A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?

Correct Answer: D

Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.

Correct Answer: B

Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.

Correct Answer: C

Rationale: The age group of 14 to 25 years is considered the highest risk group for gonorrhea, making it important to discuss this with parents during discharge. This age range includes adolescents and young adults who are more likely to engage in risky sexual behaviors and therefore have a higher chance of contracting sexually transmitted infections like gonorrhea. Educating parents about this risk group can help them be more aware and take steps to protect their child as they grow older.

Correct Answer: B

Rationale: Placental abruption is classified based on the severity of symptoms and extent of separation of the placenta from the uterine wall. In a low-risk primiparous patient like the one described, a moderate placental abruption (Grade 2) is likely when there is some vaginal bleeding, mild to moderate abdominal pain, and signs of fetal distress such as abnormal fetal heart rate patterns.

Correct Answer: C

Rationale: The correct answer is C) People are taught how to release fear to decrease pain. The Mongan Method of childbirth education, also known as HypnoBirthing, emphasizes relaxation techniques to reduce fear and anxiety during labor. By teaching birthing people how to release fear and stay calm, the method aims to decrease the perception of pain and promote a more positive birthing experience. This approach aligns with the idea that fear and tension can contribute to the intensity of pain experienced during labor. Option A is incorrect because the Mongan Method focuses more on relaxation and releasing fear rather than pushing with great effort in the second stage of labor. Option B is incorrect because while the method does encourage natural birthing techniques, it does not specifically promote the use of epidurals. Option D is incorrect because no method can guarantee 100 percent effectiveness in relieving pain during labor, as pain perception can vary greatly among individuals. In an educational context, understanding the principles of the Mongan Method can help nurses and midwives support birthing people who choose this approach. By incorporating these relaxation techniques into their practice, healthcare providers can help create a more supportive and calming environment for laboring individuals, ultimately enhancing the overall childbirth experience.