual men are at risk for contracting the infection. How should you respond to the client?

Answer: The client should be briefed that HIV tests are a part of the pregnancy tests. These would help to monitor the mother and child health and also since HIV is transmitted during sexual encounters, it would help to know if the mother or child has HIV and then take necessary action thereafter.