Deck 33: Teen Pregnancy

Question 1

For an adolescent female seeking an abortion:

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.

Answer 1

The adolescent's right to privacy and ability to give consent varies by state.

Question 2

Which of the following factors 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 and who offer warmth and understanding
C) Parents who communicate openly with their teens about birth control and sexuality
D) Male partner of the same age

Answer 2

History of sexual abuse

Question 3

The cause of teen pregnancy is:

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

Answer 3

No uniform reason

Question 4

There are several background factors related to why some teens get pregnant. One of these factors is:

A) Teens often feel invincible and do not recognize risks related to their behaviors.
B) Teens enjoy engaging in sexual activity and want children.
C) Nurses do not have any influence with teens, and education is difficult.
D) Teens have realistic attitudes about school, work, parenting, and socializing.

Question 5

Which of the following is the biggest predictor of infant birth weight?

A) Weight gain during pregnancy
B) Teen's prepregnancy weight
C) Foods eaten during pregnancy
D) Prenatal vitamins taken

Question 6

While most minor teens can consent to birth control services in the United States, there is a great variability in who may access and release their medical records. In many states:

A) Reproductive information is protected by the Health Insurance Portability and Accounting Act (HIPAA).
B) Teens cannot get birth control without a parent's consent.
C) Records are available to anyone who wishes to access them.
33-PAGE 8
Test Bank
D) Parents can legally access all medical records of their minor children, which limits confidentiality.

Question 7

Healthy People 2010 lists objectives related to adolescent reproductive health. Among those objective is:

A) Raise the drinking age to 25
B) Increase the number of planned pregnancies
C) Increase the proportion of young adults who have received formal instruction on reproductive health issues
D) Eradicate sexually transmitted diseases

Question 8

Which of the following is an inappropriate approach for the nurse to use in working with adolescent clients?

A) Protecting the adolescent's right to privacy
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

Question 9

Many teenagers who give birth:

A) Are middle class
B) Are honor students
C) Planned to get pregnant
D) See few advantages in delaying pregnancy

Question 10

According to the 1999 Youth Risk Behavior Surveillance System, fewer teens reported which of the following?

A) Carrying a weapon on school property
B) Current alcohol use
C) Trying marijuana
D) Episodic heavy drinking

Question 11

A high school-age teen tells the school nurse that she wants to become pregnant. The most appropriate nursing action is to:

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

At the primary level of prevention related to teen pregnancy, what can the community health nurse do?

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 13

The nutritional needs of the pregnant adolescent are based primarily on:

A) Chronologic age
B) Gynecologic age
C) Prepregnancy diet history
D) Blood protein levels

Question 14

Sexually transmitted infections can contribute to infertility, cancer, and ectopic pregnancy. When a young woman is pregnant, these infections can cause:

A) Cognition issues related to well-baby care
B) Reliance on others to care for her baby
C) Premature rupture of membranes, premature labor, and postpartum infection
D) The father of the baby to be at high risk

Question 15

Pregnancy and birthrates declined among teens of all ages and ethnicity in recent years. These decreases are attributed to stabilization of the numbers of teens:

A) Becoming sexually active
B) Using complementary alternative methods of birth control
C) Having tighter parental control at home
D) Adjusting to a new moral paradigm in the United States

Question 16

The risk of low birth weight or prematurity is greater:

A) For younger teens
B) For the first birth to a teen
C) With excessive weight gain in the mother
D) With low fat intake

Question 17

Which of the following statements about a young man's reaction to the pregnancy of his partner 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) Most young men blame their partner.

Question 18

Adolescents who terminate their pregnancies by abortion are more likely to:

A) Be African American than Caucasian
B) Come from a family of higher socioeconomic status
C) Be unsuccessful in school
D) Less likely to complete high school

Question 19

The main causes of teen mortality are high-risk behaviors. Which of the following illustrate this point related to teenagers? Teenagers:

A) Generally leave home before they are mature enough
B) Are often engaged in activities that put them at risk for life-threatening diseases
C) Are prone to chronic diseases that lead to disability early in life
D) Want to get pregnant at an early age to be able to enjoy life later on

Question 20

Nurses may be involved in adoption counseling with teen mothers. An important concept for nurses to keep in mind is:

A) Use "unwanted pregnancy" in the discussion
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

Question 21

Which of the following is a risk factor for a second teen pregnancy?

A) Remaining in school
B) Reporting an unplanned first pregnancy
C) Being from a small family
D) Having a disadvantaged background

Question 22

The nurse plans a home visit to a pregnant teen. The demonstrated outcome of this nursing intervention is:

A) An increase birth weight and utilization of prenatal care and support services
B) An increase in family coping skills to prevent crisis
C) A coordinated and comprehensive teen pregnancy approach
D) A family approach to health care

Question 23

Adolescents may not seek care for health problems for which of the following reasons? 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 nonjudgmental way.

Question 24

The weight gain recommendations for the pregnant adolescent are based on the teen's:

A) Chronologic age
B) Gynecologic age
C) Prepregnancy weight
D) Blood protein level

Question 25

The most common nutritional problem among both pregnant and nonpregnant adolescent girls is:

A) Fast foods
B) Iron deficiency
C) Anorexia
D) Bulimia

Question 26

Teens are more likely to experience violence during their pregnancies than adult women. Violence in pregnancy has been associated with which of the following? Select all that apply.

A) Increased risk of substance abuse
B) Poor compliance with prenatal care
C) Poor birth outcomes
D) Postmature infants