Hx of family (can ask her mother)
Personal physical health>menstrual cycle>recreational drugs, ETOH, their diet impact of pregnancy>baby daddy> family>friends
~attitude toward pregnancy, plans, knowledge of pregnancy, know baby care?
emotional and financial support,
Fathers degree of involvement in pregnancy
Importance of prenatal visits, diet
Support services>food banks>special supplemental nutrition program fo women, infants and children
-Adolescents usually receive prenatal care later that normal, risks include
Preterm births, low-birth-weight, cephalopevliv disproportion, iron-deficiency anemia, and pre-eclampsia
-How does mother feel about pregnancy?
Primary support person during labor and birth?
Father of baby, parents, family, feelings? Do father and your family get along? Money? Who do you live with?
Is baby daddy going to participate in care of the newborn?
-Whos gonna assist in prenatal care and classes?
-CHECK ON 13-2 (RESPONSES DURING PREGNANCY IN 3 TRIMESTERS)
Options for Pregnancy
Maintaining pregnancy and parenting the child >Explanation of what can occurs (Table 13-2)
-Community resources avail for each option
Suggestions for First visit
-iron needed in diet (Anemia)
-Check baseline BP (Pre-eclampsia 140/90)
-Cultures for STI's> Ask about STI knowledge, protection?
-Substance abuse? Risks associated with tobacco, caffeine, drugs, ETOH
-Quickening? Fundal height, fetal HR, fetal movement
-Include adolescent's mother in help with care
-Include baby daddy for prenatal visits, classes, health teaching, to extent of mother, questions?
-Plans for involvement in the pregnancy and childbearing, Future plans?
-During labor support, ice chips, timing contractions, coaching w/ breathing, hand holding, back rubs, supportive touching
Prevention of pregnancy
Condoms + oral contraception or IUD
Emancipated Minor – Self-supporting, living away from home, married, pregnant, or in military, can be CONFIDENTIAL (12y/o and up)
A 15-year-old girl has skipped several periods. She arrives at the clinic fearful that she is pregnant. A pregnancy test and pelvic exam support the diagnosis of pregnancy at 24 weeks' gestation. Her diet history reveals that she has irregular eating habits, preferring snacks of soft drinks, chips, and Twinkies. | 1. | How are the normal developmental tasks of adolescence affected by the teen's pregnancy? Your Answer: | 1 | | | | The major psychologic risk to the pregnant adolescent is the interruption of her developmental tasks. Adding the tasks of pregnancy to her developmental tasks creates a huge amount of psychologic work, the completion of which will affect the adolescent's and her newborn's futures. The major developmental tasks of adolescence are: developing a sense of identity; gaining autonomy and independence; developing intimacy in a relationship; developing comfort with one's own sexuality; and developing a sense of achievement. | | 2. | What are the physiological risks or problems that might affect the client? Your Answer: | 1 | | | | Adolescents typically seek prenatal care later than older women do, which increases risk. Risks for pregnant adolescents include preterm births, low-birth-weight infants, cephalopelvic disproportion, iron-deficiency anemia, and pre-eclampsia and its sequelae. In the adolescent age group, prenatal care is the critical factor that most influences pregnancy outcome. Teenagers ages 15-19 have a high incidence of sexually transmitted infections (STIs), including herpesvirus, syphilis, and gonorrhea. The incidence of Chlamydial infection also is increased in this age group. The presence of such infections during a pregnancy greatly