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.
The nurse conducts the health history as the first step in the nursing assessment
Nurse Sandy
Responsibilities of the nurse manager
Baby position during the 30th week of pregnancy
Life Cycle Nutrition: Pregnancy through Infancy
The 1980 Mount Saint Helens eruption obliterated the community at the base of this Cascade volcano.