Assessment (Eleventh Edition) questions and
100% verified answers 2025/2026
The nurse in the prenatal clinic is seeing a pregnant 16-year-old for the first time. What comment by the
young client is the most critical for the nurse to address first?
1. "My favorite lunch is burger and fries."
2. "I've been dating my new boyfriend for 2 weeks."
3. "On weekends, we go out and drink a few beers."
4. "I dropped out of school about 3 months ago." - Answer 3
(Explanation
3. Drinking alcohol is most pressing because of fetal alcohol syndrome. The patient must be educated
early on about the impact alcohol has on her pregnancy)
While completing the medical and surgical history during the initial prenatal visit, the 16-year-old
primigravida interrupts with "Why are you asking me all these questions? What difference does it
make?" Which statement would best answer the client's questions?"
1. "We ask these questions to detect anything that happened in your past that might affect the
pregnancy."
2. "We ask these questions to see whether you can have prenatal visits less often than most clients do."
3. "We ask these questions to make sure that our paperwork and records are complete and up to date."
4. "We ask these questions to look for any health problems in the past that might affect your parenting."
- Answer 1
(Explanation: 1. The course of a pregnancy depends on a number of factors, including the past
pregnancy history (if this is not a first pregnancy), prepregnancy health of the woman, presence of
disease/illness states, family history, emotional status, and past health care.)
During a client's initial prenatal visit, the nurse must assess and document the client's current medical
history, including which information?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Body mass index
, 2. Infections before the last menstrual period
3. Homeopathic or herbal medication use
4. Blood type and Rh factor
5. History of previous pregnancies - Answer 1, 3, 4
(Explanation: 1. The body mass index is an important part of the current medical history to be assessed
and documented.
3. Homeopathic and herbal medication use is important for the nurse to assess and document in the
current medical history.
4. The blood type must be assessed and documented in the current medical history, as must the Rh
factor.)
During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lb). The nurse must further
assess the client for information about which of the following?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Eating habits
2. Foods regularly eaten
3. Income limitations
4. Blood pressure and pulse rate
5. Weight loss during pregnancy - Answer 1, 2, 3
(Explanation: 1. For a client whose weight is less than 100 lb, the nurse would obtain information on
eating habits.
2. For a client whose weight is less than 100 lb, the nurse would obtain information on foods regularly
eaten.
3. For a client whose weight is less than 100 lb, the nurse would obtain information on income
limitations.)
A woman gave birth last week to a fetus at 18 weeks' gestation after her first pregnancy. She is in the
clinic for follow-up, and notices that her chart states she has had one abortion. The client is upset over
the use of this word. How can the nurse best explain this terminology to the client?
1. "Abortion is the obstetric term for all pregnancies that end before 20 weeks."
2. "Abortion is the word we use when someone has miscarried."