A nurse is caring for a pregnant 16-year-old who is homeless and occasionally spends time in a homeless shelter. She has been seen in the clinic before for sexually transmitted infections (STIs)
She weighs 92 lb (41.8 kg) and occasionally uses crack cocaine. Which risk factors does this patient have for a negative pregnancy outcome? (Select all that apply.)
A.
Age of 16 years
B.
Being homeless
C.
Crack cocaine use
D.
History of STIs
E.
Low weight
ANS: B, C, D, E
According to Barry (2011) and Porter and Holness (2011), prenatal medical and behavioral risks for the adolescent population include preterm labor and birthâ€"especially when combined with low socioeconomic status, being a single parent, being a smoker, using illicit drugs, prepregnant weight less than 100 lb (45.5 kg), poor weight gain during pregnancy, and inadequate prenatal care. Other factors include anemia; preeclampsia-eclampsia; repeated exposure to sexually transmitted infections; chronic or asymptomatic urinary tract infections; acute pyelonephritis; intrauterine growth restriction/low-birth-weight infants (< 2,500 g); and social issues such as poverty, unmarried status, low educational levels, smoking, and drug use. After age 15 years, the adolescent does not experience any more problems than does the general population.
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