Deck 13: Adolescent Pregnancy

Question 1

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

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."

Answer 1

"We had such high hopes for you."

Question 2

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)Plans are made to create a low-cost reproductive health clinic.
D)Parents will be encouraged to avoid discussing sexual activity.

Answer 2

Plans are made to create a low-cost reproductive health clinic.

Question 3

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.

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."

Answer 3

"Teens who have a lot of time without adult supervision are more sexually active."
"Although the rate has dropped, teens of color are more likely to become pregnant."
"Young teens who have a child are more likely to have another while still a teen."

Question 4

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

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 5

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?

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."

Question 6

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

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

Question 7

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?

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 8

The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen 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 two weeks ago
D)17-year-old with a history of child abuse

Question 9

Which statement by a parent of a pregnant, unmarried 15-year-old 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 10

Which of the following statements, if made by the pregnant adolescent, indicates that she understands 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 11

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:

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 12

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

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 13

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:

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 14

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?

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.

Question 15

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 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 16

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

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.