The nurse is reviewing clients scheduled for prenatal care. Which client should the nurse identify as being most likely to have a newborn at risk for mortality or morbidity?
1. 37-year-old G8 P2323, works in a chemical factory
2. 16-year-old primipara, began prenatal care at 30 weeks
3. 28-year-old G2 P1001, history of gestational diabetes
4. 23-year-old primipara, low socioeconomic status, unmarried
1
Explanation:
1. This client 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.
2. This client has two risk factors: young age and late onset of prenatal care.
3. This client has gestational diabetes history as the only risk factor.
4. The main risk factor for this client is a low socioeconomic status.
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