54. A nurse assesses a client who is 13 years old and 28 weeks pregnant. For which complication is this adolescent client at an increased risk?
54. A nurse assesses a client who is 13 years old and 28 weeks pregnant. For which complication is this adolescent client at an increased risk?
Test-Taking Tip
Think about the fact that anemia is a common adolescent problem due to increased need of iron for growth and the sometimes poor eating habits of adolescents. Pregnancy would increase the chance for anemia.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
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Answer 1 is incorrect because, although adolescent pregnancy has been linked to poor maternal weight gain, premature birth, preeclampsia, and sexually transmitted infections (STIs), it is not linked to a higher incidence of gestational diabetes. Gestational diabetes is usually higher in particular ethnic groups, such as Asian American, Native American, African American, and Hispanic. Answer 2 is incorrect because adolescent pregnancy is not a risk factor for the development of vulvar varicosities. Having varicose veins prior to pregnancy may increase the chance of developing vulvar varicosities in pregnancy. Answer 3 is incorrect because placenta previa is associated with over 30 years of age, previous cesarean delivery, previous placenta previa, and a high number of closely spaced pregnancies. Answer 4 is correct because iron-deficiency anemia is defined as hemoglobin below 11 grams. Anemia is more likely to occur in adolescent pregnancy. Adolescent pregnancy has also been linked to poor maternal weight gain, premature birth, preeclampsia, and STIs.
