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1.) B
Rationale:
Parents will experience less stress if they are told at once about a defect and permitted to hold their baby.
(Added by Chanel Raines) Page 607, Murray.

2.) B
Rationale:
Both teen mothers and primiparas find that their normal set of friends do not have infants. The mature mother has friends with teenage children, whereas the teenager has friends who do not have children. They both may lack parenting skills, but both groups can learn them. The mature mother is usually eager to learn as much about childrearing as possible. The mature mother usually does not have the financial burden that the teenager does. The mature mother has a higher incidence of support from the baby's father.
(Added by Chanel Raines) Page 618, Murray.

3) D
Rationale:
The two major barriers to health care for teenagers are scheduling conflicts and negative attitudes of health care workers. To help the teenager, the clinic should be located close to her, convenient to public transportation, and at hours that are outside of school hours. The health care workers should have positive, supportive attitudes.
(Added by Leah Payne) Page 594, Murray.

4) C
Rationale:
Having her recall her eating habits for 1 day will give the nurse a better understanding of her nutritional status. Not all teenagers eat unhealthy diets. Asking her how well she eats will not get the answer because teenagers are sometimes defensive in their responses and will not answer completely. The nurse will need to ask for specific information. Compliance will be low when asking her to record everything she eats for 1 week.
(Added by Leah Payne) Page 597, Murray.

5) C
Rationale:
Sexual education for teens should include all aspects of sexuality, including the use of condoms, despite pregnancy, for prevention of STDs. Many teens believe that once pregnant using protection is unnecessary.
(Added by Vici) Page 590, Murray.

6) A
Rationale:
When talking with teens, nurses should use simple but correct language such as "uterus," "testicles," "penis," and "vagina."
(Added by Vici) Page 591, Murray.

7.) D
Rationale:
It is particularly important that the nurse does not sound like a parent when working with adolescents. Refrain from using the words should and ought, offering unwanted advice, and making decisions for the teenager. Maintain an open, friendly posture, and convey empathy by using attending behaviors such as eye contact, frequent nodding, and leaning toward the speaker. Avoid closed posture, finger pointing, and lack of attention. (added by Sheila) Murray pg. 597

8.) A, B, C
Rationale:
Many wait because they don't realize they're pregnant, continue to deny they're pregnant, or want to hide the pregnancy. They may not know where to get care and may fear the effects of pregnancy on their lives and relationships. One of the most relevant nursing diagnoses is "Risk for Ineffective Health Maintenance r/t lack of knowledge of measures to promote health during pregnancy and increased family stress." (added by Sheila) Murray pg. 594