Which primary topic should the nurse discuss with a pregnant client who has not received prenatal care?

Focusing on nutrition and prenatal vitamins is crucial for a pregnant client who has not received prenatal care. Proper nutrition during pregnancy provides essential nutrients that support the health of both the mother and the developing fetus. For instance, folic acid is vital in reducing the risk of neural tube defects, while adequate protein, iron, and calcium intake are necessary for the overall growth and development of the baby.

Since this client is just beginning prenatal care, addressing nutrition and the importance of prenatal vitamins ensures that they receive the necessary guidance to promote a healthy pregnancy. Good nutritional practices can significantly impact pregnancy outcomes, including weight gain for the mother, fetal development, and reducing complications associated with pregnancy.

Other topics, while important, may not take precedence at this early stage. Adoption planning is a consideration if the client is contemplating a different outcome for the pregnancy, and future education plans may be relevant later on but are not as immediate as health and nutrition needs. Family and social support are also important but should follow the fundamental discussion of the mother’s nutritional health and the immediate needs of the pregnancy.