Module 5: Teen Pregnancy & School Health

The community health nurse visits the home of a pregnant teen who lives with her parents, one older brother, and two preteen sisters. The best strategy for meeting the objectives of Healthy People 2020 would be for the nurse to offer which of the following for the entire family? a. Anticipatory guidance addressing sexuality issues b. Assessment for financial assistance c. Assessment of family dynamics d. Environmental assessment addressing suitability for child rearing

a. Anticipatory guidance addressing sexuality issues

The school nurse plans a health education program on diet and nutrition for adults attending a general equivalency degree (GED) program held at the local high school in the evenings. This best exemplifies which role of the school nurse? a. Community outreach b. Consultation c. Counseling d. Provision of direct care

a. Community outreach

The National Association of School Nurses (NASN) and standards of practice for school nurses set forth which of the following principles? (Select all that apply.) a. School nurses should have a bachelor's degree in nursing and a specialty certification. b. School nursing uses the nursing process. c. Credentialing is recommended but not required. d. American Academy of Pediatrics governs the school nurse's practice. e. School nurses must ensure the safety of the children, including when delegating care.

a. School nurses should have a bachelor's degree in nursing and a specialty certification. b. School nursing uses the nursing process. e. School nurses must ensure the safety of the children, including when delegating care.

In designing a tertiary prevention intervention to address the leading cause of school absences related to chronic illness, the school nurse should focus on: a. asthma. b. attention-deficit hyperactivity disorder. c. diabetes mellitus. d. digestive system problems.

a. asthma.

The case manager role of the school nurse can best be described as: a. coordinating health care for children with complex health problems. b. counseling students to choose workable solutions to their problems and conflicts. c. referring students to available resources. d. screening students for common health problems.

a. coordinating health care for children with complex health problems.

Since 1987, the Centers for Disease Control and Prevention (CDC) has funded the federal school health program, which today provides for: a. development of a health education curriculum that includes parents and community. b. development of school-linked programs. c. establishment of school-based health centers. d. hiring of school nurses to achieve a 1:750 nurse-to-student ratio.

a. development of a health education curriculum that includes parents and community.

Teens are at higher risk for becoming pregnant because of the presence of multidimensional factors that include such things as adolescent immaturity, low levels of contraceptive use, and: a. early age of initiation of sexual activity, sexual victimization, and peer pressure. b. parenting styles, family structure, and paternity issues. c. partner pressure, discouragement of abortion, and poor nutrition. d. poor nutrition, preterm delivery, and late-term prenatal care.

a. early age of initiation of sexual activity, sexual victimization, and peer pressure.

When planning a program for pregnant adolescents, the nurse should be aware that pregnant adolescents who decide to have a child experience an increased risk for: a. reduced lifetime earning potential. b. eating disorders. c. genetic diseases in their infants. d. weight gain.

a. reduced lifetime earning potential.

A middle school student approaches the school nurse and says, "Can I talk to you about something important?" The school nurse responds affirmatively but should clarify: a. "Anything you tell me will be kept private and confidential." b. "If anything you tell me indicates that you or someone else is in danger, I must tell the parents and school officials." c. "It may be best for me to set up an appointment with the school counselor." d. "You can always speak to me if you are in trouble or when you need someone to talk to."

b. "If anything you tell me indicates that you or someone else is in danger, I must tell the parents and school officials."

A nurse planning a primary intervention program for adolescent pregnancy reviews trends in adolescent pregnancy, births, abortions, and adoption and notes that comparisons with other developed countries indicates which of the following? (Select all that apply.) a. Adolescent pregnancy rates continue to rise because of unreliable contraceptive methods. b. Use of contraceptives is improving among teens in the United States. c. Decreases in pregnancy among teens ages 15-17 have been attributed to reduced sexual activity. d. Female students are more likely to initiate sexual activity before the age of 13 years. e. Changes in parental notification or consent requirements for minors impacted rates of teen abortions.

b. Use of contraceptives is improving among teens in the United States. c. Decreases in pregnancy among teens ages 15-17 have been attributed to reduced sexual activity. e. Changes in parental notification or consent requirements for minors impacted rates of teen abortions.

Adolescents who feel competent as parents have enhanced self-esteem, which, in turn, positively influences their relationship with their child and response to the child's cues signaling basic needs or distress. It is important for the nurse to initiate parenting education for both parents as early as possible to increase the teens' understanding of their child's growth, development, and needs in order to reduce the risk for: a. academic behavior problems in the future. b. abusive parenting. c. limited verbal communication with the infant. d. negative parenting feedback.

b. abusive parenting.

In designing a substance abuse primary prevention education program for the secondary schools in the community, it would be most important for the school nurse to include content related to the latest trend in the use of: a. cocaine. b. ecstasy. c. heroin. d. marijuana.

b. ecstasy.

Factors that are associated with decreased sexual risk behaviors in teens include higher levels of parental education and: a. age-restricted discussion of sexual issues. b. good family health practices. c. strict parental rules on behaviors. d. membership in the white majority versus other racial groups.

b. good family health practices.

From August through May, an inner city school district provides primary health care services, including mental health and dental care, to children and youth. This is a specific example of which of the following? a. Child health improvement program b. Primary care clinic c. School-based health center d. School health system

c. School-based health center

The nurse is following a pregnant teen who attends the local high school. The nurse plans to discuss self-care activities that will be important for the teen during her pregnancy and assist in keeping the teen in school. The nurse's interventions will involve the teen and the staff and teachers at the local high school. These interventions should address specific needs related to: a. adequate hydration and screening for depression. b. desk space and desk location in the classroom. c. frequency of bathroom breaks and modifications to bookbag weight. d. use of the stairs and consumption of high-carbohydrate sodas for snacks.

c. frequency of bathroom breaks and modifications to bookbag weight.

The increased use of telehealth in the school system will be driven largely by: a. Healthy People 2020 objectives related to school health. b. increasing need for efficiency, documentation, and successful clinical outcomes in providing care to students. c. increasing need to provide health care services in the schools. d. National Association of School Nurses guidelines.

c. increasing need to provide health care services in the schools.

For the pregnant adolescent, the factors that pose the greatest nutritional challenge are: a. chronological age and fetal growth. b. family support and teen attitude. c. lifestyle, growth, and development. d. need to limit weight gain and increase exercise.

c. lifestyle, growth, and development.

The challenges faced by a pregnant teen when attempting to establish paternity may be impacted by: a. beliefs that impregnating a woman proves masculinity. b. demands for involvement in the child's birth. c. denial of paternity because of associated financial obligations. d. involvement of the legal system to acknowledge paternity.

d. involvement of the legal system to acknowledge paternity.

A high school teen tells the school nurse that she wants to become pregnant. The most appropriate nursing action is to: a. clarify the intent and inform the teen's parent(s) of the potential to influence her behaviors. b. discourage the teen's interest in pregnancy when she has a full life ahead of her. c. encourage the teen to use contraception if she intends to be sexually active. d. provide preconception counseling and emphasize the need to achieve good health.

d. provide preconception counseling and emphasize the need to achieve good health.

The Child Nutrition and WIC (Women, Infants, and Children) Reauthorization Act of 2004 designates that each local education agency participating in federal school meal programs have: a. accommodations for services provided to special needs children. b. normal education experience for all children. c. school-based clinic. d. school wellness policy.

d. school wellness policy.