Appropriate nursing strategies for the nursing diagnosis Family ...

[saraeharris]

Appropriate nursing strategies for the nursing diagnosis Family Coping, ineffective related to unanticipated adolescent pregnancy would include:
 
  1. Assess the support network of the client and family.
  2. Assess the parenting skills of client and father of the baby.
  3. Discuss the fears and concerns of the body image.
  4. Discuss the importance of regular prenatal care.

Question 2

A pregnant woman is receiving Dilantin for seizures. What action is most important to reduce the risk of fetal anomalies?
 
  a. All anticonvulsants are linked to fetal anomalies and should be discontinued.
  b. Folic acid supplement is needed to reduce the risk of neural tube defects.
  c. Since anomalies are likely, abortion is rec-ommended.
  d. Dilantin is not associated with any malformations and should be continued.

[adf223]

Answer to Question 1

1
Rationale:
1. Once the nursing diagnosis of Family Coping, ineffective related to unanticipated pregnancy is made, the next step for the nurse is to plan how to facilitate improving the family's coping.
2. Coping with an unanticipated pregnancy is a complex psychosocial task, which requires communication, complete understanding of the situation, and the ability to make plans for the future, which includes the pregnancy. Only after the family has adjusted to the idea of this pregnancy is it appropriate to begin teaching parenting skills.
3. Body image concerns and prenatal care are individual and personal issues for the pregnant adolescent, not the family.
4. Body image concerns and prenatal care are individual and personal issues for the pregnant adolescent, not the family.

Answer to Question 2

C
In order to reduce the risk of fetal anomalies, a pregnant woman requiring Dilantin should consider having her pregnancy terminated. Dilantin is one of the many possible drugs in which
pregnant women may be exposed to teratogens.