Question 1

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 whether 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 whether she wants her labor to be induced.

Question 2

After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of Ineffective Family Coping related to unanticipated pregnancy. Which goal would be appropriate?

Accepted Answer

A)  The teenager and family will participate in discussions regarding pregnancy. 
B)  The teenager and family will develop skills for parenting the infant. 
C)  The teenager and family will develop a trusting relationship with the healthcare providers. 
D)  The teenager and family will develop self-care skills for the pregnancy. 
A)  The teenager and family will participate in discussions regarding pregnancy. 
B)  The teenager and family will develop skills for parenting the infant. 
C)  The teenager and family will develop a trusting relationship with the healthcare providers. 
D)  The teenager and family will develop self-care skills for the pregnancy.

Question 3

After telling a mother that her 13-year-old daughter is pregnant, the nurse would expect the mother to respond with which statement?

Accepted Answer

A)  "We had such high hopes for you." 
B)  "But you have always been a happy child." 
C)  "I've always liked that boy." 
D)  "This is just one of those things that happen." 
A)  "We had such high hopes for you." 
B)  "But you have always been a happy child." 
C)  "I've always liked that boy." 
D)  "This is just one of those things that happen."

Question 4

Several adolescent female students are waiting to be seen by the school sexual health clinic nurse. Which student should the nurse see 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 2 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 2 weeks ago 
D)  17-year-old with a history of child abuse

Question 5

Appropriate nursing strategies for the nursing diagnosis Risk for Situational Low Self-Esteem related to unanticipated pregnancy would include:

Accepted Answer

A)  Assist the adolescent with her decision-making and problem-solving skills. 
B)  Encourage the adolescent to allow her parents to make the important decisions regarding her well-being and that of her baby. 
C)  Help the adolescent to think first of her baby's needs, then of her own. 
D)  Encourage the teen to think of the present and not to be so concerned about the future. 
A)  Assist the adolescent with her decision-making and problem-solving skills. 
B)  Encourage the adolescent to allow her parents to make the important decisions regarding her well-being and that of her baby. 
C)  Help the adolescent to think first of her baby's needs, then of her own. 
D)  Encourage the teen to think of the present and not to be so concerned about the future.

Question 6

The 19-year-old pregnant woman begins a job to "save money for the baby." What is the most significant developmental task the nurse understands this statement to demonstrate?

Accepted Answer

A)  Striving for gaining autonomy and independence 
B)  Completed development of a sense of identity 
C)  Attainment of a sense of achievement 
D)  Having developed an intimate relationship 
A)  Striving for gaining autonomy and independence 
B)  Completed development of a sense of identity 
C)  Attainment of a sense of achievement 
D)  Having developed an intimate relationship

Question 7

When working with pregnant adolescents, the nurse plans on assessing:

Accepted Answer

A)  High-birth-weight infants. 
B)  Pelvic measurements. 
C)  For sexually transmitted infections. 
D)  Low blood pressure readings. 
E)  Hemoglobin and hematocrit. 
A)  High-birth-weight infants. 
B)  Pelvic measurements. 
C)  For sexually transmitted infections. 
D)  Low blood pressure readings. 
E)  Hemoglobin and hematocrit.

Question 8

A nurse working with adolescents recognizes risk factors for pregnancy to include:

Accepted Answer

A)  Low socioeconomic status. 
B)  A belief in invulnerability. 
C)  A highly functional family. 
D)  Physical, emotional, or sexual abuse. 
E)  Accurate information about contraception. 
A)  Low socioeconomic status. 
B)  A belief in invulnerability. 
C)  A highly functional family. 
D)  Physical, emotional, or sexual abuse. 
E)  Accurate information about contraception.

Question 9

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)  A low-cost reproductive health clinic will be planned. 
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)  A low-cost reproductive health clinic will be planned. 
D)  Parents will be encouraged to avoid discussing sexual activity.

Question 10

The pregnant 16 year old is seeing the nurse during a prenatal visit. Based on the patient's developmental level, which statement would the nurse expect the patient to make?

Accepted Answer

A)  "My friends and I all wear totally different styles of clothing." 
B)  "Having a baby will change my college plans." 
C)  "I drink alcohol at parties most weekends." 
D)  "My mom is my best friend." 
A)  "My friends and I all wear totally different styles of clothing." 
B)  "Having a baby will change my college plans." 
C)  "I drink alcohol at parties most weekends." 
D)  "My mom is my best friend."

Question 11

The nurse is teaching a pregnant 14-year-old patient who is at 10 weeks' gestation about the expected body changes that will occur during pregnancy. Which patient statement indicates that additional information is needed?

