Answer to Question 1
1,4,5
Rationale 1: A trusting relationship must be developed with the adolescent patient.
Rationale 2: Expected outcomes for the nursing care of a pregnant adolescent do not include exploring financial options.
Rationale 3: Expected outcomes for the nursing care of a pregnant adolescent do not include making plans to continue education.
Rationale 4: The adolescent must be able to appropriately problem -solve.
Rationale 5: The adolescent must follow the recommendations of the healthcare team to deliver a healthy baby.
Answer to Question 2
1,4,5
Rationale 1: Postpartum hemorrhage can occur because the uterus often becomes hypotonic after delivery from a precipitous labor and birth.
Rationale 2: This could be the result of a postterm delivery, not precipitous labor.
Rationale 3: This can increase cord compression in postterm labor, not precipitous labor.
Rationale 4: Abnormally strong contractions in a precipitous labor and birth can cause abruptio placentae.
Rationale 5: Lacerations of the cervix, vagina, and perineum can occur with rapid cervical dilatation and fetal descent.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
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