Deck 24: Adolescent Sexual Activity and Teenage Pregnancy

Question 1

With regard to the ages of the fathers,the majority of the fathers involved in teenage pregnancies are

A)About the same age as the teenage mother.
B)Several years older than the teenage mother.
C)Undetermined;studies have not yet determined this information.
D)Younger than the teenage mother.

Answer 1

Several years older than the teenage mother.

Question 2

Which of the following statements about the United States' outcomes in relation to abortion is true?

A)The abortion rate is lower in the United States than in other industrialized nations.
B)The abortion rate is about the same in the United States as in other industrialized nations.
C)The abortion rate is higher in the United States than in other industrialized nations.
D)The abortion rate is higher among white teenagers in the United States than among white teenagers from other industrialized nations.

Answer 2

The abortion rate is higher in the United States than in other industrialized nations.

Question 3

Which of the following is probably most influential in delaying when an adolescent begins engaging in sexual intercourse?

A)Academic motivation and orientation toward the future
B)Availability and cost of contraceptives
C)Gender and socioeconomic status
D)Racial/ethnic group

Answer 3

Academic motivation and orientation toward the future

Question 4

Which of the following aggregates is most likely to delay sexual activity?

A)Teenagers from single-parent homes
B)Teenagers who are doing well in school and planning to attend college
C)Teenagers who are or have been sexually abused
D)Teenagers who engage in smoking,drinking,and using drugs

Question 5

Research findings have suggested that adolescents who engage in sexual activity at earlier ages may also be at risk for

A)Alcoholism and heavy drug use.
B)Depression and suicide.
C)Ridicule and harassment by peers who are not sexually active.
D)Unemployment and financial hardships.

Question 6

A pregnant teenager tells the community/public health nurse that the baby's father is very involved in her pregnancy,but she wonders if this will continue in the future.Which of the following best describes the most likely involvement by teenage fathers?

A)Fathers are involved through delivery,but then the relationship dissipates.
B)Fathers are not involved with the mother once the pregnancy is known.
C)Fathers contribute financially to the child's upbringing as much as they are able.
D)Fathers remain involved with the mother and her infant for several years.

Question 7

Statistics on teenage sexual activity,including having unprotected intercourse,demonstrate that

A)Both the abortion rate and the birth rate among adolescents are continuing to increase.
B)By age 18 to 19,the majority of adolescents have had sexual experience.
C)Teenage pregnancy in the United States was at its highest in decade between 2000 and 2010.
D)Teenage pregnancy in the United States is lower than that in at least four other industrialized nations.

Question 8

Which of the following is a reason why teenage pregnancy is viewed as a community problem?

A)Teenage pregnancy is inconsistent with community values and norms.
B)Pregnant teenagers are poor role models for younger children.
C)The community pays financially for the consequences of teenage pregnancy.
D)There are cultural and social sanctions against adolescent sexuality.

Question 9

An adolescent is faced with a choice of engaging in sexual activity.Which of the following is the most important factor in this decision?

A)Parents' beliefs and values
B)Peer pressure and the need to belong to a group of peers
C)Educational programs presented in the school
D)Religious beliefs

Question 10

One of the ways adolescents are effectively avoiding sexual intercourse is by

A)Avoiding situations in which temptation and opportunity may be available.
B)Continuing to believe in a strong moral code that forbids sexual intercourse.
C)Engaging in oral sex instead.
D)Taking a pledge to remain a virgin until marriage.

Question 11

Which of the following concerning sexually transmitted diseases (STDs)in the United States is true?

A)Infected men are usually aware that they have an STD.
B)Of the 10 most prevalent infectious diseases,5 are STDs.
C)Most STD infections are spread by direct contact.
D)More men than women are infected with STDs.

Question 12

A young teenager has recently had a baby.Which of the following is most probable for this infant?

A)Increased attention
B)Increased risk of health problems
C)Increased incidence of high birth weights
D)Increased success in school

Question 13

In comparisons of costs and outcomes of health care among countries,what is true about the United States' outcomes in relation to adolescent pregnancies?

A)The rate of adolescent pregnancies is lower in the United States than in most other industrialized nations.
B)The rate of adolescent pregnancies is about the same in the United States as in other industrialized nations.
C)The rate of adolescent pregnancies is higher in the United States than in most other industrialized nations.
D)The rate of adolescent pregnancies is lower in the United States than in most other industrialized nations but is rising rapidly.

Question 14

A teenager has just learned she is pregnant.Which of the following is the most expected response by the family?

A)The family will draw closer together as they confront this new family crisis.
B)The family will likely distance themselves from their daughter.
C)The family will be excited to play with the new baby.
D)The family will have unexpected economic and emotional pressure.

Question 15

In relation to ethnic groups,which of the following statements concerning teenage pregnancies is true?

A)African American teenagers have the highest number of pregnancies and births.
B)Asian or Pacific Islander teenagers have the highest number of pregnancies and births.
C)White teenagers have the highest number of pregnancies and births.
D)Hispanic teenagers have the highest number of pregnancies and births.

Question 16

On the federal level,American policy on adolescent sexuality is

A)Ambivalent about sex education,with restricted access to contraception.
B)Focused on abstinence-only programs with or without parental approval.
C)Restricted to federal funding for clinics for financially disadvantaged adolescents.
D)Supportive of comprehensive sex education,including contraceptive services.

Question 17

An adolescent living in the United States has chosen not to use contraception.Which of the following is the most likely reason for this decision?

A)The adolescent does not know how to use or obtain birth control.
B)The adolescent feels the need to belong to a group of peers,and those peers have suggested not using contraception.
C)The adolescent fears that condom use will interfere with the sensations enjoyed during intercourse.
D)The adolescent prefers to have sex on a spontaneous "couldn't help myself" basis.

