In response to requests by the U.S. Public Health Service for new models of prenatal care, an innovative new approach to prenatal care known as centering pregnancy was developed. Which statement would accurately apply to the centering model of care?
a. Group sessions begin with the first prenatal visit.
b. At each visit, blood pressure, weight, and urine dipsticks are obtained by the nurse.
c. Eight to 12 women are placed in gestational-age cohort groups.
d. Outcomes are similar to those of traditional prenatal care.
ANS: C
Gestational age cohorts comprise the groups, with approximately 8 to 12 women in each group. This group remains intact throughout the pregnancy. Individual follow-up visits are scheduled as needed. Group sessions begin at 12 to 16 weeks of gestation and end with an early postpartum visit. Before group sessions the client has an individual assessment, physical examination, and history. At the beginning of each group meeting, clients measure their own blood pressure, weight, and urine dips and enter these in their record. Fetal heart rate assessment and fundal height are obtained by the nurse. Results evaluating this approach have been very promising. In a study of adolescent clients, there was a decrease in low-birth-weight infants and an increase in breastfeeding rates.
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