Question 1

An adolescent at 20 weeks' gestation states that it is important not to have a baby that weighs too much. She has been limiting her calories so that her current weight has dropped from 110 pounds to 106 pounds. How should the nurse respond?

Accepted Answer

The nurse should educate the adolescent that it is important for the baby to receive adequate nutrition to properly develop. Limiting calories can lead to inadequate growth and development of the fetus, which can lead to complications during pregnancy and childbirth. The nurse should encourage the adolescent to speak with their healthcare provider regarding a healthy pregnancy diet plan instead of limiting calorie intake. Option A could be seen as judgmental, Option B does not address the concern, and Option D perpetuates a misconception that a smaller baby is healthier.

Question 2

A 40-year-old client, pregnant with her first child, arrives for a prenatal visit. What perinatal risk factors should the nurse keep in mind when planning this client's care? Select all that apply.

Accepted Answer

Advanced maternal age (40 years) increases the risk of miscarriage, maternal death, perinatal morbidity, and complications from chronic health conditions.

Question 3

The nurse is planning a community adolescent pregnancy prevention program aimed toward parents. Which recommendation should be included in the program in order to be effective?

Accepted Answer

Allowing a son to have an intense relationship with a much younger girl may increase the likelihood of adolescent pregnancy. Parents should prevent their sons from having a close relationship with a much younger girl.

Question 4

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

Accepted Answer

The answer of Which statement from the mother of a...

Question 5

The nurse who is counseling a group of middle school girls about how to prevent pregnancy should include which statement?

Accepted Answer

The nurse should stress that condom use is important to prevent pregnancy and protect against sexually transmitted infections (STIs), but also emphasize the rising rates of STIs among teens despite increased condom use. This encourages the girls to consider additional methods of protection, such as abstinence or getting tested for STIs.

Answer: B 
 The nurse should emphasize the negative consequences of teen pregnancy, such as reduced economic opportunities and increased health risks. This can serve as motivation for the girls to delay sexual activity until they are more prepared to handle the potential consequences.

Answer: D 
 The nurse should acknowledge that peer pressure may influence the girls' decisions regarding sexual activity. By addressing this issue and providing strategies for dealing with peer pressure, the nurse can help the girls make more informed and independent choices regarding their sexual health.

Therefore, the correct choices are A and B.

Question 6

The nurse is working in a teen pregnancy clinic. In order to give the pregnant adolescent a role in her prenatal care, what should the nurse encourage the teen to do?

Accepted Answer

Measuring and recording her own weight at each visit empowers the teen by actively involving her in her prenatal care, promoting responsibility and awareness of her health status. Choices A, B, and D involve decisions that should be guided by healthcare professionals based on medical necessity and safety.

Question 7

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

Accepted Answer

Involving the adolescent father in prenatal care can increase the self-care behaviors of the pregnant teen by providing support and encouragement, which can positively impact the health of both the mother and the baby.

Question 8

The nurse notes that the majority of clients who signed up to attend prenatal classes are over the age of 35. What should the nurse consider as reasons why these clients are this age? Select all that apply.

Accepted Answer

These reasons reflect societal trends where individuals may marry later, have access to effective birth control, seek financial stability, and prioritize career establishment before starting a family.

Question 9

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

Accepted Answer

Pregnant teens are statistically more likely to face challenges that can lead to dropping out of school before graduation.

Question 10

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?

Accepted Answer

Developing a trusting relationship should be the nurse's first responsibility to establish rapport with the patient and gain her confidence. This will enable the nurse to determine the patient's health status, assess her needs, and provide appropriate care and education. Contacting the social worker may be necessary in certain cases, but it should not take precedence over establishing a relationship with the patient. Teaching the patient about proper nutrition and scheduling her for prenatal classes are also important, but they depend on the patient's readiness to learn and attend the classes, which may be influenced by her level of trust in the healthcare provider.

Question 11

A 38-year-old client is thrilled to learn of being pregnant with her first child. What should the nurse identify as advantages for the client having a child at this age? Select all that apply.

