Adolescent Pregnancy Risks and Complications

Adolescent pregnancies, particularly in those younger than 15, are associated with increased risks. Which complication is most directly related to the mother's physical immaturity?

A 14-year-old pregnant patient presents with anemia and elevated blood pressure. Which of the following complications is she at an increased risk for?

Compared to women in their 20s, adolescent mothers face a higher risk of certain labor and delivery complications. Which of the following is most closely associated with increased rates of cesarean births in this population?

A pregnant adolescent patient is noted to have poor understanding of proper nutrition and limited access to prenatal care. This situation increases her risk for:

An adolescent mother who gave birth less than 6 years after menarche is at a higher risk of:

A public health nurse is developing a preconception health program. Which of the following should be the priority focus of this program?

A pregnant woman is in her second trimester. Which of the following physiological changes is she most likely to experience?

During the COVID-19 pandemic, many healthcare services were disrupted. Which of the following maternal and child health services experienced the most significant disruption, according to the WHO survey?

A new mother is in the puerperium period. What is the typical duration of this period, and what main physiological process is occurring?

A nurse is assessing a neonate (20 days old). Which of the following findings would require immediate intervention?

Which of the following factors most significantly contributed to limited access to basic health services in the Philippines during the COVID-19 pandemic?

A nurse is providing anticipatory guidance to the parents of an infant. In what period of life is the infant?

What period of life is defined as 6 weeks before conception and 6 weeks after birth?

A pregnant woman is experiencing excessive salivation, a rising pulse, and a rapid heartbeat. Which condition is MOST likely indicated by these symptoms?

A pregnant patient with a history of rheumatic fever is being monitored for potential cardiac complications. Which physiological change associated with pregnancy poses the GREATEST risk of hemodynamic stress in this patient?

A pregnant woman with suspected Hyperemesis Gravidarum presents with a noticeable ketonic odor. What is the MOST likely cause of this symptom?

A pregnant patient is diagnosed with Rheumatic Heart Disease (RHD). The physician explains that RHD is a complication of an autoimmune disorder. Which of the following correctly identifies the precursor to RHD?

A pregnant woman with a history of rheumatic fever is experiencing joint pain, fever, and a red, raised rash. Which of the following diagnostic tests would be MOST useful in evaluating her current cardiac valve function?

A pregnant patient with Rheumatic Heart Disease is being educated on potential complications. Which of the following symptoms should the patient be instructed to report immediately, as it may indicate worsening heart failure?

A pregnant patient in her first trimester is diagnosed with hyperemesis gravidarum. Besides antiemetics, what is another crucial intervention to prevent complications associated with this condition?

A patient with Rheumatic Heart Disease is being assessed during a prenatal visit. Which assessment finding would indicate a possible exacerbation of her cardiac condition due to pregnancy?

A pregnant woman with mitral stenosis is at risk for thrombus formation. Which medication is typically prescribed to address this risk during pregnancy?

A pregnant patient is diagnosed with coarctation of the aorta. Besides antihypertensives, which other medication class might be prescribed to improve ventricular filling?

Which of the following complications is associated with the administration of oxytocin to a patient with pre-existing mitral stenosis?

A pregnant woman with a known history of left-sided heart failure is in labor. What specific instruction should the nurse provide regarding pushing during contractions?

A postpartum patient with a history of mitral stenosis is prescribed anticoagulant and digoxin therapy. What is the primary goal of this treatment regimen?

What advice should be given to pregnant women taking ferrous sulfate supplements to enhance iron absorption?

A pregnant patient is diagnosed with megaloblastic anemia. Which supplement is most appropriate for this type of anemia?

A pregnant patient is being screened for anemia. Which assessment finding would suggest sickle cell anemia rather than iron deficiency anemia?

A pregnant client's hemoglobin level is 9 mg/dL during the second trimester. How should the nurse interpret this result?

What is the rationale behind advising a pregnant woman with anemia to increase roughage in her diet while taking ferrous sulfate?

Which assessment finding in a pregnant woman with sickle cell anemia requires immediate intervention?

A pregnant woman with anemia is experiencing premature separation of the placenta. Which type of anemia is most likely contributing to this complication?

A pregnant woman reports that her stools have turned black since starting ferrous sulfate. What information should the nurse provide?

What is the primary physiological reason for pregnant women being at risk for ineffective breathing patterns?

Which intervention is contraindicated for a patient experiencing megaloblastic anemia during pregnancy?

A pregnant woman's ultrasound reveals a single fetus and confirms a gestational age of 8 weeks. However, she experiences severe abdominal pain and vaginal bleeding. Which condition should be suspected?

During a third-trimester ultrasound, the amniotic fluid index (AFI) is consistently low. Which of the following is the primary concern associated with decreased amniotic fluid?

A pregnant patient at 36 weeks' gestation tests positive for Group B Streptococcus (GBS). Which intervention is most appropriate during labor?

A patient presents with a prolonged period of bradycardia, with the fetal heart rate consistently below 80 bpm for longer than 3 minutes. What immediate action should be taken?

During an ultrasound, the sonographer identifies two gestational sacs, each containing a fetus, and notes that there are two distinct placentas. What type of pregnancy is this?

A pregnant woman at 30 weeks' gestation is diagnosed with pyelonephritis. Which of the following is the most significant risk associated with this condition?

A woman who is 35 weeks pregnant is undergoing a biophysical profile. What parameters are assessed during this test to evaluate fetal well-being?

During a routine prenatal visit at 36 weeks gestation, a patient reports decreased fetal movement over the past 24 hours. What is the most appropriate next step?

Which of the following physiological changes during pregnancy is MOST likely to contribute to Bell's Palsy?

A pregnant woman is diagnosed with Bell's Palsy. Which of the following treatments would be MOST appropriate, considering both her condition and pregnancy status?

Which of the following factors is LEAST likely to be associated with increased substance use among pregnant women?

A newborn is exhibiting signs of hyperactivity, impulsivity, and inattention. The mother admits to using marijuana throughout her pregnancy. Which of the following interventions would be MOST important for this child's early development?

Which of the following is the GREATEST risk associated with tobacco use during pregnancy?

A child is demonstrating poor attention, self-regulation difficulties, and language delays. The mother used cocaine during pregnancy. Which of the following long-term outcomes is LEAST likely to be associated with this prenatal exposure?

Which of the following is a known effect of methamphetamine use during pregnancy on the developing fetus?

A pregnant woman is HIV positive. Which statement about the transmission of HIV from mother to baby is correct?

During labor and delivery of an HIV-positive mother, which of the following practices is generally recommended to minimize the risk of HIV transmission to the newborn?

Which of the following infection control measures is MOST crucial to prevent HIV transmission in a labor and delivery setting?

A Rh-negative mother is pregnant with her second child. Her first child was Rh-positive. Which of the following tests is MOST important to determine if the mother has developed Rh antibodies?

An Rh-negative pregnant woman receives Rh immunoglobulin (RhoGAM) at 28 weeks gestation and after delivery of an Rh-positive infant. What is the PRIMARY purpose of this intervention?

What is the underlying cause of fetal alcohol spectrum disorder (FASD)?

Which of the following characteristics is LEAST likely to be associated with Fetal Alcohol Spectrum Disorder (FASD)?

A newborn presents with physical anomalies, neurobehavioral disorders, and cognitive deficits. The mother admits to consuming alcohol regularly during her pregnancy. Which of the following interventions would be MOST appropriate for this child?