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 of the following statements would
best answer the client's questions? "We ask these questions: 1. "To detect anything that happened in your past that might affect the pregnancy."
2. "To see if you can have prenatal visits less often than most clients do."
3. "To make sure that our paperwork and records are complete and up to date."
4. "To look for any health problems in the past that might affect your parenting."
1
Rationale:
1. The medical and surgical histories of a new prenatal client must be accurate and complete to detect conditions that might be exacerbated during pregnancy or delivery, to ensure safety of both the mother and the fetus.
2. Prenatal visits follow a set schedule for normal clients without complications.
3. Paperwork is a lower priority than client care.
4. The psychological history of a client, not the medical or surgical histories, can indicate potential problems with parenting.
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