The nurse is caring for pregnant patients. Which of these clients should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity?
1. 37-year-old G8 P2323, works in a chemical factory
2. 23-year-old primip, low socioeconomic status, unmarried
3. 16-year-old primip, began prenatal care at 30 weeks
4. 28-year-old G2 P1001, history of gestational diabetes
Correct Answer: 1
Rationale 1: This patient is at greatest risk because she has multiple risk factors: age over 35, high parity, history of preterm birth, and exposure to chemicals that might be toxic.
Rationale 2: The main risk factor for this patient is her low socioeconomic status.
Rationale 3: This patient has two risk factors: young age and late onset of prenatal care.
Rationale 4: This patient has gestational diabetes history as her only risk factor.
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