Question 1

The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. The rationale for this nursing strategy includes:

Accepted Answer

A) Increasing the self-care behaviors of the pregnant teen. 
B) Avoiding conflict between the adolescent father and pregnant teen. 
C) Improving the long-term outcome of the relationship. 
D) Avoiding legal action by the adolescent father's family. 
A) Increasing the self-care behaviors of the pregnant teen. 
B) Avoiding conflict between the adolescent father and pregnant teen. 
C) Improving the long-term outcome of the relationship. 
D) Avoiding legal action by the adolescent father's family. A

Question 2

A 20-weeks'-gestation adolescent patient states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds. What would be the best nursing response?

Accepted Answer

A) "You are causing harm to your baby." 
B) "It's okay to want a small baby when you're a teen." 
C) "You shouldn't be worrying about your figure." 
D) "Your baby needs adequate nutrition to develop." 
A) "You are causing harm to your baby." 
B) "It's okay to want a small baby when you're a teen." 
C) "You shouldn't be worrying about your figure." 
D) "Your baby needs adequate nutrition to develop." D

Question 3

The nurse is planning a community adolescent pregnancy prevention program aimed toward parents. Which of the following recommendations should be included in the program include in order to be effective?

Accepted Answer

A) Instead of bringing up the topic of sex, parents should allow their children to reach a point where the child initiates the discussion. 
B) Parents should encourage steady dating. 
C) Rather than embarrassing an adolescent by addressing specific topics related to sex, parents should speak in broad, general terms. 
D) Parents should not allow their son to develop an intense relationship with a girl who is much younger. 
A) Instead of bringing up the topic of sex, parents should allow their children to reach a point where the child initiates the discussion. 
B) Parents should encourage steady dating. 
C) Rather than embarrassing an adolescent by addressing specific topics related to sex, parents should speak in broad, general terms. 
D) Parents should not allow their son to develop an intense relationship with a girl who is much younger. D

Question 4

The nurse has been asked by a community organization to give a presentation on prevention of teen pregnancy. Which statement indicates appropriate steps toward reduction of the local teen pregnancy rate?

Accepted Answer

A) Abstinence-only education will be offered in the school and clinics. 
B) Classes on how to parent will be mandatory in high school. 
C) Plans are made to create a low-cost reproductive health clinic. 
D) Parents will be encouraged to avoid discussing sexual activity. 
A) Abstinence-only education will be offered in the school and clinics. 
B) Classes on how to parent will be mandatory in high school. 
C) Plans are made to create a low-cost reproductive health clinic. 
D) Parents will be encouraged to avoid discussing sexual activity.

Question 5

The nurse is working with male teens whose partners are pregnant. What situation requires that the nurse intervene? The father-to-be states that:

Accepted Answer

A) He is the only other person who will be present, although his girlfriend wants her mother to be with her during the birth. 
B) He is not convinced that he is the father of the baby and doesn't want his name on the birth certificate. 
C) The pregnancy doesn't seem real to him, and he's not sure what he should do to plan for the future. 
D) Because his father was not involved in his life, he wants to be actively involved in the life of his child. 
A) He is the only other person who will be present, although his girlfriend wants her mother to be with her during the birth. 
B) He is not convinced that he is the father of the baby and doesn't want his name on the birth certificate. 
C) The pregnancy doesn't seem real to him, and he's not sure what he should do to plan for the future. 
D) Because his father was not involved in his life, he wants to be actively involved in the life of his child.

Question 6

Which of the following statements, if made by the pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy?

Accepted Answer

A) "It's no big deal that I started prenatal care in my seventh month." 
B) "My anemia and eating mostly fast food are not important." 
C) "I need to take good care of myself so my baby doesn't come early." 
D) "Smoking and using crack cocaine won't harm my baby." 
A) "It's no big deal that I started prenatal care in my seventh month." 
B) "My anemia and eating mostly fast food are not important." 
C) "I need to take good care of myself so my baby doesn't come early." 
D) "Smoking and using crack cocaine won't harm my baby."

Question 7

The nurse is working with a group of pregnant teens. Which statement indicates that teaching has been successful?

Accepted Answer

A) "Pregnant teens are more likely to quit school prior to graduation." 
B) "Because I am young, I have a low risk for pre-eclampsia." 
C) "My baby could come late because I am a teenager." 
D) "I am more likely to use birth control after I have this baby." 
A) "Pregnant teens are more likely to quit school prior to graduation." 
B) "Because I am young, I have a low risk for pre-eclampsia." 
C) "My baby could come late because I am a teenager." 
D) "I am more likely to use birth control after I have this baby."

Question 8

The nurse is preparing an in-service presentation for a group of middle school nurses. Which statements by the nurse would indicate that the nurse understands the role of culture in adolescent pregnancy? Select all that apply.

