MATERNAL AND CHILD HEALTH NURSING, NEW UPDATED
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Chapter 17: High-Risk Pregnancy: The Woman With Special Needs
1. A 15-year-old girl is 6 months pregnant when she first comes for prenatal care. She says she
had no idea she was pregnant. You would assess her reply as a manifestation of which of the
following?
A) Ignorance of pregnancy signs.
B) Denial of the pregnancy.
C) General low intelligence.
D) Lack of visible pregnancy signs
Ans: B
Client Needs: B-1: Nursing process
Cognitive Level: Application
Difficulty: Moderate
Objective: 3
Feedback: Any woman who does not want to be pregnant can deny that she has pregnancy
symptoms for a long time. Adolescents who feel that nothing bad could happen to them can deny
pregnancy symptoms for an extended time.
2. A pregnant adolescent asks you if her boyfriend (father of the baby) can come into the
examining room with her. Based on his needs, which of the following would be the best
response?
A) “Adolescent fathers have no legal right in regard to a child.”
B) “If you want him to come in.”
C) “If your parents approve.”
D) “Not participating will help him be more responsible in the future.”
Ans: B
Client Needs: C-2: Caring
Cognitive Level: Application
Difficulty: Moderate
Objective: 7
Feedback: Letting support people participate in prenatal visits allows the pregnancy to be a
shared event.
, 3. An adolescent develops hypertension of pregnancy and is confined to bed rest at home.
Considering the developmental tasks of adolescence, which of the following problems is likely to
worry her at this point?
A) Difficulty determining what kind of person she is.
B) Inability to participate in community activities.
C) Inability to interact with younger brothers and sisters.
D) Concern over inability to vacation with her family.
Ans: A
Client Needs: B-1: Nursing process
Cognitive Level: Analysis
Difficulty: Difficult
Objective: 2
Feedback: The developmental task of the adolescent period, according to Erikson, is to establish
a sense of identity, or learning what kind of person they will be.
4. In planning care for a pregnant adolescent, which of the following would be most age
appropriate?
A) Insist that she have no further sexual relations during pregnancy.
B) Ask her to delay schooling until the pregnancy is over.
C) Permit her to decide on the total weight gain for her pregnancy.
D) Allow her to weigh herself at clinic visits.
Ans: D
Client Needs: B-1: Self-care
Cognitive Level: Application
Difficulty: Difficult
Objective: 6
Feedback: Part of learning a sense of identity (the adolescent developmental task) is learning
self-care. Participation in prenatal care can strengthen this. Remaining in school helps prepare an
adolescent to be able to support a newborn financially.
5. Nutritional counseling is a priority topic during an adolescent pregnancy. Which of the
following topics would you expect to include in the teaching plan?
A) Ways the pregnant adolescent can learn to cook her own food.
B) Ways to obtain good pregnancy nutrition in restaurants.
C) Ways to remember to take an iron supplement daily.
D) Nutritional advantages of fresh foods over frozen foods.
Ans: C
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