A 14-year-old girl is concerned about her changing body.
Which nursing intervention is most appropriate?
Provide privacy and factual information about puberty.
Tell her the changes are not important.
Discourage discussions about body image.
Suggest she speak only with peers.
The Correct Answer is A
Choice A rationale
Providing privacy and factual information is crucial for adolescents navigating puberty. Privacy allows for open discussion without embarrassment, and accurate information addresses concerns, corrects misinformation, and normalizes physical changes. This empowers the adolescent to understand and accept their developing body.
Choice B rationale
Telling an adolescent that body changes are not important dismisses their valid concerns during a highly sensitive developmental period. Adolescence is marked by significant physical and psychological transformations, and body image is central to self-esteem and identity formation.
Choice C rationale
Discouraging discussions about body image can lead to internalized anxiety, self-consciousness, and a lack of accurate information. Open communication about body image concerns is vital for adolescents to develop a healthy self-perception and address any potential negative body image issues.
Choice D rationale
While peer support is valuable, suggesting an adolescent speak only with peers can limit their access to accurate information and professional guidance. Peers may share misinformation or reinforce unhealthy perspectives. A balanced approach involves parental/guardian and healthcare professional involvement alongside peer support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Iron (normal adult range: 60-170 µg/dL) is crucial during pregnancy to support the increased maternal blood volume and fetal red blood cell production. Iron deficiency anemia is common in pregnancy and can lead to fatigue, shortness of breath, and adverse pregnancy outcomes like preterm birth or low birth weight.
Choice B rationale
Calcium (normal range: 8.5-10.5 mg/dL) intake is vital for fetal skeletal development and maintaining maternal bone density. If maternal calcium intake is insufficient, the fetus will draw calcium from the mother's bones, potentially leading to maternal bone demineralization and increased risk of osteoporosis later in life.
Choice C rationale
Vitamin D (normal range: 30-100 ng/mL) is essential for calcium absorption and utilization, which is critical for fetal bone and tooth development. Adequate vitamin D levels also support maternal immune function and may play a role in preventing preeclampsia and gestational diabetes.
Choice D rationale
While Vitamin E (normal range: 5.5-17 µg/mL) is an important antioxidant, there is no strong evidence to recommend a significant increase in its intake during pregnancy. Excessive intake of some vitamins can be harmful; therefore, general nutritional guidelines emphasize a balanced diet to meet vitamin E needs.
Correct Answer is B
Explanation
Step 1: May 4 is the first day of the last menstrual period.
Step 2: Add 7 days to May 4, which equals May 11.
Step 3: Count back 3 months from May, which leads to February.
Step 4: Therefore, the estimated date of delivery is February 11.
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