Deck 17: Adolescent Pregnancy

Question 1

In planning a conference for adolescents, the nurse researches the most common socioeconomic and cultural factors that contribute to adolescent pregnancy. True statements that should be included in this conference would include:

A) Economic status has a relatively low impact on an adolescent's sexual activity.
B) Nearly half of all teens age 15-19 have had sex at least once.
C) Poor self-esteem contributes to adolescent pregnancy.
D) Thirty-eight percent of sexually active students use a condom.
E) Domestic violence is not an issue with teen mothers.

Answer 1

Nearly half of all teens age 15-19 have had sex at least once.
Poor self-esteem contributes to adolescent pregnancy.

Question 2

The nurse has given a community presentation on adolescent pregnancy. Which statement indicates that further teaching is necessary?

A) "Sisters of young teen mothers are more likely to become pregnant."
B) "Afterschool activities decrease the likelihood of teen pregnancy."
C) "When a teen plans to attend college, abortion is less likely."
D) "Young teen parents are less likely to have another child during their teens."
E) "Teens from low-income households are less likely to become pregnant."

Answer 2

"When a teen plans to attend college, abortion is less likely."
"Young teen parents are less likely to have another child during their teens."
"Teens from low-income households are less likely to become pregnant."

Question 3

The school nurse is planning a presentation on pregnancy for 13- and 14-year-olds who are currently pregnant. When planning the content of this presentation, the nurse should keep in mind that these teens are:

A) Working on independence and autonomy.
B) No longer developing a sense of achievement.
C) Confident in their own identity.
D) In long-term, intimate relationships.

Answer 3

Working on independence and autonomy.

Question 4

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

A) "Pregnant teens are more likely to quit school prior to graduation."
B) "Because I am young, I have a low risk for preeclampsia."
C) "My baby could come late because I am a teenager."
D) "I am more likely to use birth control after I have this baby."

Question 5

The nurse who is counseling a group of middle-school girls on pregnancy avoidance should include which statement?

A) "Although sexuality is common in the media, peer pressure to have sex is not an important factor."
B) "It has become far less acceptable to give birth during your teenage years than it used to be."
C) "Although condom use is growing, there is still an increasing rate of STDs among teens."
D) "You have learned enough from your friends and families to understand how pregnancy occurs."

Question 6

The nurse is working at a clinic for pregnant teens. What issues related to development will the nurse expect to encounter in most of the pregnant patients?

A) Peer pressure to stop using alcohol once pregnancy is diagnosed
B) Contraception failure that resulted in this pregnancy
C) The father of the baby's being emotionally supportive to the patient
D) Feelings of not living up to parents' expectations

Question 7

The nurse is preparing an in-service presentation for a group of middle-school nurses. Which statements by the nurse would indicate that the nurse understood the role of culture in adolescent pregnancy?

A) "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status."
B) "Teens who have a lot of time without adult supervision are more sexually active."
C) "Teens of color are more likely to become pregnant."
D) "Young teens who have a child are more likely to have another while still a teen."
E) "Most pregnant teens do not have any relatives who had their first child as teens."

Question 8

The nurse working in an adolescent prenatal clinic knows that the patients 15-17 years old:

A) Are more at ease with their individuality.
B) See authority as resting with parents.
C) Are able to solve problems and make decisions.
D) Seek independence and identify with their peer group.

Question 9

A nurse working with adolescents recognizes risk factors for pregnancy to include:

A) Low socioeconomic status.
B) A belief in invulnerability.
C) A highly functional family.
D) Physical, emotional, or sexual abuse.
E) Accurate information about contraception.

Question 10

Several adolescent female students are waiting to be seen by the school sexual health clinic nurse. Which student should the nurse see first?

A) 14-year-old whose 17-year-old sister is pregnant
B) 15-year-old who reports using condoms regularly
C) 16-year-old who had chlamydia treated 2 weeks ago
D) 17-year-old with a history of child abuse

Question 11

When working with pregnant adolescents, the nurse plans on assessing:

A) High-birth-weight infants.
B) Pelvic measurements.
C) For sexually transmitted infections.
D) Low blood pressure readings.
E) Hemoglobin and hematocrit.

