The nurse developing a care plan for a pregnant teen knows that the plan best suited to pregnant teens is to:
1. Assess menstrual history and the presence of any food allergies.
2. Inquire about family relationships and location of the home.
3. Ask what her body image is, then correct her misconceptions.
4. Determine whether there are substance abuse or eating disorder issues.
4
Rationale 1: Menstrual history is important for determining gestational age, and food allergies can impact nutritional intake. However, assessment of these factors is not necessarily better suited to pregnant teens than to pregnant women of other ages.
Rationale 2: Family relationships are important to understand, specifically to find out what support systems are available to the teen. However, the location of the home is not important.
Rationale 3: Asking a patient directly what her body image is most often leads to a blank stare. Body image must be addressed more indirectly, by asking a patient what she thinks about her body. But a patient's body image is her belief, and cannot be corrected by the nurse.
Rationale 4: Both substance abuse and eating disorder issues are important to assess during pregnancy of teens, as both are fairly common among this age group.
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