19. A 14-year-old client, who is gravida 1, para 0 at 11 weeks' gestation, is at her first prenatal visit. To provide anticipatory guidance for this client, the nurse should assess:
19. A 14-year-old client, who is gravida 1, para 0 at 11 weeks' gestation, is at her first prenatal visit. To provide anticipatory guidance for this client, the nurse should assess:
. The client's attitude about the pregnancy.
. Whether the client used birth control methods.
. The client's feelings about future children.
. The client's knowledge of the symptoms of preterm labor.
Test-Taking Tip
The key concept in this question is the first trimester. The first trimester consideration is mainly how the client is feeling about the pregnancy. Because she can choose to terminate the pregnancy, her feelings about the pregnancy and plans for the pregnancy are the primary concerns.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
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Answer 1 is correct because the client's attitude about the pregnancy is the primary concern during the first trimester. Plans for termination or continuation of the pregnancy should be discussed to provide anticipatory guidance for this client. Answer 2 is incorrect because birth control methods are not the primary concern for this client during the first trimester of pregnancy. Answer 3 is incorrect because the client's feeling about future pregnancies is not the primary concern for this adolescent client during the first trimester of pregnancy. Answer 4 is incorrect because the client's knowledge of the symptoms of preterm labor is important during the second and third trimester, not during the first trimester.