Many teens wait until the second or even third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include (select all that apply)

Question

a. Lack of realization that they are pregnant
b. Uncertainty as to where to go for care
c. Continuing to deny the pregnancy
d. A desire to gain control over their situation
e. Wanting to hide the pregnancy as long as possible

Answer 1

A, B, C, E
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Correct These are all valid reasons for the teen to delay seeking prenatal care. An
adolescent often has little to no understanding of the increased physiologic
needs that a pregnancy places on her body. Once care is sought, it is often
sporadic and many appointments are missed. The nurse should formulate a
diagnosis that assists the pregnant teen to receive adequate prenatal care.
Incorrect The opposite is true. Planning for her pregnancy and impending birth
actually provides some sense of control for the teen and increases feelings
of competency. Receiving praise from the nurse when she attends her
prenatal appointments will reinforce the young woman's positive
self-image.