Which plan of care is best suited to pregnant teens? 1. Assess ...

[Yi-Chen]

Which plan of care is best suited to pregnant teens?
 
  1. Assess menstrual history and the presence of any food allergies.
  2. Inquire about family relationships and location of the home.
  3. Ask what her body image is, then correct her misconceptions.
  4. Determine if there are substance abuse or eating disorder issues.

Question 2

The nurse wishes to demonstrate to a new family their infant's individuality. Which assessment tool would be most appropriate for the nurse to use?
 
  1. Brazelton Neonatal Behavioral Assessment Scale
  2. Ballard Maturity Scale
  3. Dubowitz Gestational Age Scale
  4. Ortolani maneuver

[maaaaaaaaaa]

Answer to Question 1

4
Rationale:
1. Menstrual history is important for determining gestational age. Food allergies can impact nutritional intake, but most food allergies are not so extensive as to cause nutritional problems.
2. Family relationships are important to understand, specifically to find out what support systems are available to the teen. The location of the home is not important.
3. Asking a client directly what her body image is most often leads to a blank stare. Body image must be addressed more indirectly, by asking a client what she thinks about her body. But a client's body image is her belief, and cannot be corrected by the nurse. If the nurse assesses that the client has body image problems, working with the client on a longer-term basis is required.
4. Both of these are important to assess during pregnancy of teens, as both are fairly common among this age group.

Answer to Question 2

1

Rationale:
1. The Brazelton Neonatal Behavioral Assessment Scale assesses the newborn's state changes, temperament, and individual behavior patterns.
2. The Ballard Maturity Scale assesses external physical characteristics and neurological or neuromuscular development.
3. Dubowitz Gestational Age Scale assesses external physical characteristics and neurological or neuromuscular development.
4. The Ortolani maneuver is an assessment technique that rules out the possibility of congenital hip dysplasia.

[Yi-Chen]

TYSM

[isabelt_18]

Gracias!