Which statement by a pregnant adolescent indicates a need for further investigation during a clinic visit?

• A. "I can't wait to meet my baby!"
• B. "I'm feeling more energetic lately."
• C. "I don’t like my face anymore; I always look like I have been crying."
• D. "I have been eating a lot of fruits and vegetables."

Answer: (C)

The statement indicating a need for further investigation during a clinic visit is the one expressing dissatisfaction with appearance, specifically saying, "I don’t like my face anymore; I always look like I have been crying." This statement may suggest the presence of emotional distress or mental health concerns such as depression or anxiety, which can be common during pregnancy, especially among adolescents. Changes in body image and feelings of sadness or hopelessness are significant issues that should be addressed to ensure the well-being of both the pregnant individual and the developing fetus.

In contrast, the other statements reflect positive emotions or healthy behaviors. Expressing excitement about meeting the baby indicates a positive mindset, feeling more energetic is often a normal aspect of pregnancy, and a focus on consuming fruits and vegetables demonstrates an awareness of healthy dietary choices. These aspects suggest that the adolescent is generally managing her pregnancy well, unlike the concern reflected in the statement about her appearance.