Deck 15: Pregnancy in Selected Populations

Question 1

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

A) Having the father more involved with the birth
B) Avoiding conflict between the adolescent father and pregnant teenager
C) Including his name on the birth certificate
D) Avoiding legal action by the adolescent father's family

Answer 1

A

Question 2

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

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."

Answer 2

C

Question 3

The nurse working in an adolescent prenatal clinic knows which of the following about the clients who are 15-17 years old?

A) They are more at ease with their individuality.
B) They see authority as resting with parents.
C) They are able to solve problems and make decisions.
D) They seek independence and identify with their peer group.

Answer 3

D

Question 4

The nurse has given a community presentation on adolescent pregnancy. Which statements indicate that further teaching is necessary?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) "Low educational achievement is major risk factor for adolescent pregnancy."
B) "Teens who are on a low economic trajectory are more likely to become pregnant."
C) "When a teen plans to attend college, abortion is less likely."
D) "In the United States, the adolescent birth rate is higher among white teens."
E) "Teens from low-income households are less likely to become pregnant."

Question 5

The school nurse is planning a presentation on pregnancy for 13- and 14-year-olds who are currently pregnant. When planning the content of this presentation, what should the nurse keep in mind about these teens?

A) They are working on independence and autonomy.
B) They are no longer developing a sense of achievement.
C) They are confident in their own identity.
D) They are in control of their impulses.

Question 6

Which statement made by the pregnant adolescent would indicate to the nurse that she understood her increased risk of physiologic complications during pregnancy?

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?

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 8

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?

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 9

Which statements might a pregnant teenager be likely to make at her initial prenatal examination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) "I didn't know I could get pregnant the first time I had sex."
B) "Several of my friends go to clinics to get contraception."
C) "It's no big deal; two of my best friends have babies, too."
D) "I was 13 years old when I had sex the first time."
E) "My family and my boyfriend are really happy and supportive."

Question 10

The nurse is preparing an in-service presentation for a group of middle-school nurses. Which statements by the nurse would indicate that the middle-school nurse understood the role of culture in adolescent pregnancy?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) "Studies show that 85% of teen mothers are middle class, and give birth to gain adult status."
B) "Teenage pregnancy is the leading reason why adolescent women drop out of school."
C) "Teens of color are more likely to become pregnant."
D) "Intelligence and academic ability are positively associated with delayed sexual activity, greater use of contraception, and lower rates of pregnancy."
E) "Over 50% of adolescents who have had an abortion or recent birth become pregnant again within two years."

Question 11

The nurse is working at a clinic for pregnant teens. What issues related to development will the nurse expect to encounter in most of the pregnant clients?

A) Peer pressure to stop using alcohol once pregnancy is diagnosed
B) Contraception failure that resulted in this pregnancy
C) The baby's father being emotionally supportive to the client
D) Feelings of not living up to parents' expectations

Question 12

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

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) "I will feel my baby move in about 16 weeks."
D) "My diet can stay the same even though I'm pregnant."

Question 13

Which of the following is the most prevalent medical complication of pregnant adolescents?

A) Constipation
B) Preeclampsia-eclampsia
C) Heartburn
D) Rapid enlargement and sensitivity of breasts

Question 14

A 14-year-old girl is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, "We knew she was gaining weight, but we can't tell anyone she is pregnant." The nurse understands that the client's mother's behavior exemplifies which of the following?

A) Low self-esteem
B) Anger
C) Shame
D) Ignorance

Question 15

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 doing what?

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 client

Question 16

The nurse who is counseling a group of middle-school girls on pregnancy avoidance should include which statement?

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

Question 17

In planning a conference for adolescents, the nurse researches the most common socioeconomic and cultural factors that contribute to adolescent pregnancy. Which true statements should be included in this conference?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Economic status has a relatively low impact on an adolescent's sexual activity.
B) Nearly three quarters of all teens ages 15-19 have had sex at least once.
C) Poor self-esteem contributes to adolescent pregnancy.
D) 38% percent of sexually active students use a condom.
E) Sexual abuse is not an issue with teen mothers.

