maternity chap 15

28)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?

C) A low-cost reproductive health clinic will be planned.

30)The community nurse is preparing to visit the home of an adolescent who is 18 weeks pregnant. Which health problems should the nurse focus on when assessing this patient?

1. Preeclampsia 2. Preterm Birth 3. Low-birth-weight 5. Iron Deficiency Anemia

29)The nurse is preparing an educational session for parents of adolescents. In which order should the nurse explain the psychosocial development for this population?

1. Thinks abstractly 2. Lack impulse control 3. Formal operational thought 4. Egocentric and a concrete thinker 5. Experiments With Drugs And Alcohol

33)A pregnant adolescent is scheduled for her first prenatal visit. For which sexually transmitted infections (STIs) should the nurse anticipate testing will occur?

2. Candida 3. Gonorrhea 4. Chlamydia 5. Trichomonas

32)The nurse is preparing an educational program for pregnant adolescents in the community. What goals should the nurse identify as appropriate for this teaching?

2. Increasing Self-esteem 3. Preparing For Labor And Birth 4. Developing Adaptive Coping Skills 5. Providing Information About Resources

31)An adolescent in the third trimester of pregnancy comes into the clinic for a routine examination. What should the nurse assess to determine if the patient is working through this trimester's developmental tasks?

3. Supplies Purchased For The Baby 4. Presence Of Heartburn Or Constipation 5. Place In The Home Identified For The Baby

8) 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 doing what?

C) Including anatomic models and drawings in the teaching session

20)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 we can't tell anyone she is pregnant." The nurse understands that the client's mother's behavior exemplifies which of the following?

C) Shame

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

C) "I drink alcohol at parties most weekends."

9) 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." 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."

16)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."

34)The nurse is presenting a class to women who are currently pregnant or are planning pregnancy in the near future. Which client statement indicates that additional teaching is required?

A) "The older a woman is when she conceives, the safer the pregnancy is."

22)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."

23)The nurse's goals for prenatal classes may include which of the following?

A) Goals for prenatal classes would include increasing self-esteem. D) Goals for prenatal class would include providing anticipatory guidance about pregnancy. E) Goals for prenatal class would include helping participants develop more adaptive coping skills.

18)The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. What is the rationale for this nursing strategy?

A) Having the father more involved with the birth

19)The nurse is working with male teens whose partners are pregnant. What statement by the father-to-be requires that the nurse intervene?

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.

27)The nurse discussing different pregnancy programs explains that which of the following is critical to the success of an adolescent pregnancy-prevention program?

A) Including role models from the same cultural and racial backgrounds as the participants

14)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

2) 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, what should the nurse keep in mind about these teens?

A) They are working on independence and autonomy.

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

C) "I need to take good care of myself so my baby doesn't come early."

7) The nurse has given a community presentation on adolescent pregnancy. Which statements indicate that further teaching is necessary?

C) "When a teen plans to attend college, abortion is less likely." D) "In the United States, the adolescent birth rate is higher among white teens." E) "Teens from low-income households are less likely to become pregnant."

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

C) 16-year-old who had chlamydia treated 2 weeks ago

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

B) "Teenage pregnancy is the leading reason why adolescent women drop out of school." C) "Teens of color are more likely to become pregnant." D) "Intelligence and academic ability are positively associated with delayed sexual activity, greater use of contraception, and lower rates of pregnancy."

12)A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. What is the nurse's first responsibility?

B) Develop a trusting relationship.

26)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 do which of the following?

B) Measure and record her weight at each visit

11)In planning a conference for adolescents, the nurse researches the most common socioeconomic and cultural factors that contribute to adolescent pregnancy. Which true statements should be included in this conference?

B) Nearly three quarters of all teens ages 15-19 have had sex at least once. C) Poor self-esteem contributes to adolescent pregnancy.

15)Which of the following is the most prevalent medical complication of pregnant adolescents?

B) Preeclampsia-eclampsia

35)The nurse is preparing a brochure for couples considering pregnancy after the age of 35. Which statements should be included?

B) Preexisting medical conditions can complicate pregnancy. C) Preterm births are more common. D) Amniocentesis can be performed to detect genetic anomalies.

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

C) "Although condom use is growing, there is still an increasing rate of STIs among teens."

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

C) "Her father told her to stop dating that boy. Now look at the trouble she's gotten into."

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

D) "My diet can stay the same even though I'm pregnant."

25)The nurse developing a care plan for a pregnant teen knows that what plan is best suited to pregnant teens?

D) Determine whether there are substance abuse issues.

4) Thenurseisworkingataclinicforpregnantteens.Whatissuesrelatedto development will the nurse expect to encounter in most of the pregnant clients?

D) Feelings of not living up to parents' expectations

24)Recommendations for parents to help their teens avoid pregnancy include which of the following?

D) Parents should be clear about their own sexual attitudes and values.

3) The nurse working in an adolescent prenatal clinic knows which of the following about the clients who are 15-17 years old?

D) They seek independence and identify with their peer group.