The interpretation of DEXA scores in the rare cases of adolescent osteoporosis in teens:
1. Use the same T scores that are established for women
2. Cannot be done because of less-than-mature bones
3. Must use special Z-scores developed for this reason
4. Can only be done if bisphosphonates have already been started
3
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The nurse recognizes that a pregnant adolescent must successfully complete developmental tasks to be an effective mother. Which tasks does the nurse understand this to include? (Select all that apply.)
A. Accepting this pregnancy and telling parents/friends B. Growing up and accepting responsibility C. Maintaining her freedom D. Seeing herself as a mother E. Setting reasonable goals for herself
Using the Pain Assessment in Advanced Dementia (PAINAD) tool, the nurse assesses a patient with Alzheimer disease to have a score of 5. The nurse prepares to treat this patient for which level of pain?
A) No pain B) Mild pain C) Moderate pain D) Severe pain
Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should know that:
a. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. d. Maternal insulin requirements steadily decline during pregnancy.
A postpartum woman, who gave birth 12 hours ago, is breastfeeding her baby. She tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response for this patient is:
A) "I understand your concern, but your baby will be okay until your milk comes in." B) "Your baby seems content, so you should not worry about him getting enough to eat." C) "Milk normally comes in around the third day. Prior to that, he is getting colostrum which is high in protein and immunoglobulins which are important for your baby's health." D) "You can bottle feed until your milk comes in."