One quiz question I am struggling with

[PennyNickelDime_RN]

Hi,

I am finishing up a OB quiz and am stuck on one question. The question is: A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:

a. contact the social worker

b. develop a trusting relationship

c. schedule the client for prenatal classes

d. teach the client about proper nutrition

I have ruled out a and c and am trying to decide between b and d. I'm hung up on the phrase FIRST responsibility. It would seem to me that developing trust would be good to help ensure that the teen would follow through with appointments etc, but emphasis on maternal nutrition is also extremely important. It comes down to picking the most correct answer. Any suggestions?

Thank you :monkeydance:

[jill48, ASN, RN]

I feel like I'm standing outside our classroom after an exam....we always debate why OUR answer is the correct one.

Exactly! That is why it's so fun!

[hani_102003]

I think the correct answer is B

Becouse before conducting a health education you must to establish a good relationship based on trust and respect.

[carolinapooh, BSN, RN]

I believe it's "B", and not just because of all the solid rationales here, even though I agree with all of them.

If a patient walks in for her first visit, and you right away start talking about nutrition, you've screwed up on so many levels. One, no health hx has been taken (I've learned with these questions, you can't assume anything, and you have to start from step 1). Two, is a teenager really going to listen to you lecturing about nutrition if you haven't taken the time to build a relationship? I'm a grown woman and I wouldn't trust you if I walked in at four months and you start talking to me about nutrition. I'd take it as lecturing and that I should know better for waiting so late to get care (and knowing me, I'd probably tell you to get to the point, and then I'd find another provider!).

Plus, I wouldn't say that from this question we know that she's actually seeking help from an adult. What if her parents forced her to come in, and she could care less about you or what you think? Or what if she's embarrassed that she's pregnant, and has been called all sorts of names or every adult she's encountered has had some sort of snide remark to make to her?

[donsterRN, ASN, BSN]

I, too, believe the answer is "B"...