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OB Chapter 21
Adolescent Childbearing
| Question | Answer |
|---|---|
| In what phase is a rich fantasy life most characteristic? | early adolescent |
| characteristics of adolescents that can lead to sexual activity | testing the limits of power may lead teens to engage in high-risk behaviors |
| PIH in adolescents | young adolescents have immature vascular development in the uterus |
| major factor that contributes to low-birth-weight infants | age and nutritional intake |
| teaching for boys about adolescent pregnancy | assess stressors, support system, and plan for involvement in the pregnancy |
| explanation for high failure rate of contraceptives | incorrect use; inconsistency; interferes with spontaneity; lack of understanding of risk; “bad girls”; believe they are not vulnerable; withdrawal method; improper storage; decreases pleasure; availability, cost, confidentiality |
| what should programs include to prevent adolescent pregnancy | sex education and guidance to prevent repeated pregnancies |
| National Campaign to Prevent Teen Pregnancy include? | involvement of adolescents in planning the programs; role models from the same cultural and racial backgrounds; long-term and intensive programs; focus on adolescent needs; nonjudgmental counselors who understand the developing adolescent |
| how does an adolescent typically feel in the 2nd trimester? | egocentric phase may prevent full focus on baby as being real |
| what should a mom try eating if lactose intolerant, instead of dairy? | fish, canned salmon, sardines that contain bone; leafy green vegetables; tofu (ice cream, cheese, and yogurt) |
| in what should you include the adolescent | in planning care |
| nursing interventions to help father accept role | should be welcomed in the prenatal sessions |
| nursing intervention to promote mother-infant bonding | show attractive pictures of fetus at various gestational ages |
| grandparents and effect on future parenting skills | those who take over the complete care of the newborn may interfere with the teen’s development of parent-newborn attachment and adversely affect the teen’s self-image and future parenting skills |
| what may an unwed pregnant adolescent not understand | how she got pregnant |
| child-rearing practices that most likely put infant at risk | insensitivity to newborn behavioral cues; pattern of limited nonverbal interaction; lack of knowledge of child development; preference for aggressive behavior and physical punishment; limited learning in home environment |
| emancipated minors | exempt from parental consent to treatment if lives away from home, is married, or is in the military service |
| medically emancipated conditions | Contraception; Pregnancy; Pregnancy-related care; STIs; Substance abuse; Sexual assault |
| adolescents and risk for cesarean section | pelvis does not reach adult size and dimensions until 3 years after menarche; a small pelvis increases problems during labor and delivery and increases need for cesarean birth |
| STIs and increasing rate | teens are biologically more susceptible due to epithelium that is present on the cervix and risk-taking behaviors |
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