mat 2

Question 1

what developmental tasks might be interrupted by pregnancy in adolescence?

Answer 1

1. to establish a sense of self-worth or value system,
2. to emancipate from parents
3. to adjust to a new body image
4. to choose a vocation

Question 2

what approaches are most appropriate when performing a prenatal assessment on an adolescent?

Answer 2

• Minimizing the number of care providers may be most effective
• Early and consistent care
• Some like group care for peer interaction

Question 3

what are seven prominent complications associated with adolescent pregnancy?

Answer 3

1. High risks of gestational HTN,
2. iron def anemia
3. premature labor,
4. high risk for hemmorhoids
5. Also may have low birth wt infant,
6. disproportion of fetal and pelvic size,
7. high rate of intimate partner violence

Question 4

What unique considerations does the nurse include when completing a physical assessment on a woman over 40?

Answer 4

inc incidence of chromosomal abn

• more co-morbidities
• must undergo major role change
• less friends in same position
• sandwich generation
• sense of moving away from selves and to baby
• feel they are delayed
• stopping work

Question 5

identify chromosomal risks and screening done for woman >40

Answer 5

inc risk of down syndrome from 1 in 1500 to 1 in 1000
quad screen or integrated screen are done to see if open spinal cord or chromosomal defect
U/S for nuchal transulscency
lab tests of alpha fetoprotein, hug, astral, inhibit A,

Question 6

what are complications associated with >40 preg woman/

Answer 6

gest HTN, pre or poster birth, C/Z, hemorrhoids, varicose veins, thrombophlebitis