Deck 35: Teen Pregnancy

Question 1

What is the cause of teen pregnancy?

A) Changing moral attitudes
B) Sexual code
C) Economic circumstances
D) No uniform reason

Answer 1

No uniform reason

Question 2

At the primary level of prevention related to teen pregnancy,what can the community health nurse do?

A) Teach well-baby classes to new mothers.
B) Teach young people about sexual practices that will prevent untimely pregnancy.
C) Provide services for pregnancy detection.
D) Counsel a young couple about abortion and adoption.

Answer 2

Teach young people about sexual practices that will prevent untimely pregnancy.

Question 3

Which factor has been linked to the decrease in pregnancies among teens?

A) Fewer are becoming sexually active.
B) More are using complementary alternative methods of birth control.
C) More have tighter parental control at home.
D) Fewer are engaging in risky behaviors.

Answer 3

Fewer are becoming sexually active.

Question 4

Which information about parental consent would be accurate for the nurse to provide to an adolescent client who is seeking an abortion?

A) Parental consent must be given to the abortion provider.
B) Parents must be notified by the abortion provider before the abortion is performed.
C) The adolescent's right to privacy and ability to give consent varies by state.
D) Federal protection of the adolescent's right to privacy makes consent unnecessary.

Question 5

An important concept for nurses to keep in mind when providing adoption counseling with pregnant teenagers is:

A) Have the father present as well during the counseling session.
B) When speaking of adoption, use the words "giving the child away."
C) Describe the details of raising a child in order to influence adoption decisions.
D) Do not impose opinions on the decision-making process of teen mothers.

Question 6

Which would be the most appropriate nursing intervention for the nurse to implement when assessing a pregnant teen's weight gain?

A) Advise the teen to play close attention to weight gain.
B) Encourage the teen to gain as much weight as possible.
C) Recommend weight gain based on prepregnancy weight.
D) Instruct about the benefits to the fetus by gaining 2 pounds per week.

Question 7

The nurse plans a home visit to a pregnant teen.The demonstrated outcome of this nursing intervention is a(n):

A) Increase in birth weight and utilization of prenatal care and support services
B) Increase in family coping skills to prevent crisis
C) Coordinated and comprehensive teen pregnancy approach
D) Family approach to health care

Question 8

A high school-aged teen tells the school nurse that she wants to become pregnant.The most appropriate nursing action is to:

A) Ignore the comment.
B) Tell the teen that she should not engage in sexual activity or get pregnant.
C) Call the teen's parents.
D) Provide preconceptual counseling and emphasize the need to achieve good health.

Question 9

Many teenagers who give birth:

A) Are from middle class families
B) Are honor students
C) Planned to get pregnant
D) See few advantages in delaying pregnancy

Question 10

Which nursing intervention is most appropriate when counseling an adolescent female about prevention of iron deficiency anemia?

A) Provide information about appropriate weight gain during puberty.
B) Educate about consuming foods containing vitamin C.
C) Instruct on drinking at least 8 glasses of water each day.
D) Emphasize the need to follow up with a dietician.

Question 11

When working with teenagers,it is important for the nurse to recognize that some teens may get pregnant because they:

A) Often feel invincible and do not recognize risks related to their behaviors
B) Enjoy engaging in sexual activity and want children
C) Influence each other and succumb to peer pressure
D) Have realistic attitudes about school, work, parenting, and socializing

Question 12

According to the 2007 Youth Risk Behavior Surveillance System,fewer teens reported engaging in which behavior?

A) Current cigarette usage
B) Current alcohol usage
C) Trying marijuana
D) Episodic heavy drinking

Question 13

A parent has requested access to his child's medical records at a school-based health clinic.Which statement about access and release of a minor's medical record is correct?

A) Reproductive information is protected by the Health Insurance Portability and Accounting Act ( HIPAA ).
B) A minor cannot get birth control without parental consent.
C) Medical records are available to anyone who wishes to access them.
D) Parents can legally access all medical records of a minor child.

Question 14

Which statement best illustrates that the main causes of teen mortality are high-risk behaviors?

A) Teenagers generally leave home before they are mature enough.
B) Teenagers often engage in activities that put them at risk for life-threatening diseases.
C) Teenagers are prone to developing chronic diseases that lead to disability early in life.
D) Teenagers want to get pregnant at an early age to be able to enjoy life later on.

Question 15

What are reasons that adolescents may not seek care for health problems? Select all that apply.

A) Access to care may be hindered because there are not enough professionals with expertise in dealing with the teen population.
B) Cost of care or availability of insurance may limit services.
C) Teenagers do not care about their health.
D) Health care professionals may not be able to discuss sensitive topics in a non-judgmental way.

Question 16

Which statement about a young man's reaction to the pregnancy of his partner is true?

A) His reaction often depends on the nature of the relationship before the pregnancy.
B) Most young men believe that fathering a child can make them feel manly.
C) Most young men are not interested in their partner's pregnancy.
D) His reaction often includes blaming the partner.

Question 17

A nurse counseling a pregnant adolescent about her nutritional needs during pregnancy includes information that nutritional needs are based primarily on:

A) Chronologic age
B) Gynecologic age
C) Prepregnancy diet history
D) Blood protein levels

Question 18

Which factor increases a young woman's risk for early sexual experiences and pregnancy?

A) History of sexual abuse
B) Parents who have high demands for their children to act maturely
C) Parents who communicate openly with their teens about birth control and sexuality
D) Male partner of the same age

Question 19

A teenage mother discusses with the school nurse the possibility of having a second child.Which risk factor would place this client at higher risk for having a second pregnancy?

A) Remaining in school
B) Reporting an unplanned first pregnancy
C) Being from a small family
D) Having a disadvantaged background

Question 20

A nurse is teaching a pregnant teenager about the risks of contracting a sexually transmitted infection.Which statement would the nurse most likely make?

A) Sexually transmitted infections can cause cognition issues in your infant.
B) Contracting a sexually transmitted infection may cause you to need assistance to care for your infant.
C) Sexually transmitted infections can cause premature labor.
D) The father of the baby is at high risk to contract a sexually transmitted infection.

Question 21

Which objective related to adolescent health is discussed in Healthy People 2020?

A) Increasing the age of legal consumption of alcohol to 25
B) Increasing the number of planned pregnancies
C) Increasing the proportion of teens who receive formal instruction on reproductive health issues
D) Increasing the proportion of teens who consistently use some form of birth control

Question 22

Which are therapeutic approaches for the nurse to use in working with adolescent clients? Select all that apply.

A) Creating a caring and understanding atmosphere
B) Using neutral words in eliciting symptoms
C) Insisting that teens use appropriate terminology when expressing their concerns
D) Paying attention to what the teen verbalizes and fails to verbalize