Chapter 15 Adolescent Pregnancy

Chapter 15   Adolescent Pregnancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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?

1. “My friends and I all wear totally different styles of clothing.”
2. “Having a baby will change my college plans.”
3. “I drink alcohol at parties most weekends.”
4. “My mom is my best friend.”

Answer:  3

Explanation:  3. Middle adolescence (15-17) is a time of experimentation, including drinking alcohol, using other drugs, and sex.

Page Ref: 308

Cognitive Level:  Applying

Client Need/Sub:  Psychosocial Integrity: Coping Mechanisms

Standards:  QSEN Competencies: I. B. 9. Assess level of patient’s decisional conflict and provide access to resources. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health or illness. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  2 Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence.

MNL LO:  2.4.1 Examine the developmental tasks of pregnancy for the pregnant adolescent.

 

 

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?

1. They are working on independence and autonomy.
2. They are no longer developing a sense of achievement.
3. They are confident in their own identity.
4. They are in control of their impulses.

Answer:  1

Explanation:  1. The developmental tasks of adolescence include developing an identity, gaining autonomy and independence, developing intimacy in a relationship, developing comfort with one’s own sexuality, and developing a sense of achievement. Teens in early adolescence will not have achieved all of these tasks yet.

Page Ref: 307, 308

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Developmental Stages and Transitions

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence.

MNL LO:  2.4.1 Examine the developmental tasks of pregnancy for the pregnant adolescent.

3) A nurse working in an adolescent clinic that deals with birth control, pregnancy, and referrals for adoption has a number of clients in early adolescence. Clients in that age group are how old?

1. 11-16 years old
2. 11-14 years old
3. 14 and 15 years old
4. 12-15 years old

Answer:  2

Explanation:  2. The age range for early adolescence is age 14 and under.

Page Ref: 307

Cognitive Level:  Remembering

Client Need/Sub:  Health Promotion and Maintenance: Developmental Stages and Transitions

Standards:  QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care. | AACN Essentials Competencies: I. 1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Education: Relationships between knowledge/science and (a) quality and safe patient care, (b) excellence in nursing, and (c) advancement of the profession. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  2 Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence.

MNL LO:  2.4.1 Examine the developmental tasks of pregnancy for the pregnant adolescent.

 

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

1. They are more at ease with their individuality.
2. They see authority as resting with parents.
3. They are able to solve problems and make decisions.
4. They seek independence and identify with their peer group.

Answer:  4

Explanation:  4. Teens who are in middle adolescence (15-17 years old) seek independence and identify with their peer group.

Page Ref: 308

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Developmental Stages and Transitions

Standards:  QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care. | AACN Essentials Competencies: I. 1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and (a) quality and safe patient care, (b) excellence in nursing, and (c) advancement of the profession. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  2 Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence.

MNL LO:  2.4.1 Examine the developmental tasks of pregnancy for the pregnant adolescent.

5) The nurse is working at a clinic for pregnant teens. What issues related to development will the nurse expect to encounter in most of the pregnant clients?

1. Peer pressure to stop using alcohol once pregnancy is diagnosed
2. Contraception failure that resulted in this pregnancy
3. The father of the baby’s being emotionally supportive to the client
4. Feelings of not living up to parents’ expectations

Answer:  4

Explanation:  4. Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is developing an identity. If the adolescent feels she has not lived up to parental expectations by becoming pregnant, she could adopt a negative identity.

Page Ref: 308

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Developmental Stages and Transitions

Standards:  QSEN Competencies: V. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe atmosphere that results in high quality patient outcomes. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence.

MNL LO:  2.4.1 Examine the developmental tasks of pregnancy for the pregnant adolescent.