A woman comes for her first prenatal appointment at 31 weeks' gestation with her first pregnancy. Which of the following are appropriate statements by the nurse? (Select all that apply.)
A. "Do you have questions before I begin your prenatal history and information sharing?"
B. "Have you had care in another clinic? I can't believe this is your first appointment!"
C. "I am interested in hearing about your life and what prompted you to begin your prenatal care today."
D. "It is nice to meet you and I will try to help you get caught up in your prenatal care."
E. "Now that you are finally here, we need you to come monthly for the next two visits and then weekly."
ANS: A, C, D
Assessment of the patient and gathering data are important components of the first prenatal visit. However, the nurse needs to use professional communication skills in order to elicit information from the patient about personal details of her life and potentially embarrassing information. Questions that show openness and acceptance are best. Stating that you can't believe this is the patient's first prenatal visit and the comment "now that you are finally here" are judgmental and will not help to establish a trusting relationship.
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