The nurse is working at a clinic for pregnant teens. What issues ...

[mspears3]

The nurse is working at a clinic for pregnant teens. What issues related to development will the nurse expect to encounter in most of the pregnant patients?
 
  1. Peer pressure to stop using alcohol once pregnancy is diagnosed
  2. Contraception failure that resulted in this pregnancy
  3. The father of the baby's being emotionally supportive to the patient
  4. Feelings of not living up to parents' expectations

Question 2

A pregnant patient is admitted to the emergency department with bleeding. The nurse realizes that the patient might have placenta previa. Which signs would be suggestive of placenta previa?
 
  1. Bright red vaginal bleeding
  2. Sudden onset of vaginal bleeding
  3. Firm and stony hard uterus
  4. Increase in size of abdomen

[amit]

Answer to Question 1

4
Rationale 1: Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is peer pressure to engage in substance use.
Rationale 2: Pregnant teens face risk factors based on the developmental tasks of adolescence. These include sexual activity without contraception due to lack of a future orientation.
Rationale 3: Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is sexual activity as experimentation without emotional intimacy.
Rationale 4: Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is developing an identity. If the adolescent feels she has not lived up to parental expectations by becoming pregnant, she could adopt a negative identity.

Answer to Question 2

1
Rationale 1: As the lower uterine segment contracts and dilates, the placental villi are torn from the uterine wall, causing bright red bleeding.
Rationale 2: Sudden onset of vaginal bleeding occurs with abruptio placentae.
Rationale 3: This is found in abruptio placentae.
Rationale 4: This is more characteristic of abruptio placentae.