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.
Correct Answer: 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.
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, both about her 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.
Rationale 4: Although nutrition is an important physiologic need, without a trusting relationship, little teaching will occur because the teen will often "tune out" adults that she does not trust.
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