Question 1

A pregnant adolescent client states that it is important not to have a baby who weighs too much.She states this has been her rationale for limiting calories.Her weight has decreased from 110 pounds to 106 pounds.Which of the following nursing diagnoses would have priority?

A)Knowledge Deficit related to fetal development
B)Altered Nutrition: less than body requirements related to poor eating habits
C)Body Image Disturbance related to situational crisis
D)Anxiety related to unanticipated pregnancy

Accepted Answer

The client's weight loss during pregnancy is a concern as it could lead to poor fetal growth and development. The nursing diagnosis of Altered Nutrition: less than body requirements related to poor eating habits takes priority as it directly addresses the client's current condition and needs. The other diagnoses may also be appropriate, but they are not the priority in this situation.

Question 2

Which of the following is critical for an effective adolescent pregnancy-prevention program to include?&#10;A)Role models from similar cultural and racial backgrounds&#10;B)Planning executed by the planner and organizer only&#10;C)Short-term,informal programs available twice per year&#10;D)Focus on the expectations of the adolescents' parents&#10;

Accepted Answer

Role models from similar cultural and racial backgrounds can help to increase the effectiveness of the program by providing relatable and culturally relevant information and guidance. Planning executed by the planner and organizer only can lead to limited perspectives and overlook important factors. Short-term, informal programs available twice per year may not provide sufficient education and support for adolescents to make informed decisions about their sexual health. Focusing on the expectations of the adolescents' parents may not address the needs and perspectives of the adolescents themselves.

Question 3

A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy.The nurse's first responsibility would be to:&#10;A)Contact the social worker.&#10;B)Develop a trusting relationship.&#10;C)Schedule the client for prenatal classes.&#10;D)Teach the client about proper nutrition.&#10;

Accepted Answer

Developing a trusting relationship with the client is the nurse's first responsibility in order to establish open communication and promote trust between the client and healthcare provider. This can also help to ensure that the client receives appropriate care throughout her pregnancy. Contacting the social worker or scheduling the client for prenatal classes can be done after a relationship has been established. Teaching the client about proper nutrition is important, but should be done after trust has been established and the client is receptive to learning.

Question 4

Which of the following statements,if made by the pregnant adolescent,would indicate that she understood her increased risk of physiologic complications during pregnancy?&#10;A)&#34;It's no big deal that I started prenatal care in my seventh month.&#34;&#10;B)&#34;My anemia and eating mostly fast food are not important.&#34;&#10;C)&#34;I need to take good care of myself so my baby doesn't come early.&#34;&#10;D)&#34;My smoking and using crack cocaine won't harm my baby.&#34;&#10;

Accepted Answer

This statement shows that the pregnant adolescent understands that her behavior can affect her own health and her baby's health. It also shows that she is aware of the risks associated with premature birth, which is a common complication of adolescent pregnancy. The other statements suggest a lack of understanding of the importance of prenatal care, proper nutrition, and avoiding harmful substances.

Question 5

Which statements might a pregnant teenager at her initial prenatal examination be likely to make? Select all that apply.&#10;A)&#34;I didn't know I could get pregnant the first time I had sex.&#34;&#10;B)&#34;Several of my friends go to clinics to get contraception.&#34;&#10;C)&#34;It's no big deal;two of my best friends have babies,too.&#34;&#10;D)&#34;I was 13 years old when I had sex the first time.&#34;&#10;E)&#34;My family and my boyfriend are really happy and supportive.&#34;&#10;

Accepted Answer

Teenagers may lack comprehensive sexual education, leading to misconceptions like getting pregnant the first time (A). Peer influence and normalization of teenage pregnancy can lead to statements like (C). Early sexual activity is common among teenagers, making (D) a likely statement.

Question 6

Which of the following statements from the mother of a pregnant 13-year-old would be an expected response?&#10;A)&#34;We had such high hopes for you.&#34;&#10;B)&#34;But she was always an easygoing child.&#34;&#10;C)&#34;I told you that boy was up to no good.&#34;&#10;D)&#34;This is just one of those things that happen.&#34;&#10;

Accepted Answer

"We had such high hopes for you." is an expected response from the mother of a pregnant 13-year-old because it expresses disappointment and regret over the situation.

Question 7

The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend.The rationale for this nursing strategy includes:&#10;A)Increasing the self-care behaviors of the pregnant teen.&#10;B)Avoiding conflict between the adolescent father and pregnant teenager.&#10;C)Increasing the confidence of the pregnant teenager.&#10;D)Avoiding legal action by the adolescent father's family.&#10;

Accepted Answer

Involving the adolescent father in the prenatal care of his girlfriend can help increase the self-care behaviors of the pregnant teen. This can include attending prenatal appointments, taking necessary supplements, and avoiding harmful substances such as alcohol and tobacco. It can also help the father feel more connected to the pregnancy and take on a supportive role. While avoiding conflict and legal action may be important considerations, they are not the primary rationale for involving the teenage father in prenatal care.