Accepted Answer

A)  "My breasts are going to get even bigger than they've gotten over the past couple of years." 
B)  "My belly will gradually get more round, especially from the middle of pregnancy on." 
C)  "My hair will feel thicker until I deliver, and then I'll lose more hair than usual for a few weeks." 
D)  "My skin won't change, and I'll look just as good in a bikini next year as I did last summer." 
A)  "My breasts are going to get even bigger than they've gotten over the past couple of years." 
B)  "My belly will gradually get more round, especially from the middle of pregnancy on." 
C)  "My hair will feel thicker until I deliver, and then I'll lose more hair than usual for a few weeks." 
D)  "My skin won't change, and I'll look just as good in a bikini next year as I did last summer."

Question 12

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 preeclampsia." 
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 preeclampsia." 
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 13

During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by:

Accepted Answer

A)  Allowing her to witness a pelvic exam on another teenager. 
B)  Encouraging her to ask her mother about the physiology of pregnancy. 
C)  Including anatomic models and drawings in the teaching session. 
D)  Discussing the process of fetal development with the patient. 
A)  Allowing her to witness a pelvic exam on another teenager. 
B)  Encouraging her to ask her mother about the physiology of pregnancy. 
C)  Including anatomic models and drawings in the teaching session. 
D)  Discussing the process of fetal development with the patient.

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

The nurse has given a community presentation on adolescent pregnancy. Which statement indicates that further teaching is necessary?

Accepted Answer

A)  "Sisters of young teen mothers are more likely to become pregnant." 
B)  "Afterschool activities decrease the likelihood of teen pregnancy." 
C)  "When a teen plans to attend college, abortion is less likely." 
D)  "Young teen parents are less likely to have another child during their teens." 
E)  "Teens from low-income households are less likely to become pregnant." 
A)  "Sisters of young teen mothers are more likely to become pregnant." 
B)  "Afterschool activities decrease the likelihood of teen pregnancy." 
C)  "When a teen plans to attend college, abortion is less likely." 
D)  "Young teen parents are less likely to have another child during their teens." 
E)  "Teens from low-income households are less likely to become pregnant."

Exam 17: Adolescent Pregnancy

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:

After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of Ineffective Family Coping related to unanticipated pregnancy. Which goal would be appropriate?

After telling a mother that her 13-year-old daughter is pregnant, the nurse would expect the mother to respond with which statement?

Several adolescent female students are waiting to be seen by the school sexual health clinic nurse. Which student should the nurse see first?

Appropriate nursing strategies for the nursing diagnosis Risk for Situational Low Self-Esteem related to unanticipated pregnancy would include:

The 19-year-old pregnant woman begins a job to "save money for the baby." What is the most significant developmental task the nurse understands this statement to demonstrate?

When working with pregnant adolescents, the nurse plans on assessing:

A nurse working with adolescents recognizes risk factors for pregnancy to include:

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 pregnant 16 year old is seeing the nurse during a prenatal visit. Based on the patient's developmental level, which statement would the nurse expect the patient to make?

The nurse is teaching a pregnant 14-year-old patient who is at 10 weeks' gestation about the expected body changes that will occur during pregnancy. Which patient statement indicates that additional information is needed?

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

During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by:

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:

The nurse has given a community presentation on adolescent pregnancy. Which statement indicates that further teaching is necessary?

Current Issues in Maternal-Newborn Nursing

Care of the Family in a Culturally Diverse Society

Complementary and Alternative Therapies

Health Promotion of Women Across the Lifespan

Womens Health: Family Planning

Womens Health: Commonly Occurring Infections

Womens Health Problems

Womens Care: Social Issues

Violence Against Women

The Reproductive System

Conception and Fetal Development

Special Reproductive Concerns: Infertility and Genetics

Preparation for Parenthood

Physical and Psychologic Changes of Pregnancy

Antepartum Nursing Assessment

The Expectant Family: Needs and Care

Maternal Nutrition

Pregnancy at Risk: Pregestational Problems

Pregnancy at Risk: Gestational Onset

Assessment of Fetal Well-Being

Processes and Stages of Labor and Birth

Intrapartum Nursing Assessment

The Family in Childbirth: Needs and Care

Pain Management During Labor

Childbirth at Risk: Prelabor Complications

Childbirth at Risk: Labor-Related Complications

Birth-Related Procedures

Physiologic Responses of the Newborn to Birth

Nursing Assessment of the Newborn

The Normal Newborn: Needs and Care

Newborn Nutrition

The Newborn at Risk: Conditions Present at Birth

The Newborn at Risk: Birth-Related Stressors

Postpartum Family Adaptation and Nursing Assessment

The Postpartum Family: Needs and Care

Home Care of the Postpartum Family

Grief and Loss in the Childbearing Family

The Postpartum Family at Risk

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