How should a nurse respond if a client expects an internal examination at their first prenatal visit?

A nurse's response that focuses on the client's previous experiences with internal examinations demonstrates an understanding of the importance of patient-centered care. By asking if the client has had an internal examination before, the nurse opens up a dialogue that allows the client to express any feelings or concerns they may have regarding the procedure. This approach not only fosters trust and reassurance but also helps the nurse gauge the client's level of comfort and knowledge about prenatal care.

Additionally, encouraging the client to share their past experiences can provide valuable information that might influence whether an examination is needed or how it should be conducted, if at all. It aligns with the practice of respecting the client's autonomy and supporting informed decision-making regarding their healthcare.

The other options do not prioritize the client's feelings or create an environment conducive to open communication. For instance, stating it is standard procedure does not consider the individual concerns of the client, and suggesting to proceed immediately may not address their discomfort or anxieties. Similarly, while indicating that the client can decline is important, it lacks the proactive engagement of discussing past experiences, which can lead to a more nuanced and reassuring conversation about the examination and its necessity.