CNM Certified Nurse Midwife

Category - Antepartum

A nurse midwife is creating a teaching plan for a group of adolescent girls who are pregnant for the first time. The main purpose of the teaching session is to promote nutritional health during pregnancy. Which of the following consideration is least important when creating the teaching plan?
  1. The group’s reactions to possible changes that concern their eating habits.
  2. The involvement of the clients’ families, especially the food preparers.
  3. The financial status of the clients.
  4. Cultural considerations.
Explanation
Answer: B - When teaching a group of adolescent girls who are pregnant, the nurse midwife should mainly consider the involvement of the clients’ families, the financial status of the clients and the clients’ cultures. Even a client who is receptive to changing her eating habits may have some difficulties if her family resists the changes. In adolescents, it is most important that the food preparers are willing to effect the change. If a client belongs to a low-income group, the client should be helped to secure financial assistance during her pregnancy. Food intake and eating habits are greatly influenced by culture.
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