Chapter 12 Pregnancy in Selected Populations

Chapter 12   Pregnancy in Selected Populations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The nurse is giving a community presentation about adolescent pregnancy. Which presentation statement most accurately reflects a challenge of pregnancy associated with early adolescence?

1. “Pregnancy is less likely to be related to an intimate relationship.”
2. “Girls in this stage have developed value systems that are separate and distinct from those of their parents.”
3. “Most often, when a girl in early adolescence enters the healthcare system, she will be accompanied by the father of the baby.”
4. “Self-consciousness about body changes related to pregnancy usually isn’t an issue for early adolescents.”

Answer:  1

Explanation:  1. For early adolescents, pregnancy is probably not the result of an intimate relationship.

2. The early adolescent’s value system still closely reflects that of parents, so she turns to her parents for a decision or approval of a decision.
3. During early adolescence, a pregnant girl generally enters the healthcare system with an adult, most likely her mother; parents are still seen as locus of control.
4. Along with self-consciousness about normal physiologic changes, for early adolescents, self-consciousness and low self-esteem are likely to intensify with rapid breast enlargement and abdominal enlargement of pregnancy.

Page Ref: 217

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion

Learning Outcome:  LO 12.1-Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence.

MNL LO:  Examine the developmental tasks of pregnancy for the pregnant adolescent.

2) The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?

1. 14-year-old whose 17-year-old sister is pregnant
2. 15-year-old who reports using condoms regularly
3. 16-year-old who had Chlamydia treated 2 weeks ago
4. 17-year-old with a history of child abuse

Answer:  3

Explanation:  1. Although this student is at risk for becoming pregnant because her sister is experiencing an adolescent pregnancy, it is not known whether this patient is sexually active. This student is not the top priority.

2. Condom use will decrease the risk of becoming pregnant. This patient is a low priority.
3. This patient is the top priority. Having had Chlamydia, a sexually transmitted infection, indicates that the patient is sexually active and not using a barrier method of birth control. This patient is at risk for pregnancy and another STI.
4. Although adolescents with a history of abuse are more likely to become pregnant than are their peers who have not experienced abuse, too little information is given about this patient to determine risk for pregnancy. This patient is not the top priority.

Page Ref: 218

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of care

Learning Outcome:  LO 12.2-Identify the physical, psychologic, and sociologic risks a pregnant adolescent faces.

MNL LO:  Determine the factors involved in adolescent pregnancy.

3) While developing a conference for adolescents, the nurse prepares a handout describing socioeconomic and cultural factors that contribute to adolescent pregnancy. Which information should the nurse include in the handout?

1. All cultures share an aversion to early pregnancy.
2. The younger the teen when she first gets pregnant, the less likely she is to have another pregnancy in her teens.
3. Poverty is a major risk factor for teen pregnancy.
4. A child born to a teenage mother is at a lower risk for teen pregnancy.

Answer:  3

Explanation:  1. Early pregnancy is desirable in some cultures, such as where Islam is the predominant religion, where large families are desired, where social change is slow in coming, and where most childbearing occurs within marriage.

2. The younger the teen when she first gets pregnant, the more likely she is to have another pregnancy in her teens.
3. Poverty is a major risk factor for teen pregnancy, as 85 percent of births to unmarried teens occur among those adolescents from poor to low-income families.
4. Daughters and sisters of a woman who had a baby in her early teens tend to have intercourse earlier and are at higher risk for teen pregnancy themselves.

Page Ref: 219-220

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 12.2-Identify the physical, psychologic, and sociologic risks a pregnant adolescent faces.

MNL LO:  Determine the factors involved in adolescent pregnancy.

4) The nurse is working with a group of pregnant teens. Which statement indicates that teaching has been successful?

1. “Pregnant teens are more likely to quit school prior to graduation.”
2. “Because I am young, I have a low risk for pre-eclampsia.”
3. “My baby could come late because I am a teenager.”
4. “I am more likely to use birth control after I have this baby.”

Answer:  1

Explanation:  1. Clients who give birth the first time as adolescents are more likely to have lower educational levels, including a higher rate of dropping out of high school and not attending college or vocational training.

2. Pre-eclampsia is more likely to occur in teen mothers than in mothers older than age 19.
3. Postdates are not a risk for adolescent pregnancy; preterm birth and small-for-gestational-age infants are risks for pregnant teens.
4. Clients who give birth the first time as adolescents are more likely to have their next child during adolescence as well. Birth control use is not higher among teen parents.

Page Ref: 220

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Evaluation/Health teaching and health promotion

Learning Outcome:  LO 12.3-Identify the physical, psychologic, and sociologic risks faced by a pregnant adolescent.

MNL LO:  Determine the factors involved in adolescent pregnancy.