Chapter 13 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 13 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 13_LO 01_Q01

The nurse has given a community presentation on adolescent pregnancy. Which statement indicates that further teaching is necessary? Select all that apply.

1. “Sisters of young teen mothers are more likely to become pregnant.”
2. “Afterschool activities decrease the likelihood of teen pregnancy.”
3. “When a teen plans to attend college, abortion is less likely.”
4. “Young teen parents are less likely to have another child during their teens.”
5. “Teens from low-income households are less likely to become pregnant.”

Correct Answers: 3, 4, 5

Rationale:

1. If a teen’s mother or sister had a child during their teens, the teen is also more likely to have a child during adolescence.
2. Adolescents who participate in afterschool activities are less likely to be sexually experienced, and therefore less likely to become pregnant as an adolescent.
3. Pregnant adolescents with plans for the future such as college or a job are more likely to use contraception consistently, and more likely to choose abortion if they do become pregnant.
4. The younger the client is at first pregnancy, the more likely she is to have another pregnancy during her adolescence.
5. Adolescents from low-income families are more likely to become pregnant than are their middle-class peers.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome: 13.1 Describe the scope of the problem and impact of adolescent pregnancy.

Chapter 13_LO2 _Q02

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 two weeks ago
4. 17-year-old with a history of child abuse

Correct Answer: 3

Rationale:

1. Although this student is at risk for becoming pregnant because her sister is experiencing an adolescent pregnancy, it is not known whether this client is sexually active. This student is not the top priority.
2. Condom use will decrease the risk of becoming pregnant. This client is a low priority.
3. This client is the top priority. Having had Chlamydia, a sexually transmitted infection, indicates that the client is sexually active and not using a barrier method of birth control. This client 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 client to determine risk for pregnancy. This client is not the top priority.

Cognitive level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 13.2 Examine factors contributing to adolescent pregnancy in the nursing care management of this population.

Chapter 13 LO02 Q03

In planning a conference for adolescents, the nurse researches the most common socioeconomic and cultural factors that contribute to adolescent pregnancy. True statements that should be included in this conference would include: (Select all that apply.)

1. African-Americans have the highest number of births per 1,000.
2. Nearly half of all teens age 15–19 have had sex at least once.
3. Poor self-esteem contributes to adolescent pregnancy.
4. 38% of sexually active students use a condom.

Correct answer: 2, 3

Rationale:

1. Hispanics (83/1,000) are higher in birth rate than are African-Americans (63.7/1,000) or white teens (26.6/1,000).
2. 46% of all teens have had sex at least once.
3. This is a true statement. Poor self-esteem is a major contributing factor in adolescent pregnancy.
4. 62.8% of sexually active students report using a condom.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 13.2 Examine factors contributing to adolescent pregnancy in the nursing care management of this population.