Accepted Answer

A) "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status." 
B) "Most pregnant teens do not have any relatives who had their first child as teens." 
C) "Teens who have a lot of time without adult supervision are more sexually active." 
D) "Although the rate has dropped, teens of color are more likely to become pregnant." 
E) "Young teens who have a child are more likely to have another while still a teen." 
A) "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status." 
B) "Most pregnant teens do not have any relatives who had their first child as teens." 
C) "Teens who have a lot of time without adult supervision are more sexually active." 
D) "Although the rate has dropped, teens of color are more likely to become pregnant." 
E) "Young teens who have a child are more likely to have another while still a teen."

Question 9

The nurse is working in a teen pregnancy clinic. In order to give the pregnant adolescent a role in her prenatal care, the nurse should allow the teen to:

Accepted Answer

A) Choose the type of prenatal vitamin she takes. 
B) Measure and record her weight at each visit. 
C) Choose the schedule of her prenatal visits. 
D) Decide if she wants her labor to be induced. 
A) Choose the type of prenatal vitamin she takes. 
B) Measure and record her weight at each visit. 
C) Choose the schedule of her prenatal visits. 
D) Decide if she wants her labor to be induced.

Question 10

The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?

Accepted Answer

A) 14-year-old whose 17-year-old sister is pregnant 
B) 15-year-old who reports using condoms regularly 
C) 16-year-old who had Chlamydia treated two weeks ago 
D) 17-year-old with a history of child abuse 
A) 14-year-old whose 17-year-old sister is pregnant 
B) 15-year-old who reports using condoms regularly 
C) 16-year-old who had Chlamydia treated two weeks ago 
D) 17-year-old with a history of child abuse

Question 11

The nurse who is counseling a group of middle school girls on pregnancy avoidance should include which of the following statements?

Accepted Answer

A) "Although condom use is growing, there is still an increasing rate of STDs among teens." 
B) "You have learned enough from your friends and families to understand how pregnancy occurs." 
C) "It has become far less acceptable to give birth during your teenage years than it used to be." 
D) "Although sexuality is common in the media, your peer pressure to have sex is not an important factor." 
A) "Although condom use is growing, there is still an increasing rate of STDs among teens." 
B) "You have learned enough from your friends and families to understand how pregnancy occurs." 
C) "It has become far less acceptable to give birth during your teenage years than it used to be." 
D) "Although sexuality is common in the media, your peer pressure to have sex is not an important factor."

Question 12

While developing a conference for adolescents, the nurse prepares a handout describing socioeconomic and cultural factors that contribute to adolescent pregnancy. Which information should the nurse include in the handout?

Accepted Answer

A) All cultures share an aversion to early pregnancy. 
B) The younger the teen when she first gets pregnant, the less likely she is to have another pregnancy in her teens. 
C) Poverty is a major risk factor for teen pregnancy. 
D) A child born to a teenage mother is at a lower risk for teen pregnancy. 
A) All cultures share an aversion to early pregnancy. 
B) The younger the teen when she first gets pregnant, the less likely she is to have another pregnancy in her teens. 
C) Poverty is a major risk factor for teen pregnancy. 
D) A child born to a teenage mother is at a lower risk for teen pregnancy.

Question 13

Which of the following statements from the mother of a pregnant 13-year-old would be an expected response?

Accepted Answer

A) "We had such high hopes for you." 
B) "But she was always an easygoing child." 
C) "I told you that boy was up to no good." 
D) "This is just one of those things that happen." 
A) "We had such high hopes for you." 
B) "But she was always an easygoing child." 
C) "I told you that boy was up to no good." 
D) "This is just one of those things that happen."

Question 14

A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:

Accepted Answer

A) Contact the social worker. 
B) Develop a trusting relationship. 
C) Schedule the patient for prenatal classes. 
D) Teach the patient about proper nutrition. 
A) Contact the social worker. 
B) Develop a trusting relationship. 
C) Schedule the patient for prenatal classes. 
D) Teach the patient about proper nutrition.

Question 15

Which statement by a parent of a pregnant, unmarried 15-year-old is expected?

Accepted Answer

A) "We're very happy for her.It will be easier to focus on education with a new baby." 
B) "I'm not going to get involved.She understands how her health insurance works." 
C) "Her father told her to stop dating that boy.Now look at the trouble she's gotten into." 
D) "An abortion is the best choice for her.She can deal with our Catholic priest later." 
A) "We're very happy for her.It will be easier to focus on education with a new baby." 
B) "I'm not going to get involved.She understands how her health insurance works." 
C) "Her father told her to stop dating that boy.Now look at the trouble she's gotten into." 
D) "An abortion is the best choice for her.She can deal with our Catholic priest later."

