Answer to Question 1
Correct Answer: 1
Rationale 1: For early adolescents, pregnancy is probably not the result of an intimate relationship.
Rationale 2: The early adolescent's value system still closely reflects that of parents, so she turns to her parents for a decision or approval of a decision.
Rationale 3: During early adolescence, a pregnant girl generally enters the healthcare system with an adult, most likely her mother; parents are still seen as locus of control.
Rationale 4: Along with self-consciousness about normal physiologic changes, for early adolescents, self-consciousness and low self-esteem are likely to intensify with rapid breast enlargement and abdominal enlargement of pregnancy.
Answer to Question 2
Correct Answer: 3
Rationale 1: This patient needs a high-iron diet. The meal described is high in calcium and protein, but low in iron.
Rationale 2: The meal described is high in calcium and protein. This meal would be more than adequate for a bottle-feeding patient, but it is better suited to a breastfeeding patient.
Rationale 3: This is the best patient for this meal. Because the patient is an adolescent, she needs a high-protein diet, and because she is breastfeeding, she needs a high-calcium diet. The meal described is high in calcium and protein: milk, soy, and beans all are sources of protein, while milk and soy are good sources of calcium.
Rationale 4: The high protein and calcium of the described meal are good during pregnancy, but the report of fatigue could indicate a low hemoglobin level that requires additional assessment prior to recommending a specific diet.
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