The nurse is working with a pregnant 14 year old. Which statement ...

[vicky]

The nurse is working with a pregnant 14 year old. Which statement indicates that additional education is required?
 
  1. Because I am still growing, I need more calories than a pregnant adult.
  2. I need to eat fruit and vegetables every day to get enough vitamins.
  3. My favorite food is pizza, and I eat it once a week.
  4. Since I don't eat breakfast, I'll have to eat more at supper.

Question 2

A nurse is examining a patient with a potential of polycystic ovarian syndrome. The nurse knows that which diagnostic is the most important indicator to support a diagnosis of polycystic ovarian syndrome?
 
  1. Total estrogen level
  2. Waist to chest ratio
  3. Hyperandrogenism
  4. Hypoinsulinemia

[brittiany.barnes]

Answer to Question 1

4
Rationale 1: Because of the metabolic demands of their growth and the metabolic demands of the fetus, pregnant young adolescents require up to 50 kcal/kg more per day than do pregnant adults.
Rationale 2: Eating a variety of fruits and vegetables helps ensure adequate intake of vitamins and some minerals.
Rationale 3: Pizza is not contraindicated during pregnancy. Eating a food once per week will not lead to nutritional imbalance.
Rationale 4: Pregnant young adolescents should eat breakfast to ensure the adequate calorie and protein intake needed to continue the teen's growth and the growth and development of the fetus.

Answer to Question 2

3
Rationale 1: Total estrogen level might not be normal, but this is not the most important indicator.
Rationale 2: Waist-to-chest ratio is usually checked, as the disorder is seen more often in obese women, but this is not the most important indicator.
Rationale 3: Hyperandrogenism is the most important indicator. These women have a high amount of the male hormone.
Rationale 4: Hypoinsulinemia is checked, as insulin resistance is a factor, but this is not the most important indicator.

[vicky]

Wow, this really help

[Joy Chen]

Excellent