Question 16

Which approach to planning educational activities is best suited to a group of pregnant adolescents?

Accepted Answer

A) Primarily using audio-based presentations during teaching 
B) Avoiding the inclusion of handouts with bulleted items and white space as part of the teaching 
C) Combining teaching for adolescent mothers of all ages as one group 
D) Respecting confidentiality and building trust by avoiding the topics of drug and alcohol abuse 
A) Primarily using audio-based presentations during teaching 
B) Avoiding the inclusion of handouts with bulleted items and white space as part of the teaching 
C) Combining teaching for adolescent mothers of all ages as one group 
D) Respecting confidentiality and building trust by avoiding the topics of drug and alcohol abuse

Exam 13: Adolescent Pregnancy

The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. The rationale for this nursing strategy includes:

A 20-weeks'-gestation adolescent patient states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds. What would be the best nursing response?

The nurse is planning a community adolescent pregnancy prevention program aimed toward parents. Which of the following recommendations should be included in the program include in order to be effective?

The nurse has been asked by a community organization to give a presentation on prevention of teen pregnancy. Which statement indicates appropriate steps toward reduction of the local teen pregnancy rate?

The nurse is working with male teens whose partners are pregnant. What situation requires that the nurse intervene? The father-to-be states that:

Which of the following statements, if made by the pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy?

The nurse is working with a group of pregnant teens. Which statement indicates that teaching has been successful?

The nurse is preparing an in-service presentation for a group of middle school nurses. Which statements by the nurse would indicate that the nurse understands the role of culture in adolescent pregnancy? Select all that apply.

The nurse is working in a teen pregnancy clinic. In order to give the pregnant adolescent a role in her prenatal care, the nurse should allow the teen to:

The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?

The nurse who is counseling a group of middle school girls on pregnancy avoidance should include which of the following statements?

While developing a conference for adolescents, the nurse prepares a handout describing socioeconomic and cultural factors that contribute to adolescent pregnancy. Which information should the nurse include in the handout?

Which of the following statements from the mother of a pregnant 13-year-old would be an expected response?

A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:

Which statement by a parent of a pregnant, unmarried 15-year-old is expected?

Which approach to planning educational activities is best suited to a group of pregnant adolescents?

Contemporary Maternal, Newborn, and Child Health Nursing

Culture and the Family

Reproductive Anatomy and Physiology

Conception and Fetal Development

Health Promotion for Women

Common Gynecologic Problems

Families With Special Reproductive Concerns

Preparation for Parenthood

Physical and Psychological Changes of Pregnancy

Antepartum Nursing Assessment

The Expectant Family: Needs and Care

Maternal Nutrition

Assessment of Fetal Well-Being

Pregnancy at Risk: Pregestational Problems

Pregnancy at Risk: Gestational Onset

Processes and Stages of Labor and Birth

Intrapartum Nursing Assessment

The Family in Childbirth: Needs and Care

Pharmacologic Pain Management

Childbirth at Risk: Pre-Labor Complications

Childbirth at Risk: Labor-Related Complications

Birth-Related Procedures

The Physiologic Responses of the Newborn to Birth

Nursing Assessment of the Newborn

The Normal Newborn: Needs, Care, and Feeding

The Newborn at Risk: Conditions Present at Birth

The Newborn at Risk: Birth-Related Stressors

Postpartum Adaptation and Nursing Assessment

The Postpartum Family: Early Care Needs and Home Care

The Postpartum Family at Risk

Growth and Development

Infant, Child, and Adolescent Nutrition

Pediatric Assessment

Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant

Health Promotion and Maintenance: the Toddler, the Preschooler, and the School-Age Child

Health Promotion and Maintenance: the Adolescent

Family Assessment and Concepts of Nursing Care in the Community

Nursing Considerations for the Child and Family With a Chronic Condition

Nursing Considerations for the Hospitalized Child

Pain Assessment and Management in Children

The Child With a Life-Threatening Condition and End-Of-Life Care

Social and Environmental Influences on the Child

Immunizations and Communicable Diseases

The Child With Alterations in Fluid, Electrolyte, and Acid-Base Balance

The Child With Alterations in Eye, Ear, Nose, and Throat Function

The Child With Alterations in Respiratory Function

The Child With Alterations in Cardiovascular Function

The Child With Alterations in Immune Function

The Child With Alterations in Hematologic Function

The Child With Cancer

The Child With Alterations in Gastrointestinal Function

The Child With Alterations in Genitourinary Function

The Child With Alterations in Endocrine Function

The Child With Alterations in Neurological Function

The Child With Alterations in Mental Health and Cognitive Function

The Child With Alterations in Musculoskeletal Function

The Child With Alterations in Skin Integrity

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