A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in their teaching?

The need for supplemental folic acid is greatest during the third trimester.

The incidence of high birth weight infants is higher in adolescent pregnancy.

Pregnant adolescents need to gain less weight than adult mothers.

Caffeinated beverages should be replaced with caffeine-free beverages.

Answer and Explanation

The Correct Answer is D

The correct answer is D.

Caffeinated beverages should be replaced with caffeine-free beverages. High levels of caffeine can cause low birth weight and may increase the chance of miscarriage. Pregnant women metabolize caffeine more slowly, which can affect the fetus.

Choice A reason: The need for supplemental folic acid is greatest during the first trimester to prevent neural tube defects. The recommended daily dose is 600 mcg.

Choice B reason: Adolescent pregnancy is associated with a higher risk of low birth weight infants, not high birth weight.

Choice C reason: Pregnant adolescents generally need to gain an appropriate amount of weight, similar to adult mothers, to support the growth and development of the fetus. The weight gain recommendations during pregnancy are based on the mother's pre-pregnancy BMI.

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Correct Answer is B

Explanation

Choice A reason: Presenting community education programs about stress management is not an example of tertiary prevention, but rather an example of primary prevention. Primary prevention aims to prevent violence from occurring in the first place by addressing the underlying causes and risk factors. Stress management is one of the strategies that can help reduce the potential for violent behavior.

Choice B reason: Developing resources for victims of abuse is an example of tertiary prevention. Tertiary prevention aims to reduce the consequences and complications of violence by providing treatment and rehabilitation for the survivors. Resources for victims of abuse may include counseling, shelter, legal aid, and support groups.

Choice C reason: Urging community leaders to make nonviolence a priority is not an example of tertiary prevention, but rather an example of secondary prevention. Secondary prevention aims to detect and intervene in violence as early as possible by identifying and responding to the warning signs and symptoms. Community leaders can play a role in promoting a culture of nonviolence and enforcing policies and laws that protect the victims and punish the perpetrators.

Choice D reason: Assessing for risk factors of intimate partner abuse during health examinations is not an example of tertiary prevention, but rather an example of secondary prevention. Secondary prevention aims to detect and intervene in violence as early as possible by identifying and responding to the warning signs and symptoms. Health examinations can provide an opportunity for screening and counseling the clients who may be at risk of or experiencing intimate partner abuse.

A. The client is participating in a fee-for-service health care insurance program. B. The provider is paid a fixed sum for the client on a monthly or yearly basis. C. The client pays the insurer a percentage of the total costs for each service rendered by the provider. D. The provider bills the client directly for a predetermined percentage of the cost of services.

Correct Answer is B

Explanation

Choice A reason: A fee-for-service health care insurance program is not a payment structure of a health maintenance organization. In a fee-for-service program, the client pays a premium to the insurer, and the insurer pays the provider for each service rendered, regardless of the outcome or quality of care.

Choice B reason: A fixed sum payment for the client on a monthly or yearly basis is a payment structure of a health maintenance organization. In this structure, the provider receives a set amount of money per client per period of time, regardless of the number or type of services provided. This encourages the provider to deliver preventive and primary care, and to avoid unnecessary or costly procedures.

Choice C reason: A percentage of the total costs for each service rendered by the provider is not a payment structure of a health maintenance organization. This is a type of cost-sharing arrangement, where the client pays a portion of the expenses and the insurer pays the rest. This may result in higher out-of-pocket costs for the client and higher utilization of services by the provider.

Choice D reason: A predetermined percentage of the cost of services is not a payment structure of a health maintenance organization. This is a type of discounted fee-for-service arrangement, where the provider agrees to accept a lower fee than the usual charge for each service. This may reduce the costs for the insurer, but not necessarily for the client or the provider.

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A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in their teaching?

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