Question 1

A parent has requested access to his child's medical records at a school-based health clinic.Which statement about access and release of a minor's medical record is correct?

Accepted Answer

A)   Reproductive information is protected by the Health Insurance Portability and Accounting Act ( HIPAA ) .
B)   A minor cannot get birth control without parental consent.
C)   Medical records are available to anyone who wishes to access them.
D)   Parents can legally access all medical records of a minor child. D

Question 2

Many teenagers who give birth:

Accepted Answer

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

Question 3

A nurse counseling a pregnant adolescent about her nutritional needs during pregnancy includes information that nutritional needs are based primarily on:

Accepted Answer

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

Question 4

Which information about parental consent would be accurate for the nurse to provide to an adolescent client who is seeking an abortion?

Accepted Answer

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.

Question 5

Which would be the most appropriate nursing intervention for the nurse to implement when assessing a pregnant teen's weight gain?

Accepted Answer

A)   Advise the teen to play close attention to weight gain.
B)   Encourage the teen to gain as much weight as possible.
C)   Recommend weight gain based on prepregnancy weight.
D)   Instruct about the benefits to the fetus by gaining 2 pounds per week.

Question 6

Which statement about a young man's reaction to the pregnancy of his partner is true?

Accepted Answer

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)   His reaction often includes blaming the partner.

Question 7

A teenage mother discusses with the school nurse the possibility of having a second child.Which risk factor would place this client at higher risk for having a second pregnancy?

Accepted Answer

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

Question 8

A nurse is teaching a pregnant teenager about the risks of contracting a sexually transmitted infection.Which statement would the nurse most likely make?

Accepted Answer

A)   Sexually transmitted infections can cause cognition issues in your infant.
B)   Contracting a sexually transmitted infection may cause you to need assistance to care for your infant.
C)   Sexually transmitted infections can cause premature labor.
D)   The father of the baby is at high risk to contract a sexually transmitted infection.

Question 9

According to the 2007 Youth Risk Behavior Surveillance System,fewer teens reported engaging in which behavior?

Accepted Answer

A)   Current cigarette usage
B)   Current alcohol usage
C)   Trying marijuana
D)   Episodic heavy drinking

Question 10

What is the cause of teen pregnancy?

Accepted Answer

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

Question 11

Which statement best illustrates that the main causes of teen mortality are high-risk behaviors?

Accepted Answer

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

Question 12

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

Accepted Answer

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 13

When working with teenagers,it is important for the nurse to recognize that some teens may get pregnant because they:

Accepted Answer

A)   Often feel invincible and do not recognize risks related to their behaviors
B)   Enjoy engaging in sexual activity and want children
C)   Influence each other and succumb to peer pressure
D)   Have realistic attitudes about school, work, parenting, and socializing

Question 14

Which factor increases a young woman's risk for early sexual experiences and pregnancy?

Accepted Answer

A)   History of sexual abuse
B)   Parents who have high demands for their children to act maturely
C)   Parents who communicate openly with their teens about birth control and sexuality
D)   Male partner of the same age

Question 15

What are reasons that adolescents may not seek care for health problems? Select all that apply.

Accepted Answer

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 non-judgmental way.

Question 16

Which objective related to adolescent health is discussed in Healthy People 2020?

Accepted Answer

A)   Increasing the age of legal consumption of alcohol to 25
B)   Increasing the number of planned pregnancies
C)   Increasing the proportion of teens who receive formal instruction on reproductive health issues
D)   Increasing the proportion of teens who consistently use some form of birth control

Question 17

Which are therapeutic approaches for the nurse to use in working with adolescent clients? Select all that apply.

Accepted Answer

A)   Creating a caring and understanding atmosphere
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 18

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

Accepted Answer

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

Question 19

Which factor has been linked to the decrease in pregnancies among teens?

Accepted Answer

A)   Fewer are becoming sexually active.
B)   More are using complementary alternative methods of birth control.
C)   More have tighter parental control at home.
D)   Fewer are engaging in risky behaviors.

Question 20

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

Accepted Answer

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.

Exam 35: Teen Pregnancy