A 20-weeks'-gestation adolescent states that it is important not to have a baby that weighs too much and has been limiting her calories so that her current weight has dropped from 110 pounds to 106 pounds. How should the nurse respond?
1. "You are causing harm to your baby."
2. "You shouldn't be worrying about your figure."
3. "Your baby needs adequate nutrition to develop."
4. "It's okay to want a small baby when you're a teen."
3
Explanation:
1. 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.
2. 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.
3. Teens might not understand the physiology behind the profound body changes of pregnancy.
4. Anticipatory guidance in the body changes of pregnancy will assist the adolescent's adjustment to them. Although many teens are anxious, this teen is expressing a direct nutritional deficit.
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