COMMUNITY HEALTH TEST BANK
A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and
their children. Which of the
... [Show More] following actions would the nurse most likely take?
a. Assist teen mothers to learn about their body changes during pregnancy.
b. Develop programs that allow teen mothers to complete their education.
c. Offer courses in proper care of babies and how to be a parent.
d. Monitor pregnant teens to detect early problems with pregnancy. - ANS:B
A direct correlation exists between poverty and poor health outcomes. Poor teens are nearly
three times more likely to drop out of school as their nonpoor counterparts. When programs
that assist the mother to complete her education are instituted, chances are increased for a
better future, which improves health care over the long term across the life span. It is
important to keep the pregnant adolescent in school during the pregnancy and have her return
as soon as possible after the birth. Teaching about body changes an proper care of babies and
parenting would address short-term health outcomes. Monitoring teens to detect early
problems in pregnancy addresses a short-term health outcomes as well.
A school health nurse presents a program on preventing teen pregnancy to a group of parents.
Following the presentation, which of the following comments by a parent would cause
concern?
a. "I do not know if my son is sexually active; however, I have decided I'm going to
talk to him about it."
b. "My daughter is too intelligent to get involved with boys, even if her friends do
sleep around."
c. "My daughter and I have often discussed sexuality, and when she's ready, I'll pay
for her birth control pills.
d. "I have spoken to my son about birth control. He says he's not ready to be a father
and support a baby. He wants to go to college." - ANS: B
Teens who are knowledgeable and want to be responsible often find it difficult to access birth
control. Parents who do not talk about sexuality with their teens may find them more at risk
for sexual permissiveness and pregnancy. Teens are often ignorant concerning sexuality and
pregnancy and often very embarrassed to discuss such topics. Further, they often believe
myths such as they cannot get pregnant the first time they have sex. The earlier their sexual
debut, the less likely a birth control method will be used, because younger teens have less
knowledge. Teens are more likely to be sexually active if their friends are sexually active.
Confidential reproductive health care services may be available for teens, but problems are
still associated with transportation, school absences, and costs of care.
A nurse is providing care to a pregnant teenager. Which of the following principles is the most
important for the nurse to consider when providing care?
a. All teen pregnancies are considered high-risk.
b. Limited self-care knowledge can lead to pregnancy complications.
c. Pregnant teens are likely to receive prenatal care late in the pregnancy.
d. Pregnant teens may have limited financial resources to pay for care. - ANS: A
It is crucial to consider all pregnant teenagers as high-risk obstetric clients. A number of
problems (e.g., poverty, late entry into prenatal care, and limited self-care knowledge) can
lead to complications of pregnancy, so it is important to treat every teen pregnancy as a
special high-risk pregnancy. All of these statements are true; however, it is crucial to consider
all pregnant teenagers as high-risk obstetric clients. Limited self care, lack of prenatal care,
and limited financial resources are all contributors to the potential for all teen pregancies to be
considered high risk.
The nurse is making a postpartum visit to a teenage mother and her month-old infant. Which
of the following assessments would be most important?
a. Assessing for mother's ability to fulfill her own growth and development tasks
b. Assessing for mother's knowledge about normal infant growth and development
c. Assessing how much the teenage mother's own mother is helping her cope with
child care
d. Assessing whether the baby's father is being helpful to the mother - ANS: B
The primary goal would be to assess how much the mother knows and understands about the
needs of infants and their development. Such knowledge helps avoid unrealistic expectations
and frustrations, which could lead to child abuse. Although the nurse might assess for any and
all of these options, however, the primary goal of a postpartum visit would be to assess
knowledge regarding normal growth and development. A teenager mother's knowledge about
her own growth and development and how much assistance she is receiving from her own
mother and the baby's father would be secondary concerns.
A nurse is working toward an objective to "increase to at least 90% the proportion of all
pregnant women who receive first trimester prenatal care." During which of the following
phases of the nursing process would determination of the objective occur?
a. Assessment phase
b. Planning phase
c. Implementation phase
d. Evaluation phase - ANS: B
Evaluation begins in the planning phase, when goals and measurable objectives are
established and goal-attaining activities are identified. Assessment involves getting to know
and understand the community as the client. Implementation involves the work and activities
aimed at achieving the goals and objectives. Evaluation is the appraisal of the goals and
objectives that have been created.
A mother says, "My son wants me to let him buy a car. I must admit, I certainly get tired of
driving him around to all his sports and other activities. Do you think I should let him have a
car?" Which of the following statements would be the best response by the nurse?
a. "Absolutely, it will help him recognize the cost of gas and maintenance."
b. "Certainly. Most young men want their own car, and peer pressure can be painful."
c. "It depends on whether you trust your son to drive safely."
d. "No, adolescent males cannot be trusted with an automobile." - ANS: C
Motor vehicle-related injuries and violence are the leading causes of morbidity and mortality
for adolescents. Males are more likely to take risks, and injury death rates for boys are twice
as high as those for girls. Thus, the response by the nurse should take these factors into
consideration in response and encourage the mother to individualize her decision for her son.
The incorrect reponses do not take into account the individual risk factors that the nurse
should encourage the mother to consider. The nurse should encourage the mother to think
about the risky behaviors specific to this population and how they apply to her son.
Which of the following children is most at risk for being abused?
a. A 1-year-old
b. A 6-year-old
c. A 9-year-old
d. A teenager - ANS: A
Children under the age of 4 and children with special needs are at highest risk for abuse. A 6
year old, 9 year old, and teenager are not as at high of risk for being abused because they are
older. Literature states that those under the age of 4 years are at highest risk for abuse.
If underlying causes were listed on autopsy reports, which of the following would be the most
common cause of unnecessary death in the United States?
a. Alcohol
b. Guns
c. Lack of exercise
d. Unprotected sex - ANS: C
Heart disease is the leading cause of death in the United States. Routine physical activity has
been found to prevent early death and chronic diseases, including coronary artery disease,
stroke, type 2 diabetes mellitus, depression, and some types of cancer. Alcohol, guns, and
unprotected sex are not related to common causes of unnecessary death among adults in the
United States. [Show Less]