Question 18

What trends have occurred in the teenage pregnancy rate in the United States?

A)It remained consistent from 2004 to 2009.
B)It has continued to rise.
C)It has been fluctuating rather wildly.
D)It has remained high,but rates are decreasing.

Question 19

An 18-year-old adolescent learns that she is pregnant.She knows her choices are abortion,adoption,or keeping her newborn.Statistically,she is more likely to

A)Abort the products of conception.
B)Keep her newborn.
C)Marry the father and make a mutual decision.
D)Put her infant up for adoption.

Question 20

Which of the following statements regarding adolescent male and female motivation for sexual intercourse is accurate?

A)Female adolescents desire intimacy,whereas male adolescents enjoy the physical pleasure and social status.
B)Female adolescents love the acceptance and attention,whereas male adolescents enjoy the control and power.
C)Female adolescents want to be like everyone else,whereas male adolescents consider sex a game.
D)Female adolescents try to keep male adolescents interested in them,whereas male adolescents want to report a conquest.

Question 21

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

A)Intense human immunodeficiency virus (HIV)prevention education program with distribution of free condoms
B)Group meetings and counseling of new mothers to help with family coping
C)Peer counselors visiting pregnant teenagers and offering suggestions
D)Volunteers educating the families of pregnant teenagers to ensure early prenatal care

Question 22

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

A)When the teenager attends school,her parents must become the primary caregivers.
B)The infant's grandparents may have to become infant caregivers again.
C)Older siblings may fight for the chance to be the infant's baby-sitter during evenings.
D)The teenage mother's siblings get to enjoy playing with the infant.
E)The teenage mother requires more of her parents' financial resources to manage.
F)The family may not be equipped to deal with the economic and emotional pressures.

Question 23

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

A)She believes that being pregnant will ruin her figure and no one will want to date her.
B)She cannot afford a child now.
C)She cannot trust the father to support her and the baby.
D)She does not want anyone to know that she is pregnant.
E)She believes that she is too young to be a mother.
F)She believes that her parents will not support her if they find out that she is pregnant.

Question 24

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

A)Are careful to use birth control to avoid further pregnancies.
B)Are so angry at men that they do not engage in sexual relationships.
C)Become pregnant again while still a teenager.
D)Postpone further childbearing until they are through school and have a good job.

Question 25

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

A)Having to accept charity and gifts from other family members
B)Higher incidence of child abuse and neglect
C)Increased risk of lower education and hence fewer employment choices
D)Lower probability of a successful marriage in adulthood
E)Mortality rate two to four times higher than that among other infants and twice the risk of stillbirths
F)Risk of infant daughter also becoming an unwed teenage mom at an early age

Question 26

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

A)Admiration,but also jealousy,among friends who do not have an infant
B)Greater risk of poverty for her and her infant
C)Increased risk of lower education and fewer employment choices
D)Loss of friends and peers who get tired of baby-sitting
E)Marriage to a man whom she does not love
F)Upset family dynamics as the infant's grandparents assist with child care

Question 27

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?

A)Ignore this cultural tradition if the baby is not harmed.
B)Recognize that this is evidence that the grandmother is taking over care.
C)Inform the mother that the use of such a cloth serves no purpose and should be stopped.
D)Investigate the purpose of this cloth.

Question 28

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

A)They persuade young persons to postpone sexual activity.
B)They help young persons avoid pregnancy and transmission of sexually transmitted diseases (STDs).
C)They are ineffective in reducing sexual activity,STDs,and pregnancies.
D)They reinforce the reasons to avoid sexual activity until after marriage.

Question 29

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?

A)Evidence of adequate maternal and infant bonding
B)Evidence that the grandmother is taking over care of the infant
C)Evidence that the mother has applied for assistance programs
D)Evidence of adequate involvement by the father

Question 30

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.)

A)A signed commitment to delay sexual intercourse until marriage ("virgin pledges")
B)Off-site abstinence program
C)On-site (at the school)abstinence program
D)The "Care for Your Egg" family-life program
E)School-based clinics with comprehensive services
F)Teenage mothers-grandmothers program

Question 31

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?

A)The program assisted this child in becoming a well-adjusted young adult.
B)The cost of this program was too high for it to be continued for other children.
C)The program was too short to have any lasting effects that could be measured.
D)The support from a nurse was insufficient to create long-term improvements.

Question 32

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

A)Distribution of free condoms in public high schools
B)Assisting adolescents in learning gender anatomy,physiology,and functioning
C)Delaying the age at first intercourse
D)Establishing sex/family education in all public schools
E)Increasing the use of protective measures during sexual activities
F)Reducing the number of adolescents engaging in sexual activity

Question 33

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

A)Need adoption counseling.
B)Have poor nutrition and lifestyle habits.
C)Ignore their pregnancy.
D)Have gestational diabetes.

Question 34

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.)

A)An abortion if that is her decision
B)Antibiotics for a skin infection from scratching her acne
C)Birth control pills or Depo-Provera
D)Pap smear and routine gynecologic care
E)Pregnancy tests and prenatal care if she is pregnant
F)Diagnosis of and treatment for any sexually transmitted disease (STD)

Question 35

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?

A)She and her 17-year-old boyfriend have been living in their own apartment for 6 months.
B)She has worked part-time for years while attending high school.
C)She is employed as an aide in a legal office on Saturdays and might sue the health care agency if she does not receive the care she is requesting.
D)She is living with her grandmother,not her parents.

Question 36

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?

A)Although she can consent to her newborn's care,she needs parental consent for her own.
B)The young mother could not have an immunization while breast-feeding a baby.
C)The young mother should not have an immunization until she has had her postpartum checkup.
D)The period after childbirth is an inappropriate time for a new mother to receive an immunization.