The nurse is caring for a 15-year-old client that gave birth to ...

[Shelles]

The nurse is caring for a 15-year-old client that gave birth to her first child yesterday. What action is the best indicator that the nurse understands the parenting adolescent?
 
  1. The client's mother is included in all discussions and demonstrations.
  2. The father of the baby is encouraged to change a diaper and give a bottle.
  3. The nurse explains the characteristics and cues of the baby when assessing it.
  4. A discussion on contraceptive methods is the first topic of teaching.

Question 2

The laboring primiparous client with meconium-stained amniotic fluid asks the nurse why the fetal monitor is necessary, as she finds the belt uncomfortable. Which response by the nurse is most important? The monitor:
 
  1. Is necessary so we can see how your labor is progressing.
  2. Will prevent complications from the meconium in your fluid.
  3. Helps us to see how the baby is tolerating labor.
  4. Can be removed, and oxygen given instead.

[jojobee318]

Answer to Question 1

3
Rationale:
1. Although the parents of adolescents are often involved with child care and childrearing, this action is only appropriate if the client desires to have her mother present for teaching and discussions.
2. Involvement of the father is important, but having the mother learn more about her new baby and what the behavior cues are is a higher priority.
3. This helps the client learn about her baby and understand him as an individual, and facilitates maternalinfant attachment. This is the highest priority.
4. Young teens are statistically more likely to have another child during their adolescence, but establishing a rapport and facilitating understanding of and attachment to the newborn is a higher priority.

Answer to Question 2

3
Rationale:
1. The fetal monitor does not help visualize labor progress. Labor progress is assessed through the pelvic exam, checking to see if the cervix is dilating and the fetus descending into the pelvis.
2. The fetal monitor will provide information on how the baby is tolerating labor, but does not prevent complications such as meconium aspiration syndrome.
3. This is the reason fetal monitoring is used.
4. Oxygen is an appropriate intervention for late decelerations, but no information is given about the fetal heart rate. Fetal monitoring provides information on the status of the fetus, and is a necessary assessment when the amniotic fluid is meconium-stained.

[Shelles]

Gracias!

[bblaney]

TYSM