The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history. She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy. Blood work indicates she is Rh negative.
A. What are some concerns you as her nurse should be prepared for?
B. What teaching does this patient need?
C. What are the expected outcomes for this patient?
•ANSWER•A
•Adolescent pregnancy is the major problem of the lower categary of community.
•Nurse should be prepare for high risk dilevary.
•Nurse should be concern for low birth wieght baby.
•Nurse should be concern regarding post partum hemorrhage in adolescent pregnancy.
•Nurse should be educate the mother regaring benefit and health consequences
•Nurse should be concern about pre term delivery.
•Nurse should be concern about adolescent mother is more risky to devlop anemia,preeclampsia,CPD and mortility and morbidity ofbmother and newborn.
•ANSWER• (B)
•Nurse should be educate to mother regarding post natal exercise ,breast feeding ,post natal diet.
•Nurse should be educate to mother regarding pueperuim period and newborn care .
•Nurse should be educate regarding personal hygiene.
•Post natal diet should be consist of calcuim , iron and fiber rich diet.
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