teenage pregnancy Flashcards
A nurse is teaching psychosocial development to a group of adolescents. The nurse expects teens in which stage of adolescence to be most able to recognize STDs and pregnancy as risks of unprotected sex?
a. Late adolescence.
b. Preadolescence.
c. Middle adolescence.
d. Early adolescence.
Late adolescence.
Rationale: In late adolescence (ages 18-19 years), teens are more at ease with their individuality and decision-making ability. They can think abstractly and anticipate consequences. Late adolescents are capable of formal operational thought. They learn to solve problems, to conceptualize, and to make decisions. These abilities help them see themselves as having control, which leads to the ability to understand and accept the consequences of their behavior.
A nurse is evaluating the background of four teenagers. Which statements by the teens should the nurse recognize as psychosocial factors contributing to the risk of pregnancy for these teens? Select all that apply.
a. “I just want someone to love me.”
b. “I’d leave my boyfriend, but I’m afraid of what he might do.”
c. “I have a hard time feeling good about myself.”
d. “I want a prescription for oral contraceptives.”
a “I just want someone to love me.”
c “I have a hard time feeling good about myself.”
b “I’d leave my boyfriend, but I’m afraid of what he might do.”
Nurses should evaluate family response to teen pregnancy. Which of the following psychosocial factors should be included in the nursing assessment of the family because of their potential influence on family response to teen pregnancy? Select all that apply.
a. Birth setting.
b. Cultural and religious beliefs.
c. Nutritional status.
d. Educational and career level.
d Educational and career level.
b Cultural and religious beliefs.
The nurse is writing a grant for an adolescent pregnancy prevention program. She needs to include factors that contribute to adolescent pregnancy. Select all that apply.
a. Hispanic or African-American heritage.
b. Poverty.
c. Attending community college.
d. Lack of adult supervision.
b Poverty.
d Lack of adult supervision.
a Hispanic or African-American heritage.
A nurse is working with a pregnant teenager in the prenatal clinic. What would be the most important nursing action to help this teen meet the third-trimester developmental tasks of pregnancy?
a. Assess the client for discomforts of pregnancy.
b. Discuss continued education plans.
c. Reassure the client that ambivalence is normal.
d. Emphasize the need for good nutrition.
Assess the client for discomforts of pregnancy.
Which of the following nursing statements made to a 17-year-old pregnant client at the initial prenatal visit would be most effective in developing a trusting nurse-client relationship?
a. “Tell me what caused you to get pregnant while still in high school.”
b. “We don’t have room in the exam room for your mother. I’m sure you’ll do fine.”
c. “Since this is your first pelvic exam, I’d like to explain what will be happening.”
d. “We’ll have to weigh you each time so we’ll know if you’ve been eating correctly.”
c “Since this is your first pelvic exam, I’d like to explain what will be happening.”
- The nurse assesses for complications of pregnancy in a 19-year-old client. Which of the following data might indicate a complication associated with adolescent pregnancy?
a. Hypertension, proteinuria, edema.
b. Large-for-gestational-age infant.
c. Painless vaginal spotting.
d. Bright red, painful vaginal bleeding.
Hypertension, proteinuria, edema.
Rationale: Risks for pregnant adolescents include preterm births, low-birth-weight infants, cephalopelvic disproportion, iron-deficiency anemia, and pre-eclampsia. Placenta previa, pregnancy-induced diabetes, and abruptio placentae are not common complications of pregnant adolescents.
