A nurse is reviewing health promotion strategies with a client who is 8 weeks pregnant.
Which of the following screenings should the nurse recommend be performed during the first trimester?
A nurse is reviewing health promotion strategies with a client who is 8 weeks pregnant.
Which of the following screenings should the nurse recommend be performed during the first trimester?
A. Group B streptococcus culture
[14%]
B. Oral glucose tolerance test
[14%]
C. Rh(D) antibody screening
[43%]
D. Biophysical profile
[29%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Health Screening
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice C is correct. Rh(D) antibody screening is routinely performed during the first prenatal visit to detect Rh incompatibility and prevent hemolytic disease of the fetus and newborn.
Choice A is incorrect. Group B strep screening occurs between 35–37 weeks gestation.
Choice B is incorrect. Glucose tolerance testing typically occurs between 24–28 weeks unless early screening is warranted.
Choice D is incorrect. A biophysical profile is usually done later in pregnancy to assess fetal well-being if there are concerns.
Learning Objective
Identify routine prenatal screenings in the first trimester that support health promotion and early intervention.
Related Videos
2 Key Topics
1st Trimester
28.1 Pregnancy Basics & Early Assessment
Additional Info
✓ Early labs also include CBC, blood type, rubella titer, HIV, hepatitis B, and STI screening.
✓ Rh-negative clients may require Rho(D) immune globulin at 28 weeks and postpartum.
