Deck 35: Teen Pregnancy

Question 1

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 1

Fewer are becoming sexually active

Question 2

A nurse is providing adoption counseling to pregnant teenagers.Which of the following is an important concept for the nurse to keep in mind?

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.

Answer 2

Do not impose opinions on the decision-making process of teen mothers.

Question 3

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

Answer 3

History of sexual abuse

Question 4

A nurse is assessing a pregnant teen's weight gain.Which of the following would be the appropriate nursing intervention to implement?

A) Advise the teen to pay 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 5

A nurse is providing information about parental consent to an adolescent client who is seeking an abortion.Which of the following information would be accurate?

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 6

The nurse plans a home visit to a pregnant teen to discuss proper prenatal nutrition.Which of the following best describes a demonstrated outcome of this nursing intervention?

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 7

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.
E) Parents are unaware of the services available for adolescents.

Question 8

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

A) Transmission of sexually transmitted infections is unlikely when you are pregnant.
B) Contracting a sexually transmitted infection may cause your infant to require assistance immediately after birth.
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 9

A parent has requested access to his child's medical records at a school-based health clinic.Which of the following statements 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 10

According to the 2013 Youth Risk Behavior Surveillance System,fewer teens reported engaging in which behavior?

A) Riding in a car with a driver who had been drinking
B) Current alcohol usage
C) Trying marijuana
D) Episodic heavy drinking

Question 11

A high school-aged teen tells the school nurse that she wants to become pregnant.Which of the following would be the appropriate action for the nurse to take?

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 12

A nurse is providing education to teenagers about prevention of unintended pregnancy.Which of the following principles should the nurse understand as to why some of these teenagers may get pregnant?

A) They often feel invincible and do not recognize risks related to their behaviors.
B) They enjoy engaging in sexual activity and want children.
C) They influence each other and succumb to peer pressure.
D) They have realistic attitudes about school, work, parenting, and socializing.

Question 13

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 14

A young man has just learned that his partner is pregnant.Which of the following statements regarding his reaction to the pregnancy 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 15

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 16

A nurse is implementing an intervention at the primary level of prevention related to teen pregnancy.Which of the following would be most appropriate for the nurse to implement?

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

Question 17

A teenage mother discusses with the school nurse the possibility of having a second child.Which of the following risk factors would place this client at 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 18

A nurse is counseling an adolescent female about prevention of iron deficiency anemia.Which of the following would be the most appropriate nursing intervention?

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

Question 19

A nurse is counseling a pregnant adolescent about her nutritional needs during pregnancy.Which of the following should the nurse use as the basis for providing the client information about nutritional needs?

A) Chronologic age
B) Gynecologic age
C) Age at menarche
D) Blood protein levels

Question 20

What is the cause of teen pregnancy?

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

Question 21

A nurse is working with adolescent clients.Which of the following describes therapeutic approaches that would be appropriate for the nurse to use when working with this population? (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
E) Encouraging the teen to talk to the school guidance counselor about problems

Question 22

Which objective related to adolescent health is discussed in Healthy People 2020? (Select all that apply.)

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
E) Increasing the number of teens who are employed