Question 12

Which statements might a pregnant teenager be likely to make at her initial prenatal examination?

A) "I didn't know I could get pregnant the first time I had sex."
B) "Several of my friends go to clinics to get contraception."
C) "It's no big deal; two of my best friends have babies, too."
D) "I was 13 years old when I had sex the first time."
E) "My family and my boyfriend are really happy and supportive."

Question 13

The nurse is teaching a pregnant 14-year-old patient who is at 10 weeks' gestation about the expected body changes that will occur during pregnancy. Which patient statement indicates that additional information is needed?

A) "My breasts are going to get even bigger than they've gotten over the past couple of years."
B) "My belly will gradually get more round, especially from the middle of pregnancy on."
C) "My hair will feel thicker until I deliver, and then I'll lose more hair than usual for a few weeks."
D) "My skin won't change, and I'll look just as good in a bikini next year as I did last summer."

Question 14

A 16 year old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:

A) Contact the social worker.
B) Develop a trusting relationship.
C) Schedule the patient for prenatal classes.
D) Teach the patient about proper nutrition.

Question 15

The 19-year-old pregnant woman begins a job to "save money for the baby." What is the most significant developmental task the nurse understands this statement to demonstrate?

A) Striving for gaining autonomy and independence
B) Completed development of a sense of identity
C) Attainment of a sense of achievement
D) Having developed an intimate relationship

Question 16

A pregnant adolescent patient states that it is important not to have a baby who weighs too much, and so she is limiting calories. Her weight has decreased from 110 pounds to 106 pounds. Which nursing diagnosis is the priority for this patient?

A) Knowledge Deficit related to fetal development
B) Imbalanced Nutrition: Less than Body requirements related to poor eating habits
C) Disturbed Body Image related to situational crisis
D) Anxiety related to unanticipated pregnancy

Question 17

During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by:

A) Allowing her to witness a pelvic exam on another teenager.
B) Encouraging her to ask her mother about the physiology of pregnancy.
C) Including anatomic models and drawings in the teaching session.
D) Discussing the process of fetal development with the patient.

Question 18

The pregnant 16 year old is seeing the nurse during a prenatal visit. Based on the patient's developmental level, which statement would the nurse expect the patient to make?

A) "My friends and I all wear totally different styles of clothing."
B) "Having a baby will change my college plans."
C) "I drink alcohol at parties most weekends."
D) "My mom is my best friend."

Question 19

Which statement made by the pregnant adolescent would indicate to the nurse that she understood her increased risk of physiologic complications during pregnancy?

A) "It's no big deal that I started prenatal care in my seventh month."
B) "My anemia and eating mostly fast food are not important."
C) "I need to take good care of myself so my baby doesn't come early."
D) "Smoking and using crack cocaine won't harm my baby."

Question 20

A nurse working in an adolescent clinic that deals with birth control, pregnancy, and referrals for adoption has a number of patients in early adolescence. Patients in that age group are:

A) 11-16 years old.
B) 11-14 years old.
C) 14 and 15 years old.
D) 12-15 years old.

Question 21

The nurse discussing different pregnancy programs explains that critical to the success of an adolescent pregnancy-prevention program is:

A) Including role models from similar cultural and racial backgrounds.
B) That the planning be executed by the organizer only.
C) Having short-term, informal programs available twice per year.
D) A focus on the expectations of the adolescents' parents.

Question 22

The nurse is working with male teens whose partners are pregnant. What situation requires that the nurse intervene? The father-to-be states that:

A) He will be the only other person who will be present for the birth, although his girlfriend wants her mother to be with her.
B) He is not convinced that he is the father of the baby, and does not want his name on the birth certificate.
C) The pregnancy does not seem real to him, and he is not sure what he should do to plan for the future.
D) Because his father was not involved in his life, he wants to be actively involved in the life of his child.

Question 23

After telling a mother that her 13-year-old daughter is pregnant, the nurse would expect the mother to respond with which statement?

A) "We had such high hopes for you."
B) "But you have always been a happy child."
C) "I've always liked that boy."
D) "This is just one of those things that happen."

