The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?

Correct Answer: B

Rationale: In this scenario, the priority information for the nurse to provide to a 10-week gravid client in the prenatal clinic is "Methods to relieve backaches" (Option B). The rationale behind this is multi-faceted: 1. **Physiological Impact**: Backaches are a common discomfort experienced by pregnant women due to the additional weight and changes in posture. Providing strategies to relieve backaches can significantly improve the client's comfort and quality of life during pregnancy. 2. **Client-Centered Care**: Addressing backaches demonstrates the nurse's commitment to meeting the client's immediate needs. It shows empathy and a personalized approach to care, which is essential in building a trusting nurse-client relationship. 3. **Preventive Care**: By educating the client on methods to relieve backaches early in pregnancy, the nurse can help prevent the exacerbation of this discomfort as the pregnancy progresses, promoting overall well-being and reducing the risk of complications. Now, let's discuss why the other options are not the priority: A) **Pain management during labor**: While pain management during labor is crucial, providing information on this topic at 10 weeks of gestation might be premature and could cause unnecessary anxiety. It is more relevant to discuss this topic in later prenatal visits closer to the due date. C) **Breastfeeding positions**: While breastfeeding is an important topic, discussing breastfeeding positions at 10 weeks of gestation is not as pressing as addressing immediate discomforts like backaches. This information can be appropriately covered in later prenatal education sessions. D) **Characteristics of the newborn**: Understanding the characteristics of the newborn is important, but at 10 weeks of gestation, the focus should be on maternal well-being and prenatal care. Information about the newborn can be addressed in prenatal classes closer to the due date. In an educational context, this rationale highlights the importance of client-centered care, early intervention for discomfort management, and the significance of addressing immediate needs in prenatal education. Providing tailored anticipatory guidance enhances the client's experience, promotes trust in healthcare providers, and supports overall maternal well-being during pregnancy.

Correct Answer: C

Rationale: In the context of maternal fetal monitoring, the correct answer is option C) Hearing the fetal heartbeat. This experience is often a powerful and emotional moment for fathers as it provides a tangible connection to the developing baby. Hearing the fetal heartbeat can evoke a sense of reality and involvement in the pregnancy journey, prompting fathers to feel a stronger bond with the unborn child and a heightened interest in the pregnancy process. Option A) Learning the results of the pregnancy test is an important moment, but it may not necessarily increase the father's interest and involvement in the pregnancy as much as hearing the fetal heartbeat. This initial confirmation may not have the same emotional impact as a direct connection to the developing baby. Option B) Attending childbirth education classes is valuable for both parents to prepare for the birth, but it is a planned educational activity rather than a spontaneous, emotionally impactful moment like hearing the fetal heartbeat. Option D) Meeting the obstetrician or midwife is essential for prenatal care, but it may not inherently increase the father's interest and involvement in the pregnancy to the same extent as a direct experience like hearing the fetal heartbeat. Educationally, understanding the emotional and psychological aspects of pregnancy for both parents is crucial in providing holistic care. Recognizing the significance of moments like hearing the fetal heartbeat can help healthcare providers support fathers in their journey towards active participation in pregnancy and childbirth.

Correct Answer: B

Rationale: In the context of maternal fetal monitoring and addressing backaches in pregnant women, the correct exercise to teach is pelvic tilting (Option B). Pelvic tilting helps strengthen the abdominal muscles and promotes proper posture, which can alleviate back pain common during pregnancy. Option A, Kegeling, focuses on strengthening the pelvic floor muscles and may not directly address backaches. Option C, leg lifting, can strain the back muscles and is not recommended for pregnant women, especially those experiencing back pain. Option D, crunching, involves lying on the back which is contraindicated during pregnancy, especially in the later stages, as it can compress blood vessels and reduce blood flow to the fetus. Educationally, it is important to teach safe and effective exercises to pregnant women to promote their well-being and address common discomforts associated with pregnancy. Providing proper guidance on exercises like pelvic tilting can empower pregnant women to manage their backaches and maintain a healthy lifestyle throughout pregnancy. This knowledge equips both the pregnant woman and healthcare providers with strategies to optimize maternal health and fetal well-being.

Correct Answer: B

Rationale: The correct answer is option B) "The contractions may feel just like a backache but they will come and go." This option is correct because it accurately describes how labor contractions can sometimes feel like backaches but are characterized by their rhythmic nature, coming and going at regular intervals. This distinction is crucial for the client to recognize as it signals the onset of true labor. Option A is incorrect as it dismisses the client's concerns without providing any helpful information. This response does not empower the client with knowledge to differentiate between normal pregnancy discomforts and labor contractions. Option C is incorrect because it only partially addresses the situation by mentioning the coming and going of contractions but fails to highlight the specific characteristic of contractions feeling like a backache. Option D is incorrect as it uses subjective language ("a lot worse") to describe contractions compared to pregnancy aches and pains. This response can be fear-inducing without providing the necessary educational information to distinguish between the two. In an educational context, it is important for healthcare providers to empower pregnant clients with knowledge about the signs of labor to help them make informed decisions and seek appropriate care promptly. Understanding the difference between normal pregnancy discomforts and true labor contractions is essential for ensuring the well-being of both the mother and the baby. This knowledge can also help alleviate anxiety and promote a sense of preparedness during the final stages of pregnancy.

Correct Answer: C

Rationale: The correct answer is C) One of the hormones of pregnancy makes the nasal passages prone to bleeds. This is the right choice because during pregnancy, the increased levels of estrogen can lead to dilation of blood vessels in the nasal passages, making them more susceptible to bleeding. This physiological phenomenon is known as pregnancy rhinitis. It is a common occurrence in pregnancy and usually not a cause for concern. Option A) You should see the doctor to make sure you are not becoming severely anemic is incorrect because while anemia can cause nosebleeds, it is less likely to be the cause in this scenario, especially if the woman has not shown other signs of anemia. Option B) Do you have a temperature? is not the best choice as the presence of a fever is not typically associated with nosebleeds in pregnancy, unless there is an underlying infection. Option D) Do you use any inhaled drugs? is not directly related to the issue presented in the scenario and is less likely to be the cause of the nosebleeds in this case. Educational Context: Understanding the physiological changes that occur during pregnancy is crucial for healthcare providers to provide appropriate care and information to pregnant women. Educating women about common pregnancy-related symptoms like nosebleeds can help alleviate unnecessary anxiety and promote better maternal-fetal monitoring.