A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. What is the nurse's first responsibility?
1. Contact the social worker.
2. Develop a trusting relationship.
3. Teach the client about proper nutrition.
4. Schedule the client for prenatal classes.
2
Explanation:
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.
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. Developing a trusting relationship with the pregnant adolescent is essential. Honesty, respect, and a caring attitude promote self-esteem.
3. 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.
4. Prenatal classes specifically designed for teen mothers and attended by only teen mothers facilitate both learning and support for the teens.
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