Answer to Question 1
1
Rationale 1: The nurse assists the adolescent with her decision-making and problem-solving skills so that she can proceed with her developmental tasks and begin to assume responsibility for her own as well as her newborn's life.
Rationale 2: Actively involving the young woman in her care gives her a sense of participation and responsibility. Leaving important decisions to her parents would not promote a healthy self-esteem.
Rationale 3: Adolescents tend to be egocentric, and even if they realize that their health-related behaviors affect their fetus, they might not feel that this is important. In light of this, it is often more helpful to emphasize the effects of these practices on the patient herself.
Rationale 4: Because of adolescents' immature cognitive development, they need help in visualizing themselves in the future and in imagining what the consequences of their actions might be.
Answer to Question 2
4
Explanation: 4. This statement is incorrect. The major disadvantage is that a tear of the midline incision may extend through the anal sphincter and rectum.
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