The nurse is planning an education session for pregnant ...

[jeatrice]

The nurse is planning an education session for pregnant adolescents. Which topics should the nurse include that incorporate the 2020 National Health Goals for pregnant women with special needs? (Select all that apply.)
 
  A) Importance of an adequate fluid intake
  B) Effects of alcohol on the developing fetus
  C) Use of complementary therapy for delivery
  D) Abstinence from illicit drugs while pregnant
  E) Impact of cigarette smoking on the developing fetus

Question 2

The parents of a newborn become concerned when they notice that their baby seems to stop breathing for a few seconds. After confirming the parents' findings by observing the newborn, which of the following actions would be most appropriate?
 
  A) Notify the health care provider immediately.
  B) Assess the newborn for signs of respiratory distress.
  C) Reassure the parents that this is an expected pattern.
  D) Tell the parents not to worry since his color is fine.

[mk6555]

Answer to Question 1

B, D, E
Feedback:
The 2020 National Health Goals for pregnant women with special needs focus on teaching unintentional injury prevention, the dangers and complications of substance dependency, and both the psychological and physical concerns of teenage pregnancy. The nurse should include the topics that focus on alcohol, illicit drugs, and cigarette smoking. An adequate fluid intake is not a topic specific to a pregnant woman with special needs. The use of complementary therapy for delivery might not be appropriate for a pregnant adolescent because of cephalopelvic disproportion.

Answer to Question 2

B
Feedback:
Although periods of apnea of less than 20 seconds can occur, the nurse needs to gather additional information about the newborn's respiratory status to determine if this finding is indicative of a developing problem. Therefore, the nurse would need to assess for signs of respiratory distress. Once this information is obtained, then the nurse can notify the health care provider or explain that this finding is an expected one. However, it would be inappropriate to tell the parents not to worry, because additional information is needed. Also, telling them not to worry ignores their feelings and is not therapeutic.

[jeatrice]

Excellent

[FergA]

Thanks for the timely response, appreciate it