CNM Certified Nurse Midwife

Category - Antepartum

A nurse midwife is managing the nutritional status of a 13-year-old client at 12 weeks’ gestation. When working with an adolescent client, which of the following interventions is the most effective?
  1. Encourage the client to consume least 2,000 calories per day from food intake.
  2. Allow the client to reject traditional foods, and respect her decisions.
  3. Advise the client to prepare nutritious snacks for the next day before going to bed.
  4. Work exclusively with the client, not with her family members or guardians, during dietary planning.
Explanation
Answer: B - The nurse midwife should allow the client to reject traditional foods and respect her decisions. This is the most effective intervention when working with an adolescent client. Adolescents are searching for their identities during this stage, and they have a tendency to reject foods that their primary caregivers or parents see as important for them. The other options would be less effective interventions. The nurse midwife should ensure that the client’s diet includes adequate nutrients. Adolescent clients must consume more than 2,500 calories per day. The client should be taught to prepare her snacks early in the day because it is during this time when she has the most energy. The nurse midwife has to work with the client’s food preparer because adolescents are not usually in charge of cooking the food they eat.
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