An adolescent patient delivers an 8-lb baby after being in labor ...

[big1devin]

An adolescent patient delivers an 8-lb baby after being in labor for 12 hours. During the postpartal period, which assessment is a priority for the nurse to complete?
 
  A) Endometritis
  B) Thrombophlebitis
  C) Amniotic embolus
  D) Postpartum hemorrhage

Question 2

A pregnant adolescent has many questions and concerns about the pregnancy and birthing process. What should the nurse recommend to this patient?
 
  A) Talk to her mother.
  B) Attend childbirth classes.
  C) Obtain books from the library.
  D) Ask the health care provider the questions.

[sarah_brady415]

Answer to Question 1

D
Feedback:
Adolescents are more prone to postpartum hemorrhage than the average woman because if the patient's uterus is not yet fully developed, it becomes overdistended by pregnancy. An overdistended uterus will not contract as readily as a normally distended uterus in the postpartum period. This can lead to hemorrhage. Endometriosis, thrombophlebitis, and amniotic embolus are not expected postpartal complications for the adolescent patient.

Answer to Question 2

B
Feedback:
Peer companionship is a strong need for most adolescents. When girls become pregnant, because they are suddenly so different, they may find themselves cut off from fellow classmates. This is the prime opportunity to join a class of other adolescents in preparation for childbirth. The pregnant adolescent may or may not have a good relationship with her mother. The pregnant adolescent needs more than reading books about the pregnancy and childbirth. The health care provider may or may not be able to answer all of the pregnant adolescent's questions.

[big1devin]

TYSM

[bdobbins]

Excellent