MIDTERM REVIEW: Lowdermilk: Maternity & Women’s Health Care, 11th Edition Fully Solved

A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is obtained: She is 24 years old with a body mass index (BMI) of 17.5. She admits to having used cocaine several times during the past year and occasionally drinks alcohol. Her blood pressure is 108/70 mm Hg. The family history is positive for diabetes mellitus and cancer. Her sister recently gave birth to an infant with a neural tube defect (NTD). Which characteristics places this client in a high-risk category? a. Blood pressure, age, BMI b. Drug and alcohol use, age, family history c. Family history, blood pressure (BP), BMI d. Family history, BMI, drug and alcohol abuse ANS: D The woman’s family history of an NTD, her low BMI, and her drug and alcohol use abuse are high risk factors of pregnancy. The woman’s BP is normal, and her age does not put her at risk. Her BMI is low and may indicate poor nutritional status, which is a high risk.