Chapter 15 Pregnancy in Selected Populations
1) The pregnant 16-year-old is seeing the nurse during a prenatal visit. Based
on the clients 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 patients 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.
1
Copyright 2016 Pearson Education, Inc.
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 ones 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.
2
Copyright 2016 Pearson Education, Inc.
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.
1) The pregnant 16-year-old is seeing the nurse during a prenatal visit. Based
on the clients 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 patients 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.
1
Copyright 2016 Pearson Education, Inc.
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 ones 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.
2
Copyright 2016 Pearson Education, Inc.
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.
