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For this check-up, your patient is a 43-year-old female. She is 4 months pregnant for the first time and has been drinking 2 glasses of wine each night. As her nurse/healthcare investigator, do you think that you should also address other factors like her age, first-time pregnancy, etc.?

A) Yes, because additional factors can influence pregnancy outcomes.

B) No, her age and first-time pregnancy are not relevant.

C) Only if she expresses concerns about those factors.

D) It depends on her family history.

1 Answer

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Final answer:

Yes, as a healthcare professional, it is crucial to address all factors that may influence pregnancy outcomes, including alcohol consumption, age, and first-time pregnancy status, due to their potential impact on the health of both the mother and the fetus. The correct answer of choice would be A) Yes, because additional factors can influence pregnancy outcomes.

Step-by-step explanation:

As a healthcare professional, it is essential to address all factors that may influence pregnancy outcomes. Alcohol consumption during pregnancy is highly concerning because it can lead to fetal alcohol spectrum disorder, causing cognitive deficits, developmental delays, and physical anomalies in the child. In addition to the risks associated with alcohol intake, the patient's age and the fact that this is a first-time pregnancy are also relevant factors.

Advanced maternal age can increase the risk of chromosomal abnormalities and pregnancy complications. Moreover, prenatal care is crucial for monitoring the health of both the mother and the fetus, particularly for first-time mothers who may not be familiar with all the risks and necessary lifestyle adjustments.

Therefore, the answer to the student's question would be A) Yes, because additional factors can influence pregnancy outcomes. Besides the immediate concern of alcohol use, the patient's age and the fact that this is her first pregnancy are significant considerations that can impact both her health and that of the developing fetus. A comprehensive approach to prenatal care should involve discussing these factors and potentially others, depending on individual circumstances.

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