Question 18

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

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

Question 19

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

A) He will be the only other person who will be present for the birth, although his girlfriend wants her mother to be with her.
B) He was very sexually active at an earlier age and he has had more sexual partners than his girlfriend.
C) The pregnancy does not seem real to him, and he is not sure what he should do to plan for the future.
D) He does not want to be married.

Question 20

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

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 21

The nurse is presenting a class to women who are currently pregnant or are planning pregnancy in the near future. Which client statement indicates that additional teaching is required?

A) "The older a woman is when she conceives, the safer the pregnancy is."
B) "Pregnant teens can have additional nutritional needs."
C) "A woman whose sisters all had hypertension will be watched carefully."
D) "Pregnancy may be more difficult to achieve in my 40s."

Question 22

The nurse is preparing a brochure for couples considering pregnancy after the age of 35. Which statements should be included?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) There is a decreased risk of Down syndrome.
B) Preexisting medical conditions can complicate pregnancy.
C) Preterm births are more common.
D) Amniocentesis can be performed to detect genetic anomalies.
E) The increased fertility of women over age 35 makes conception easier.

Question 23

The community nurse is preparing to visit the home of an adolescent who is 18 weeks pregnant. Which health problems should the nurse focus on when assessing this patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Preeclampsia
2. Preterm birth
3. Low-birth-weight
4. Gestational diabetes
5. Iron deficiency anemia

Question 24

The nurse's goals for prenatal classes may include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Increasing self-esteem
B) Preparing the participants for childrearing
C) Offering information on the risks of breastfeeding
D) Providing anticipatory guidance about pregnancy
E) Helping participants develop more adaptive coping skills

Question 25

The nurse is talking with the parents of a pregnant 15-year-old. Which statement by one of the parents is expected?

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 26

The nurse is preparing an educational session for parents of adolescents. In which order should the nurse explain the psychosocial development for this population?
1. Thinks abstractly
2. Lack impulse control
3. Formal operational thought
4. Egocentric and a concrete thinker
5. Experiments with drugs and alcohol

Question 27

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

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 28

Recommendations for parents to help their teens avoid pregnancy include which of the following?

A) Parents need to encourage frequent and steady dating.
B) Parents need to let their children set their own goals for the future.
C) Parents need to have their children taught about sex by school programs and community resources.
D) Parents should be clear about their own sexual attitudes and values.

Question 29

The nurse discussing different pregnancy programs explains that which of the following is critical to the success of an adolescent pregnancy-prevention program?

A) Including role models from the same cultural and racial backgrounds as the participants
B) Focusing on the adolescent female
C) Having short-term, informal programs available twice per year
D) Focusing on the expectations of the adolescents' parents

Question 30

An adolescent in the third trimester of pregnancy comes into the clinic for a routine examination. What should the nurse assess to determine if the patient is working through this trimester's developmental tasks?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Amount of weight gained
2. Adequacy of nutritional intake
3. Supplies purchased for the baby
4. Presence of heartburn or constipation
5. Place in the home identified for the baby

Question 31

A pregnant adolescent is scheduled for her first prenatal visit. For which sexually transmitted infections (S T Is) should the nurse anticipate testing will occur?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. H P V
2. Candida
3. Gonorrhea
4. Chlamydia
5. Trichomonas

Question 32

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?

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 33

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 do which of the following?

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 34

The nurse is preparing an educational program for pregnant adolescents in the community. What goals should the nurse identify as appropriate for this teaching?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Managing finances
2. Increasing self-esteem
3. Preparing for labor and birth
4. Developing adaptive coping skills
5. Providing information about resources

Question 35

The nurse developing a care plan for a pregnant teen knows that what plan is best suited to pregnant teens?

A) Assess menstrual history and the presence of any food allergies.
B) Inquire about family relationships and location of the home.
C) Ask what her body image is, then correct her misconceptions.
D) Determine whether there are substance abuse issues.