After telling a mother that her 13-year-old daughter is pregnant, ...

[SAVANNAHHOOPER23]

After telling a mother that her 13-year-old daughter is pregnant, the nurse would expect the mother to respond with which statement?
 
  1. We had such high hopes for you.
  2. But you have always been a happy child.
  3. I've always liked that boy.
  4. This is just one of those things that happen.

Question 2

The primary physician orders a narcotic analgesic for a patient in labor. Which situations would lead the nurse to hold the medication? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Contraction pattern every 3 minutes for 60 seconds
  2. Fetal monitor tracing showing late decelerations
  3. Patient sleeping between contractions
  4. Blood pressure 150/90
  5. Blood pressure 80/42

[vseab]

Answer to Question 1

1
Explanation: 1. When an adolescent pregnancy is first revealed to the teen's mother, the result is often anger, shame, or sorrow. The degree of negative response will be determined by the age of the teen, the family expectations for the teen, and the presence or absence of other teen pregnancies in the family or support network.

Answer to Question 2

2,5
Rationale 1: This is a normal contraction pattern.
Rationale 2: Late decelerations indicate uteroplacental insufficiency. It would be inappropriate to administer a central nervous depressant.
Rationale 3: This is not a contraindication to receiving a narcotic.
Rationale 4: This is not a contraindication to receiving a narcotic.
Rationale 5: This would be a contraindication, as a narcotic can lower the blood pressure even more.

[SAVANNAHHOOPER23]

Excellent

[JaynaD87]

Gracias!