Which complication of adolescent pregnancy should the nurse plan to monitor?

Correct Answer: D

Rationale: Incompetent cervix, also known as cervical insufficiency, is a condition where the cervix begins to dilate and efface prematurely due to weak cervical tissue. This can lead to late miscarriage or preterm birth. Adolescent mothers are at a higher risk for this complication due to their immature reproductive systems. Therefore, the nurse should plan to monitor for signs and symptoms of incompetent cervix in adolescent pregnant clients to prevent adverse maternal and fetal outcomes. Anemia, placenta previa, and abruptio placenta are other potential complications of pregnancy, but they are not specifically associated with adolescent pregnancy.

Correct Answer: B

Rationale: Lamaze emphasizes comfort and partner support, aligning with creating a calm environment for labor.

Correct Answer: B

Rationale: Eating small, frequent meals helps prevent reflux and minimizes heartburn during pregnancy.

Correct Answer: C

Rationale: The scenario describes a woman in active labor with frequent, mild to moderate contractions and significant cervical dilation. If cephalopelvic disproportion (CPD) has been ruled out and the progress of labor is slow despite sufficient dilation and descent of the fetus, it may indicate cephalopelvic disproportion, failure to progress, or other complications that could necessitate a cesarean section (c/s). In this case, providing sedation to allow for rest suggests that the medical team is considering the possibility of further intervention, such as a c/s, if the labor does not progress effectively despite sufficient dilation. Therefore, preparing the woman for a c/s would be the anticipated next step in her care.

Correct Answer: B

Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension, requiring close monitoring.