A 15-year-old primipara at 8 weeks' gestation who is 64 inches tall and weighs 115 pounds asks why she is supposed to gain so much weight. What is the best response by the nurse?
1. "Inadequate weight gain delays lactation after delivery."
2. "It's what your certified nurse–midwife recommended for you."
3. "Weight gain is important to assure that you get enough vitamins."
4. "Gaining 25 to 35 pounds is recommended for healthy fetal growth."
4
Explanation:
1. Inadequate weight gain can lead to decreased fetal growth and development.
2. Although this statement might be true, the client has asked a "why" question that should be directly answered.
3. Vitamin intake is related to the types of food consumed, not to caloric intake. Because this client is 15, her diet is probably not optimal, and her intake of empty calories or junk food might make up the majority of her caloric intake.
4. Adolescents who become pregnant less than 4 years after menarche are at risk because of their physiologic and anatomic immaturity. They are more likely than older adolescents to still be growing, which can affect the fetus's development.
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Fill in the blank(s) with correct word
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a. The presence of too much body fat b. Symptom that a hormonal imbalance is present c. Most likely part of normal pubertal development d. Indication that he is developing precocious puberty
The nurse is admitting a patient who is 12 weeks pregnant and an IV drug user. She has had a number of sexual partners, complains of malaise, and has yellow in the eyes, nausea, and vomiting
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