The nurse is recording a woman's obstetrical history as part of a comprehensive genetic history. Which information should the nurse include?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The client has delivered two healthy infants in the last three years.
2. The client's last pregnancy was not planned.
3. The client had pregnancy-induced hypertension while carrying her last child.
4. The client revealed that she is not certain of the paternity of her first child.
5. The client has had two spontaneous abortions.
1,3,5
Rationale 1: Obstetric history includes information about pregnancies and their outcome.
Rationale 2: This information might be relevant to the client's psychological health but is not pertinent to a genetic history.
Rationale 3: Diseases occurring during pregnancy would be included in the obstetric history.
Rationale 4: This information would be significant as part of the child's history but does not pertain to the genetic history of the mother.
Rationale 5: Spontaneous abortions sometimes occur because of genetic defects in the fetus. This information is important.
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