A nurse is caring for a pregnant 16-year-old who is homeless and occasionally spends time in a homeless shelter.She has been seen in the clinic before for sexually transmitted infections (STIs).She weighs 92 lb (41.8 kg)and occasionally uses crack cocaine.Which risk factors does this patient have for a negative pregnancy outcome?

Question

Quizplus · Accepted Answer

According to Barry (2011)and Porter and Holness (2011),prenatal medical and behavioral risks for the adolescent population include preterm labor and birth-especially when combined with low socioeconomic status,being a single parent,being a smoker,using illicit drugs,prepregnant weight less than 100 lb (45.5 kg),poor weight gain during pregnancy,and inadequate prenatal care.Other factors include anemia; preeclampsia-eclampsia; repeated exposure to sexually transmitted infections; chronic or asymptomatic urinary tract infections; acute pyelonephritis; intrauterine growth restriction/low-birth-weight infants (< 2,500 g); and social issues such as poverty,unmarried status,low educational levels,smoking,and drug use.After age 15 years,the adolescent does not experience any more problems than does the general population.

A Nurse Is Caring for a Pregnant 16-Year-Old Who Is