Author Question: The nurse is evaluating the expected outcomes of care for a pregnant adolescent. For the evaluation, ... (Read 79 times)

abern · **on:** Jun 27, 2018

The nurse is evaluating the expected outcomes of care for a pregnant adolescent. For the evaluation, the nurse will ask: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. Was a trusting relationship developed?
2. Did the adolescent explore financial options open to teen parents?
3. Did the adolescent make plans for continuing her education?
4. Can the adolescent problem-solve?
5. Did the adolescent follow recommendations?

Question 2

A patient delivers within 3 hours of the onset of labor. Which of the potential maternal risks should the nurse consider when planning her care? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Postpartum hemorrhage
2. Macrosomic fetus
3. Oligohydramnios
4. Abruptio placentae
5. Lacerations of the cervix

Missbam101 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,4,5
Rationale 1: A trusting relationship must be developed with the adolescent patient.
Rationale 2: Expected outcomes for the nursing care of a pregnant adolescent do not include exploring financial options.
Rationale 3: Expected outcomes for the nursing care of a pregnant adolescent do not include making plans to continue education.
Rationale 4: The adolescent must be able to appropriately problem -solve.
Rationale 5: The adolescent must follow the recommendations of the healthcare team to deliver a healthy baby.

Answer to Question 2

1,4,5
Rationale 1: Postpartum hemorrhage can occur because the uterus often becomes hypotonic after delivery from a precipitous labor and birth.
Rationale 2: This could be the result of a postterm delivery, not precipitous labor.
Rationale 3: This can increase cord compression in postterm labor, not precipitous labor.
Rationale 4: Abnormally strong contractions in a precipitous labor and birth can cause abruptio placentae.
Rationale 5: Lacerations of the cervix, vagina, and perineum can occur with rapid cervical dilatation and fetal descent.