A 20-weeks'-gestation adolescent patient states that it is ...

[mrsjacobs44]

A 20-weeks'-gestation adolescent patient states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds.
 
  What would be the best nursing response?
  1. You are causing harm to your baby.
  2. It's okay to want a small baby when you're a teen.
  3. You shouldn't be worrying about your figure.
  4. Your baby needs adequate nutrition to develop.

Question 2

While developing a conference for adolescents, the nurse prepares a handout describing socioeconomic and cultural factors that contribute to adolescent pregnancy. Which information should the nurse include in the handout?
 
  1. All cultures share an aversion to early pregnancy.
  2. The younger the teen when she first gets pregnant, the less likely she is to have another pregnancy in her teens.
  3. Poverty is a major risk factor for teen pregnancy.
  4. A child born to a teenage mother is at a lower risk for teen pregnancy.

[kardosa007]

Answer to Question 1

Correct Answer: 4
Rationale 1: The first role of the nurse is to explain why food is important to the growing fetus, specifying how each food group will help the fetus develop. Next, the nurse must assist the pregnant adolescent to plan foods that she likes to eat from each food group.
Rationale 2: Anticipatory guidance in the body changes of pregnancy will assist the adolescent's adjustment to them. Although many teens are anxious, this teen is expressing a direct nutritional deficit.
Rationale 3: Pregnant adolescents are just adapting to a new body image created by the changes of puberty when the pregnancy produces rapid and substantial body changes. The desire to maintain a socially desirable figure can lead to nutritional deficits.
Rationale 4: Teens might not understand the physiology behind the profound body changes of pregnancy.

Answer to Question 2

Correct Answer: 3
Rationale 1: Early pregnancy is desirable in some cultures, such as where Islam is the predominant religion, where large families are desired, where social change is slow in coming, and where most childbearing occurs within marriage.
Rationale 2: The younger the teen when she first gets pregnant, the more likely she is to have another pregnancy in her teens.
Rationale 3: Poverty is a major risk factor for teen pregnancy, as 85 of births to unmarried teens occur among those adolescents from poor to low-income families.
Rationale 4: Daughters and sisters of a woman who had a baby in her early teens tend to have intercourse earlier and are at higher risk for teen pregnancy themselves.