Which statement made by a pregnant adolescent should raise concern for potential psychosocial issues?

The statement expressing a desire to gain only 10 pounds to have a small, petite baby raises concern for potential psychosocial issues because it reflects a distorted perception of body image and unrealistic expectations about pregnancy weight gain. In general, weight gain recommendations during pregnancy are based on the individual's pre-pregnancy weight and overall health, with guidelines suggesting that most pregnant individuals should aim to gain significantly more than 10 pounds to support the healthy growth and development of the fetus.

This statement indicates possible underlying issues related to body image, self-esteem, or anxiety about weight that may not only affect maternal health but also fetal health and development. It suggests that the adolescent might be more focused on appearance than the health implications of adequate weight gain during pregnancy. In contrast, the other statements show a positive attitude towards pregnancy, nutrition, and healthy family dynamics, which are important for both the adolescent's well-being and that of the baby.