The pregnant 16 year old is seeing the nurse during a prenatal ...

[BRWH]

The pregnant 16 year old is seeing the nurse during a prenatal visit. Based on the patient's developmental level, which statement would the nurse expect the patient to make?
 
  1. My friends and I all wear totally different styles of clothing.
  2. Having a baby will change my college plans.
  3. I drink alcohol at parties most weekends.
  4. My mom is my best friend.

Question 2

During a postpartum examination of a patient who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina.
 
  The assessment finding that would necessitate follow-up would be the: 1. Firm fundus.
  2. Fundus at the umbilical level.
  3. Moderate lochia rubra.
  4. Steady trickle of blood.

[aloop]

Answer to Question 1

3
Rationale 1: Early and middle adolescents conform to group standards by wearing the same types of clothing that friends wear.
Rationale 2: Late adolescence (1819) is when the ability to think about the future develops, including understanding the impact that a baby will have on acquiring education.
Rationale 3: Middle adolescence (1517) is a time of experimentation, including drinking alcohol, using other drugs, and smoking.
Rationale 4: From early adolescence on, friends have an increasingly important role in the search for independence, which includes friends' replacing parents as the primary source of support.

Answer to Question 2

4
Rationale 1: A firm fundus is desirable, and considered normal.
Rationale 2: Six hours after birth, the fundus at the umbilicus would not be a concern.
Rationale 3: Lochia rubra would be considered normal.
Rationale 4: The steady trickle of blood could indicate a laceration in the birth canal, and should be reported to the M.D. for follow-up.

[BRWH]

TYSM

[LVPMS]

Excellent