SC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant mort
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ality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. pr pr pr
b. Refer the woman to a social worker. pr pr pr pr pr pr
c. Advise the woman to see an obstetrician, not a midwife. pr pr pr pr pr pr pr pr pr
d. Explain to the woman the importance of keeping her prenatal care appointments.
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SELECTED ANSWER: D pr pr
Consistent prenatal care is the best method of preventing or controlling risk factors associated w
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ith infant mortality. Nutritional status is an important modifiable risk factor, but it is not the mo
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st important action a nurse should take in this situation. The client may need assistance from a so
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cial worker at some time during her pregnancy, but a referral to a social worker is not the most i
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mportant aspect the nurse should address at this time. If the woman has identifiable high-
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risk problems, then her health care may need to be provided by a physician. However, it cannot
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be assumed that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the most important aspe
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ct on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
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manage the type of care a client is to receive.
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