Question 24

The nurse is talking with the parents of a pregnant 15 year old. Which statement by one of the parents is expected?

A) "We're very happy for her. It will be easier to focus on education with a new baby."
B) "I'm not going to get involved. She understands how her health insurance works."
C) "Her father told her to stop dating that boy. Now look at the trouble she's gotten into."
D) "An abortion is the best choice for her. She can deal with our Catholic priest later."

Question 25

A 14-year-old girl is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, "We knew she was gaining weight, but she said she couldn't be pregnant." The nurse understands that the patient's mother's behavior exemplifies:

A) Low self-esteem.
B) Anger.
C) Denial.
D) Ignorance.

Question 26

In planning a program to reduce teen pregnancy rates, the nurse uses an evidence-based approach. The nurse learns that more research is needed for:

A) Timing of initial sexual intercourse.
B) Use of birth control by adolescents.
C) Prevention of sexually transmitted infections.
D) Engaging stakeholders in the implementation phase of sex education.
E) The success of sex education when coupled with the promotion of contraception.

Question 27

The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. The rationale for this nursing strategy includes:

A) Increasing the self-care behaviors of the pregnant teen.
B) Avoiding conflict between the adolescent father and pregnant teenager.
C) Increasing the confidence of the pregnant teenager.
D) Avoiding legal action by the adolescent father's family.

Question 28

The nurse is planning a prenatal class for a group of adolescents. The nurse will establish the goals of:

A) Providing anticipatory guidance.
B) Preparing the participants for labor and birth.
C) Avoiding discussion of the patient's conflicts.
D) Providing community resources if asked.
E) Helping the participants develop coping skills.

Question 29

Appropriate nursing strategies for the nursing diagnosis Risk for Situational Low Self-Esteem related to unanticipated pregnancy would include:

A) Assist the adolescent with her decision-making and problem-solving skills.
B) Encourage the adolescent to allow her parents to make the important decisions regarding her well-being and that of her baby.
C) Help the adolescent to think first of her baby's needs, then of her own.
D) Encourage the teen to think of the present and not to be so concerned about the future.

Question 30

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?

A) Abstinence-only education will be offered in the school and clinics.
B) Classes on how to parent will be mandatory in high school.
C) A low-cost reproductive health clinic will be planned.
D) Parents will be encouraged to avoid discussing sexual activity.

Question 31

The nurse is working in a teen pregnancy clinic. In order to give the pregnant adolescent a role in her prenatal care, the nurse should allow the teen to:

A) Choose the type of prenatal vitamin she takes.
B) Measure and record her weight at each visit.
C) Choose the schedule of her prenatal visits.
D) Decide whether she wants her labor to be induced.

Question 32

The nurse is working with a community group to reduce teen pregnancy rates. Alternatives for the group to consider are:

A) Avoidance of sex education in schools.
B) High-quality reproductive health services.
C) Developmentally appropriate sex education.
D) Sexuality curriculum based on community beliefs.
E) Provision of strategies to enhance life skills.

Question 33

The nurse developing a care plan for a pregnant teen knows that the plan best suited to pregnant teens is to:

A) Assess menstrual history and the presence of any food allergies.
B) Inquire about family relationships and location of the home.
C) Ask what her body image is, then correct her misconceptions.
D) Determine whether there are substance abuse or eating disorder issues.

Question 34

After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of Ineffective Family Coping related to unanticipated pregnancy. Which goal would be appropriate?

A) The teenager and family will participate in discussions regarding pregnancy.
B) The teenager and family will develop skills for parenting the infant.
C) The teenager and family will develop a trusting relationship with the healthcare providers.
D) The teenager and family will develop self-care skills for the pregnancy.

Question 35

The nurse is evaluating the expected outcomes of care for a pregnant adolescent. For the evaluation, the nurse will ask:

A) Was a trusting relationship developed?
B) Did the adolescent explore financial options open to teen parents?
C) Did the adolescent make plans for continuing her education?
D) Can the adolescent problem-solve?
E) Did the adolescent follow recommendations?