Question 8

To give the pregnant adolescent a role in her prenatal care,the nurse could allow her to:&#10;A)Choose the type of prenatal vitamin she takes.&#10;B)Measure and record her weight at each visit.&#10;C)Choose the schedule of her prenatal visits.&#10;D)Decide if she wants her labor to be induced.&#10;

Accepted Answer

Allowing the pregnant adolescent to measure and record her weight at each visit gives her a sense of responsibility and involvement in her prenatal care without compromising medical guidelines or safety.

Question 9

The nurse is preparing an in-service presentation for a group of middle school nurses.Which statements by the nurse would indicate that the nurse understands the role of culture in adolescent pregnancy? Select all that apply.

A)"Eighty-five percent of teen mothers are middle class,and give birth to gain adult status."
B)"Teens who have a lot of time without adult supervision are more sexually active."
C)"Although the rate has dropped,teens of color are more likely to become pregnant."
D)"Young teens who have a child are more likely to have another while still a teen."
E)"Most pregnant teens do not have any relatives who had their first child as teens."

Accepted Answer

Statements B, C, and D indicate the nurse understands the role of culture in adolescent pregnancy. The lack of adult supervision (B), disparities in rates among different races/ethnicities (C), and high likelihood of repeat pregnancies (D) are all cultural factors contributing to adolescent pregnancy. Statements A and E do not accurately reflect the cultural factors contributing to adolescent pregnancy.

Question 10

A 14-year-old is brought to the clinic by her mother.The nurse determines that the teen is about 28 weeks pregnant.The mother states,"We knew she was gaining weight,but she said she couldn't be pregnant." The nurse understands that this typical behavior exemplifies:

A)Low self-esteem.
B)Anger.
C)Denial.
D)Ignorance.

Accepted Answer

The behavior exemplifies denial, which is the refusal to acknowledge or accept a potentially distressing truth or reality. The mother's statement indicates that the teen may have been denying her pregnancy, despite evidence such as weight gain.

Question 11

The nurse who is counseling a group of middle school girls on pregnancy avoidance should include which of the following statements?&#10;A)&#34;Although sexuality is common in the media,your peer pressure to have sex is not an important factor.&#34;&#10;B)&#34;It has become far less acceptable to give birth during your teenage years than it used to be.&#34;&#10;C)&#34;Although condom use is growing,there is still an increasing rate of STDs among teens.&#34;&#10;D)&#34;You have learned enough from your friends and families to understand how pregnancy occurs.&#34;&#10;

Accepted Answer

The answer of The nurse who is counseling a group...

Question 12

After assessing the data obtained from a pregnant teenager and her family,the nurse assigns the diagnosis of "Family Coping,ineffective related to unanticipated pregnancy." Which of the following goals would be appropriate?

A)The teenager and family will participate in discussions regarding pregnancy.
B)The teenager and family will develop skills for parenting the infant.
C)The teenager and family will develop a trusting relationship with the health care providers.
D)The teenager and family will develop self-care skills for the pregnancy.

Accepted Answer

The answer of After assessing the data obtained from a...

Question 13

The 19-year-old pregnant woman begins a job to &#34;save money for the baby.&#34; The nurse understands this statement to demonstrate what?&#10;A)Striving for gaining autonomy and independence&#10;B)Completed development of a sense of identity&#10;C)Needing attainment of a sense of achievement&#10;D)Having developed an intimate relationship&#10;

Accepted Answer

The answer of The 19-year-old pregnant woman begins a job...

Question 14

Appropriate nursing strategies for the nursing diagnosis &#34;Family Coping,ineffective related to unanticipated adolescent pregnancy&#34; would include:&#10;A)Assess the support network of the client and family.&#10;B)Assess the parenting skills of client and father of the baby.&#10;C)Discuss the fears and concerns of the body image.&#10;D)Discuss the importance of regular prenatal care.&#10;

Accepted Answer

The answer of Appropriate nursing strategies for the nursing diagnosis...

Question 15

During the initial prenatal visit,the pregnant teenager states that she does not know how she got pregnant.The nurse can help to educate her regarding anatomy by:&#10;A)Allowing her to witness a pelvic exam on another teenager.&#10;B)Encouraging her to ask her mother abut the physiology of pregnancy.&#10;C)Including anatomic models and drawings in the teaching session.&#10;D)Discussing the process of fetal development with the client. .&#10;

Accepted Answer

The answer of During the initial prenatal visit,the pregnant teenager...

Deck 13: Adolescent Pregnancy