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

Question

Which of the following nursing diagnoses would have priority? 1. Knowledge Deficit related to fetal development
2. Altered Nutrition: less than body requirements related to poor eating habits
3. Body Image Disturbance related to situational crisis
4. Anxiety related to unanticipated pregnancy

Answer 1

2
Rationale:
1. Teens might not understand the physiology behind the profound body changes of pregnancy. Pregnant adolescents are just adapting to a new body image created by the changes of puberty, when the pregnancy produces rapid and substantial body changes. The desire to maintain a socially desirable figure can lead to nutritional deficits. The first role of the nurse is to explain why food is important to the growing fetus, specifying how each food group will help the fetus develop. Next, the nurse must assist the pregnant adolescent to plan foods that she likes to eat from each food group. Anticipatory guidance in the body changes that will take place will assist the adolescent's adjustment to them. Although many teens are anxious, this teen is expressing a direct nutritional deficit.
2. Teens might not understand the physiology behind the profound body changes of pregnancy. Pregnant adolescents are just adapting to a new body image created by the changes of puberty, when the pregnancy produces rapid and substantial body changes. The desire to maintain a socially desirable figure can lead to nutritional deficits. The first role of the nurse is to explain why food is important to the growing fetus, specifying how each food group will help the fetus develop. Next, the nurse must assist the pregnant adolescent to plan foods that she likes to eat from each food group. Anticipatory guidance in the body changes that will take place will assist the adolescent's adjustment to them. Although many teens are anxious, this teen is expressing a direct nutritional deficit.
3. Teens might not understand the physiology behind the profound body changes of pregnancy. Pregnant adolescents are just adapting to a new body image created by the changes of puberty, when the pregnancy produces rapid and substantial body changes. The desire to maintain a socially desirable figure can lead to nutritional deficits. The first role of the nurse is to explain why food is important to the growing fetus, specifying how each food group will help the fetus develop. Next, the nurse must assist the pregnant adolescent to plan foods that she likes to eat from each food group. Anticipatory guidance in the body changes that will take place will assist the adolescent's adjustment to them. Although many teens are anxious, this teen is expressing a direct nutritional deficit.
4. Teens might not understand the physiology behind the profound body changes of pregnancy. Pregnant adolescents are just adapting to a new body image created by the changes of puberty, when the pregnancy produces rapid and substantial body changes. The desire to maintain a socially desirable figure can lead to nutritional deficits. The first role of the nurse is to explain why food is important to the growing fetus, specifying how each food group will help the fetus develop. Next, the nurse must assist the pregnant adolescent to plan foods that she likes to eat from each food group. Anticipatory guidance in the body changes that will take place will assist the adolescent's adjustment to them. Although many teens are anxious, this teen is expressing a direct nutritional deficit.