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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Correct Answer is C
Explanation
Choice A rationale
Referring to a supervisor doesn’t fulfill the nurse’s legal obligation to clarify mandatory reporting requirements. It may also escalate parental frustration due to perceived evasion.
Choice B rationale
Delegating responsibility to a supervisor undermines the nurse’s accountability in adhering to legal reporting protocols. This response is insufficient to address parental concerns effectively.
Choice C rationale
Mandatory reporting laws require healthcare professionals to report suspected abuse, regardless of evidence certainty. Nurses must communicate this obligation clearly to justify their actions.
Choice D rationale
While involving the provider may aid communication, it doesn’t address the nurse’s personal accountability in fulfilling legal reporting duties or informing the parent. .
Correct Answer is A
Explanation
Choice A rationale
Mobile clinics improve access to health care by bringing services directly to underserved populations, reducing barriers such as distance and stigma while providing comprehensive care at a single convenient location.
Choice B rationale
Referring homeless clients to temporary housing addresses immediate shelter needs but does not inherently increase access to specialized health care services for mentally ill individuals in the community.
Choice C rationale
Distributing flyers provides information but is unlikely to effectively address systemic access barriers for homeless clients, such as transportation or trust issues when seeking health care services.
Choice D rationale
Soliciting donations for food and clothing supports basic needs but does not directly increase access to the specialized health care required by mentally ill homeless individuals.
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