A nurse is caring for an adolescent who recently found out that they are unexpectedly pregnant. Which of the following statements indicates that the client is emotionally prepared for pregnancy?
"I've been talking to the baby a lot and haven't told anyone except my mom yet."
"I don't want to tell my partner in case they don't believe me."
"I've decided to take a break from school and focus on the baby."
"I don't need to worry about how much I eat now that I'm pregnant."
The Correct Answer is A
A. "I've been talking to the baby a lot and haven't told anyone except my mom yet." Talking to the baby suggests emotional attachment and early bonding, which indicates the adolescent is beginning to process and accept the pregnancy. Sharing the news with a trusted individual, like their mother, also suggests they are seeking support.
B. "I don't want to tell my partner in case they don't believe me." Avoiding disclosure due to fear of disbelief suggests uncertainty or anxiety about the pregnancy, which may indicate emotional unpreparedness. Open communication is important for coping and planning.
C. "I've decided to take a break from school and focus on the baby." While prioritizing the baby is important, making major life decisions without exploring available resources may reflect a reactive rather than a well-thought-out approach. Support systems can help balance education and parenting responsibilities.
D. "I don't need to worry about how much I eat now that I'm pregnant." This statement indicates a misunderstanding of nutritional needs during pregnancy. Proper nutrition is crucial for both maternal and fetal health, and disregarding dietary needs may suggest a lack of readiness for the responsibility of pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "If I keep gaining weight, I will be miserable." Expressing anxiety about weight gain reflects a lack of emotional readiness and acceptance regarding the physical changes that accompany pregnancy.
B. "I cannot believe I got pregnant. We really weren't even trying to have a baby." Indicating surprise suggests a lack of preparation for the emotional and practical aspects of pregnancy. This reflects that the client may not have fully accepted the reality of the situation.
C. "I understand that hormonal changes can cause me to be happy one minute and sad the next." Recognizing and accepting the emotional fluctuations that can occur during pregnancy due to hormonal changes indicates a level of emotional preparation for the journey ahead.
D. "This baby will totally change my lifestyle, and I am not sure I am ready for all of this." Acknowledging the impact of having a baby on lifestyle is important, but expressing uncertainty suggests that the client may still be struggling with the implications of becoming a parent.
Correct Answer is D,A,B,C
Explanation
D. Place the client in high Fowler’s position. Positioning the client upright maximizes lung expansion and improves oxygenation. This is the first step to alleviate respiratory distress before additional interventions.
A. Administer oxygen to the client. Once the client is positioned appropriately, providing supplemental oxygen helps increase oxygen saturation and relieve hypoxia. The nurse should titrate oxygen as needed according to facility protocols or provider orders.
B. Notify the charge nurse. After immediate interventions are in place, the nurse should inform the charge nurse to ensure further assessment and necessary medical interventions. The charge nurse may escalate care or contact the provider for additional management.
C. Document client findings and interventions taken. Once the client’s condition has been addressed and reported, documentation is necessary to record assessment findings, interventions provided, and the client's response. Accurate documentation ensures continuity of care and legal protection.
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