Adolescent Pregnancy one of the concerns in Pediatric Nursing that is underrated. Included is also the accompanying nutritional issues in this condition.

1. ADOLESCENT PREGNANCY
Nursing Care of At-Risk/ High Risk/ Sick Clients
Prepared by: RitaEPenasoMANRn

2. ADOLESCENT PREGNANCY:
KEY POINTS
• The incidence of adolescent pregnancy has increased dramatically in the past several
decades.
• Prevention of adolescent pregnancy is best accomplished by providing accurate and
realistic information about pregnancy and parenthood, access to birth control and a safe
environment for questions and discussion.
• Education, guidance, and instructions should be appropriate to the age, maturity level,
and knowledge base of the client.
• Goals of collaborative management include:
Preventing the occurrence of pregnancy
Providing prenatal care and education to pregnant females.
Supporting infants born to adolescent parents

3. ADOLESCENT PREGNANCY:
KEY POINTS
Important nursing diagnoses ( actual or potential)
are:
 Self-concept disturbance
 Self esteem disturbance
 Body image disturbance
 Anxiety and fear
 Altered health maintenance
 Impaired social interaction
 Caregiver role strain
 Ineffective family coping
 Altered family processes
 Knowledge deficit

4. ADOLESCENT PREGNANCY:
NURSING DIAGNOSES

5. ADOLESCENT PREGNANCY:
OVERVIEW
 More than 1 million adolescent females
become pregnant each year. Many
adolescents are socially, educationally,
emotionally, and economically unprepared
for the realities of pregnancy and
parenthood .The normal developmental
progression of the adolescent is abruptly
changed. For most adolescents, pregnancy
marks the end of their own childhood.The
risk of complications of pregnancy
(pregnancy-induced hypertension, infection,
and gestational diabetes) and neonatal
problems (prematurity, sepsis, low birth
weight, intrauterine drug exposure) are
increased due to alck of sporadic prenatal
care, nutrition, and lifestyle choices.

6. ADOLESCENT PREGNANCY:
RISK FACTORS
 Adolescent sexual activity
 High risk behavior (alcohol and drug use)
 Lack of contraceptives
 Lack of knowledge regarding contraception
 Dysfunctional home life

7. ADOLESCENT PREGNANCY:
RISK FACTORS

8. ADOLESCENT PREGNANCY:
NUTRITION

9. ADOLESCENT PREGNANCY:
NUTRITION
 Nutritional needs in adolescent pregnancy
are often different from adult women.
Many adolescents are experiencing rapid
growth and the pregnancy increases the
nutritional needs. The need depends on
the gynecological age of the adolescent
(the number of years between the age in
years and the age at menarche. If the
gynecological age is less than 2 years the
pregnant teen will compete with the
requirements of the fetus to meet her own
nutritional needs.

10. ADOLESCENT PREGNANCY:
NUTRITION
 Because the adolescent diet is often high in
salt, sugar, and fatty foods while low in
protein, vitamins, and minerals, the nurse
must make dietary counseling a priority with
pregnant teens to ensure the health of both
the teen and the fetus.The nurse should set
weight gain goals with the pregnant
adolescent at the first prenatal visit, if
possible. It is imperative to explain why
gaining weight is important during pregnancy.
Nutritional counseling should continue into
the postpartum period to ensure good
nutrition of the parent(s) and child.

11. ADOLESCENT PREGNANCY:
THERAPEUTIC NURSING MANAGEMENT

12. ADOLESCENT PREGNANCY:
THERAPEUTIC NURSING MANAGEMENT
Extensive teaching
should include:
 Diet: good nutrition is a
major problem
 Physiological and
psychological changes
of pregnancy
 Parenting skills
 Preparation for labor
and delivery
 Newborn are
Discuss plans for birth
decisions and plans for the
baby.
Assess the amount of the
father’s participation.
Assess for
complications
during pregnancy.

13. ADOLESCENT PREGNANCY:
COMPLICATIONS
• Pregnancy-induced hypertension, diabetes, anemia,
hemorrhoids
• Preterm labor
• Low birth weigh infant
• Postpartum hemorrhage
• Altered parent-infant bonding and attachment
• Interruption of normal adolescent development
• Ineffective coping
• Altered family processes
• Altered parenting, child neglect and/or abuse
• Poverty

14. ADOLESCENT PREGNANCY:
COMPLICATIONS

15. ADOLESCENT PREGNANCY:
COMPLICATIONS

16. ADOLESCENT PREGNANCY: