During an initial clinic visit, the nurse is taking the history for a client who wants to confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW). Which additional finding is most important for the nurse to consider?

Correct Answer: A

Rationale: The correct answer is A: Cigarette smoking. Smoking is a well-known risk factor for low birth weight. Nicotine and other harmful substances in cigarettes can restrict blood flow to the placenta, leading to inadequate oxygen and nutrients reaching the fetus, resulting in low birth weight. African American ethnicity (B) is a risk factor for LBW, but smoking has a more direct impact. Poor nutritional status (C) can contribute to LBW, but smoking has a stronger association. Limited maternal education (D) may impact prenatal care but is not as directly linked to LBW as smoking.

Correct Answer: A

Rationale: The correct answer is A because the nurse should record both blood pressure readings and report them to the healthcare provider for further evaluation. Blood pressure readings of 172/104 mm Hg and 164/98 mm Hg are elevated and require medical attention. Referring the client to a nutritionist (B) or assessing for stress (D) are not immediate actions needed for these high blood pressure readings. Placing the client in a recumbent position and calling paramedics (C) is only necessary in cases of hypertensive emergencies, which are not indicated in this scenario.

Correct Answer: C

Rationale: Rationale for Choice C: 1. Choice C empowers the client by encouraging him to consider wearing a helmet, promoting his safety. 2. It acknowledges the client's autonomy while emphasizing the importance of helmet use. 3. The nurse's response aligns with the principles of health promotion and injury prevention. Summary of Other Choices: - Choice A: TTM focuses on stages of behavior change, not the immediate safety concern of helmet use. - Choice B: This response fails to address the critical safety issue at hand, prioritizing individual choice over safety. - Choice D: While true, this choice does not address the client's current behavior or provide guidance for future actions.

Correct Answer: A

Rationale: The correct answer is A because understanding the community health practice is crucial for providing effective care. Educating staff on client demographics, health needs, and cultural considerations can enhance patient outcomes. Option B is incorrect as it provides specific information rather than a general guideline. Options C and D are incomplete and do not address the community health aspect.

Correct Answer: C

Rationale: The correct answer is C: Number of people without access to healthcare. This should be the highest priority as it directly addresses a fundamental issue of healthcare accessibility and equity. Without access to healthcare, individuals cannot receive necessary medical care, leading to poorer health outcomes and increased healthcare disparities. Choice A (Overuse of diagnostic technology) is not the highest priority as it focuses on efficiency rather than accessibility. Choice B (Government-based health insurance) is important but does not directly address the issue of lack of access to healthcare. Choice D (The neonatal and infant mortality rates) is also important but does not target the root cause of lack of access to healthcare for the general population. Prioritizing addressing the number of people without access to healthcare will help improve overall health outcomes and reduce disparities in the community.