A nurse is leading a parenting class for pregnant adolescents.
Which of the following statements by the adolescents would indicate further teaching is necessary?
"It is normal to have a white vaginal discharge.”.
"My nipples and areolae will become darker as my breasts enlarge.”.
"I should expect to see my baby roll over by six months as a normal developmental milestone.”.
"The baby will not need to go to the doctor for at least a month after it is born.”.
The Correct Answer is D
Choice A rationale
White vaginal discharge is scientifically recognized as leukorrhea, a normal physiological change during pregnancy. It results from increased estrogen and cervical mucus production, serving to protect the vaginal environment.
Choice B rationale
Darkening of nipples and areolae is scientifically attributed to hormonal changes, specifically melanocyte-stimulating hormone, during pregnancy, preparing the breast for potential nursing functions post-birth.
Choice C rationale
Scientifically, rolling over is a developmental milestone typically achieved by six months. The statement aligns with age-specific motor skill development benchmarks based on neurological growth.
Choice D rationale
Not needing a doctor post-birth contradicts scientific guidelines. Neonates require early evaluation for congenital conditions, vaccinations, and monitoring of initial growth and development within days after birth.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Reassuring teenagers they will not be forced to participate establishes safety but does not actively encourage engagement in the group discussion, which is crucial for sharing and mutual support.
Choice B rationale
Encouraging comfort before sharing personal problems respects boundaries, but it does not fully address the group’s purpose to create a supportive environment for individuals facing similar challenges.
Choice C rationale
Highlighting a safe space for sharing problems emphasizes the group’s supportive intent, helping the teenager feel understood and potentially encouraging participation in mutual problem-solving.
Choice D rationale
Validating feelings acknowledges emotional concerns but may not fully explain the group’s purpose, missing an opportunity to motivate the teenager to engage with peers. .
Correct Answer is A
Explanation
Choice A rationale
Directness and honesty when speaking with the client establish trust and encourage open communication, which are essential for accurately identifying and addressing potential abuse situations.
Choice B rationale
Including a family member during history-taking may inhibit the client from freely disclosing abuse and can compromise the integrity of the information gathered.
Choice C rationale
Providing wound care is essential for treating injuries but does not align with the purpose of accurately documenting abuse or establishing necessary interventions.
Choice D rationale
Probing aggressively may cause distress, leading the client to withhold information and potentially re-traumatizing the individual in an already vulnerable state.
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