Accepted Answer

Based on the client's age of 38, it is likely that she has had time to pursue her education and establish her career. This could provide financial stability for raising a child. Additionally, at this age, the client may have deliberately made the decision to have a child, indicating a readiness for parenthood. The client's age also suggests that she is mature and responsible, able to handle the responsibilities of parenting. While child care may not necessarily be easier at this age, the other advantages listed outweigh this potential difficulty.

Question 12

The screening results of a quadruple screening completed on a 37-year-old pregnant client were not within the normal range. For which additional testing should the nurse prepare this client? Select all that apply.

Accepted Answer

An abnormal quadruple screening may indicate a higher risk for certain fetal abnormalities such as Down syndrome. An ultrasound can help visualize the fetal anatomy and detect any potential anomalies. Amniocentesis can be used to obtain a sample of amniotic fluid for further genetic testing to confirm or rule out any anomalies. Serum glucose and serum ferritin levels are not typically indicated in response to abnormal quadruple screening results, and fetal heart monitoring is usually performed later in pregnancy to monitor fetal well-being.

Question 13

The nurse is working with male teens whose partners are pregnant. Which situation with a father-to-be requires nursing intervention?

Accepted Answer

The answer of The nurse is working with male teens...

Question 14

The nurse is preparing an in-service presentation about the role of culture in adolescent pregnancy. What should the nurse include in this presentation? Select all that apply.

Accepted Answer

Teens with future goals are more likely to use birth control consistently, reducing the likelihood of pregnancy. Young teens who have a child are statistically more likely to have another while still in their teenage years. Although the overall rate of teen pregnancy has decreased, African American and Hispanic teens still have higher rates of pregnancy compared to their peers.

Question 15

Which statement by a parent of a pregnant, unmarried 15-year-old is expected?

Accepted Answer

The statement in D reflects a common reaction of disappointment or blame towards the teenager's actions, which is a typical response from parents in such situations. It shows concern for the consequences of the teenager's actions and the impact on her future.

Question 16

The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?

Accepted Answer

The 16-year-old adolescent who had a chlamydial infection treated 2 weeks ago should be seen first due to the potential for complications or reinfection, which requires prompt attention to ensure effective treatment and to prevent further spread of the infection.

Question 17

Which statement, if made by a pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy?

Accepted Answer

The statement "I need to take good care of myself so my baby doesn't come early" indicates that the adolescent understands the increased risk of preterm delivery and other physiologic complications associated with teenage pregnancy. Choices A and B demonstrate a lack of understanding about the harmful effects of smoking and poor nutrition on the developing fetus. Choice C suggests a lack of awareness about the importance of early and regular prenatal care.

Question 18

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 low-cost reproductive health clinic will provide access to education and affordable contraception, which has been shown to decrease teen pregnancy rates. Mandatory parenting classes, abstinence-only education, and discouraging discussion of sexual activity are not effective strategies for reducing teen pregnancy rates.

Question 19

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

Accepted Answer

Pregnant adolescents are likely to respond well to visual-based presentations as they tend to be more engaged and interested in visual materials. This approach allows them to learn in a way that is more suitable for their age and learning style.

Answer: C
 Pregnancy during adolescence is often stigmatized, and pregnant adolescents may feel uncomfortable discussing sensitive topics such as drug and alcohol abuse in a group setting. Respecting their confidentiality and building trust is crucial to creating a safe and supportive learning environment.

Therefore, the best choices are A and C.

Question 20

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?

Accepted Answer

Poverty has long been identified as a risk factor for adolescent pregnancy. Adolescents from low-income families are more likely to experience obstacles accessing healthcare and education, and may lack positive role models or parental support that could encourage them to delay childbearing.

Answer: D 
 According to research, younger teens who become pregnant (around ages 13-15) are less likely to experience repeated pregnancies compared to those who become pregnant at a later age. However, this does not mean that early pregnancy is desirable or without risk.

Quiz 12: Pregnancy in Selected Populations