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:
1. Contact the social worker.
2. Develop a trusting relationship.
3. Schedule the patient for prenatal classes.
4. Teach the patient about proper nutrition.
2
Rationale 1: A social worker might be able to provide assistance with financial program eligibility, support groups, or obtaining baby items such as furniture and car seats, but contacting the social worker is not the first priority.
Rationale 2: The most important goal for the nurse caring for a pregnant adolescent is to be open-minded and nonjudgmental in order to foster trust between the adolescent and the nurse. Through a trusting relationship, the nurse can provide counseling and education to the mother-to-be, about both her own body and the fetus.
Rationale 3: Prenatal classes specifically designed for teen moms and attended by only teen moms facilitate both learning and support for the teens. However, scheduling classes is not the first goal when dealing with a pregnant teen.
Rationale 4: Although nutrition is an important physiologic need, it is not the first priority in dealing with the pregnant adolescent.
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