Question 1

Which of the following programs demonstrates the use of primary prevention?

Accepted Answer

Only the HIV prevention education program represents primary prevention.All the other options represent secondary or tertiary intervention.Distribution of free condoms would also eliminate the barrier of being unable to afford contraceptives.

Question 2

Which of the following statements reflect the effect that teenage pregnancy has on the family? (Select all that apply.)

Accepted Answer

The newborn infant affects members of the family with changes in family pattern and routine.The teenage mother's siblings can become resentful because they may have to compete for attention.Family members may have less privacy and may have to share resources.The grandparents may have to assume economic costs,as well as infant care responsibilities.The family may not be equipped to deal with the economic and emotional pressure,and such pressure is often a burden.

Question 3

A pregnant teenage girl is considering abortion.Which of the following are reasons why she may choose abortion? (Select all that apply.)

Accepted Answer

The most common reasons teenagers give for choosing abortion are as follows: being too young to be a mother,being unable to afford a child now,believing that a baby would change her life,believing that parents would want her to have an abortion,and unreliability of the partner.

Question 4

After the stress of having a child at such an early age,being in (or needing to be in)school,and having difficulties with employment,most young mothers

Accepted Answer

Statistics show that teenagers who are parents are at significant risk for having another child while they are still teenagers.

Question 5

What documented consequences are seen among infants of adolescent mothers? (Select all that apply.)

Accepted Answer

Stillbirths are twice as common among the infants of teenagers,and the mortality rate is two to four times higher during the first year of life for infants born to adolescents.Also,babies born to young mothers are at increased risk for child abuse and neglect,for poorer cognitive development,and for poorer educational achievement.

Question 6

A teenager has recently discovered that she is pregnant.Which of the following consequences is she likely to experience? (Select all that apply.)

Accepted Answer

Among the consequences of pregnancy among adolescents are increased risk of medical complications and poorer outcomes for the mother.Education may be jeopardized,which endangers future employment expectations and hence results in a greater risk for poverty with all its negative outcomes.

Question 7

When making a home visit to a new teenage mother and her infant,the community/public health nurse watched the new mother change her baby's wet diaper and then carefully wrap a long length of cloth around the baby's abdomen covering the umbilical cord stump.What should the nurse do about the mother's behavior?

Accepted Answer

Cultures vary in child care custom and practices.There is no reason to discourage or eliminate a tradition if it does no harm.The use of cultural traditions does not mean that the grandmother is taking over care.

Question 8

Which of the following is true with regard to federally funded abstinence-only programs?

Accepted Answer

There is little evidence that abstinence-only programs are successful in curtailing sexual activity until marriage or in reducing STDs or pregnancy among adolescents.Research showed no difference in outcomes related to sexual activity and unprotected sex between teenagers who attended such a program and those who did not.

Question 9

A community/public health nurse is completing a home visit with a new teenage mother and her infant.Which of the following observations should the nurse make?

Accepted Answer

The nurse should,in addition to the usual newborn assessment,look for signs of adequate maternal and infant bonding and evidence of attachment.Infants of young unwed mothers are at high risk for child abuse and neglect.It is important that the mother receive support from other people,but it is not appropriate for the grandmother to take over care,nor does the father need to be involved if other supports are in place.Also,it is not always necessary for the mother to apply for assistance programs.

Question 10

A community/public health nurse is developing programming for the community to reduce adolescent sexual activity and teenage pregnancy.Which of the following options would be the most appropriate? (Select all that apply.)

Accepted Answer

School-based clinics have successfully reduced the rates of sexual intercourse and pregnancy among teenagers in a growing number of communities.Comprehensive family life programs have also been shown to be successful.A teenage mothers-grandmothers program would undoubtedly be helpful after delivery but not in preventing such pregnancies.

Question 11

A community/public health nurse implemented a home visiting program with a teenage mother and child from the prenatal period through the child's second birthday.Which of the following long-term effects would be most likely?

Accepted Answer

The Nurse Home Visiting Program provided care from the prenatal period through the infant's second birthday;however,the results appeared to continue long term (Olds et al.,1999).The women who participated in this program deferred subsequent pregnancies and improved their workforce participation.Their children had fewer arrests and convictions,smoked and drank less,and had fewer sexual partners than did their peers.

Question 12

Healthy People 2020 objectives include which of the following? (Select all that apply.)

Accepted Answer

The identified priorities associated with teenage sexual activity in Healthy People 2020 are increasing the age at first intercourse,reducing the number of adolescents engaging in sexual activity,and increasing the number of adolescents who use protective measures when engaging in sexual activity.

Question 13

A nurse encourages a pregnant teenager to attend a prenatal clinic.This an important nursing intervention because pregnant teenagers are more likely to

Accepted Answer

The problems of teenage pregnancy not only are caused by age but also result from lower socioeconomic status,poor prenatal care,inadequate nutrition,and unhealthy lifestyle practices.

Question 14

A 15-year-old girl came to the free clinic for care as she had become sexually active some time ago and decided she needed to obtain appropriate health care.What care can the clinic probably give to her without involving her parents? (Select all that apply.)

Accepted Answer

In any state,the conservative answers would be pregnancy tests,prenatal care,and care for any STD.All 50 states allow treatment for care of STDs,although two states (Texas and Utah)do not allow use of state funds for that purpose.Contraception availability depends on the state.Abortions are severely restricted.

Question 15

The young woman was requesting prenatal services,although she admitted that her family did not know about her pregnancy.Under what condition could she receive services without her parents' consent?

Accepted Answer

States define emancipated adolescents as those who are married,those who are members of the armed forces,and those who are living apart from their parents.Living independently is often accepted as demonstrating that the adolescent is emancipated and can make her own medical decisions.

Question 16

A 15-year-old mother was living with her parents,who supported her and her newborn child.She held the baby while the first series of immunizations was given to the infant.However,when it was time for her own tetanus shot booster,there was a problem.What might have been the problem?

Accepted Answer

As the mother,she can give consent for care to be given to her newborn;as a minor,however,she needed parental consent for her own care.

Quiz 24: Adolescent Sexual Activity and Teenage Pregnancy