Which questions best support the development of a client’s plan of care regarding their history of spontaneous abortions?

The selection of the question about the availability of a support system is particularly pertinent when developing a client's plan of care concerning their history of spontaneous abortions. This choice reflects an understanding of the emotional and psychological implications of the situation. Having a strong support system can significantly impact the client's coping mechanisms and overall well-being, especially during challenging times such as dealing with previous losses.

In the context of care planning, recognizing the emotional aspects is crucial; therefore, inquiring about the client’s support network can guide healthcare providers in assessing not just physical health needs, but also provide insight into emotional support options, counseling, and resources that might be beneficial for the client. This holistic approach aligns with the principles of person-centered care in the QSEN competencies, which prioritize understanding the patient's perspective and needs.

The other questions may provide important information but do not directly address the overall support structure that is vital in managing a sensitive history like that of spontaneous abortions. While discussing the status of the pregnancy, characteristics of impending spontaneous abortion, or preferred birthing methods may inform clinical decisions, they do not directly foster the emotional and psychological support that is critical in developing a comprehensive plan of care for the client.