Author Question: A nurse is caring for a pregnant 16-year-old who is homeless and occasionally spends time in a ... (Read 36 times)

acc299 · **on:** Jun 28, 2018

A nurse is caring for a pregnant 16-year-old who is homeless and occasionally spends time in a homeless shelter. She has been seen in the clinic before for sexually transmitted infections (STIs).

She weighs 92 lb (41.8 kg) and occasionally uses crack cocaine. Which risk factors does this patient have for a negative pregnancy outcome? (Select all that apply.)
A.
Age of 16 years
B.
Being homeless
C.
Crack cocaine use
D.
History of STIs
E.
Low weight

Question 2

A pregnant woman in her second trimester arrives at the labor unit triage station with complaints of lower abdominal cramping and urinary frequency. Appropriate nursing actions include which of the following? (Select all that apply.)

A.
Assess the fetal heart rate.
B.
Assess the patient's pulse rate.
C.
Insert an indwelling Foley catheter.
D.
Obtain a urine sample for culture and sensitivity.
E.
Palpate the patient's abdomen for contractions.

Natalie4ever · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, C, D, E
According to Barry (2011) and Porter and Holness (2011), prenatal medical and behavioral risks for the adolescent population include preterm labor and birthespecially when combined with low socioeconomic status, being a single parent, being a smoker, using illicit drugs, prepregnant weight less than 100 lb (45.5 kg), poor weight gain during pregnancy, and inadequate prenatal care. Other factors include anemia; preeclampsia-eclampsia; repeated exposure to sexually transmitted infections; chronic or asymptomatic urinary tract infections; acute pyelonephritis; intrauterine growth restriction/low-birth-weight infants (< 2,500 g); and social issues such as poverty, unmarried status, low educational levels, smoking, and drug use. After age 15 years, the adolescent does not experience any more problems than does the general population.

Answer to Question 2

ANS: A, B, D, E
Women who experience preterm labor may complain of backache, pelvic aching, menstrual-type cramps, increased vaginal discharge, pelvic pressure, urinary frequency, and intestinal cramping with or without diarrhea. A urinalysis and urine culture and sensitivity should be obtained on all patients with symptoms of preterm labor, and the nurse must remember that symptoms of urinary tract infection often mimic normal pregnancy complaints (e.g., urgency, frequency). The patient's abdomen should be palpated to assess for contractions, and the fetal heart rate should be monitored. It is not necessary to insert a Foley catheter at this time.