Author Question: The nurse is giving a community presentation about adolescent pregnancy. Which presentation ... (Read 79 times)

burton19126 · **on:** Jun 28, 2018

The nurse is giving a community presentation about adolescent pregnancy. Which presentation statement most accurately reflects a challenge of pregnancy associated with early adolescence?

1. Pregnancy is less likely to be related to an intimate relationship.
2. Girls in this stage have developed value systems that are separate and distinct from those of their parents.
3. Most often, when a girl in early adolescence enters the healthcare system, she will be accompanied by the father of the baby.
4. Self-consciousness about body changes related to pregnancy usually isn't an issue for early adolescents.

Question 2

The nurse is observing the meal selections of a group of pregnant and postpartal patients. One meal consists of a cup of skim milk, soy burger on a bun, baked beans, 8 ounces of water, four carrot sticks, and a mixed fresh fruit cup.

For which patient is this meal the best choice?
1. 27-year-old primip, 8 weeks' gestation, Hgb 11.0
2. 30-year-old multip two days postpartum, bottle-feeding
3. 15-year-old primip, one day postpartum, breastfeeding
4. 20-year-old multip, 32 weeks' gestation, reports fatigue.

mk6555 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: For early adolescents, pregnancy is probably not the result of an intimate relationship.
Rationale 2: The early adolescent's value system still closely reflects that of parents, so she turns to her parents for a decision or approval of a decision.
Rationale 3: During early adolescence, a pregnant girl generally enters the healthcare system with an adult, most likely her mother; parents are still seen as locus of control.
Rationale 4: Along with self-consciousness about normal physiologic changes, for early adolescents, self-consciousness and low self-esteem are likely to intensify with rapid breast enlargement and abdominal enlargement of pregnancy.

Answer to Question 2

Correct Answer: 3
Rationale 1: This patient needs a high-iron diet. The meal described is high in calcium and protein, but low in iron.
Rationale 2: The meal described is high in calcium and protein. This meal would be more than adequate for a bottle-feeding patient, but it is better suited to a breastfeeding patient.
Rationale 3: This is the best patient for this meal. Because the patient is an adolescent, she needs a high-protein diet, and because she is breastfeeding, she needs a high-calcium diet. The meal described is high in calcium and protein: milk, soy, and beans all are sources of protein, while milk and soy are good sources of calcium.
Rationale 4: The high protein and calcium of the described meal are good during pregnancy, but the report of fatigue could indicate a low hemoglobin level that requires additional assessment prior to recommending a specific diet.