A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspects? (Select All that Apply.)

Asian Americans as having the highest teen birth rate

loss of self-esteem as a major impact

rise in teen birth rates over the years.

about half occurring within a year of first sexual intercourse

Peer pressure to become sexually active

Answer and Explanation

Correct Answer : C,D,E

A. Asian Americans as having the highest teen birth rate:

This statement is incorrect. Asian Americans generally have lower teen birth rates compared to other racial/ethnic groups in the United States. Incorporating inaccurate information into the presentation may lead to misunderstanding or misrepresentation of the issue.

B. Loss of self-esteem as a major impact:

While loss of self-esteem can be a consequence of adolescent pregnancy, it may not be considered a major impact in all cases. Adolescent pregnancy can have diverse and complex impacts on individuals, including social, economic, and psychological effects. While addressing the psychosocial aspects of adolescent pregnancy is important, loss of self-esteem may not be the primary focus of the presentation.

C. Rise in teen birth rates over the years:

Providing information about the trend of teen birth rates over time helps to contextualize the issue and highlight its significance. This aspect can include discussing historical trends, recent changes, and factors contributing to fluctuations in teen birth rates.

D. About half occurring within a year of first sexual intercourse:

This statistic underscores the importance of sexual health education and contraception access for adolescents. Understanding the timing of pregnancies in relation to sexual debut can inform interventions aimed at preventing unintended pregnancies among teenagers.

E. Peer pressure to become sexually active:

Peer pressure is a significant influence on adolescent behavior, including decisions related to sexual activity. Addressing peer pressure in the context of adolescent pregnancy allows for discussion about the social and emotional factors that contribute to teen pregnancies and the importance of developing healthy coping strategies and assertiveness skills.

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Correct Answer is C

Explanation

A. Disseminated intravascular coagulation (DIC):

DIC is a serious condition characterized by abnormal clotting throughout the body's blood vessels, leading to both bleeding and clotting simultaneously. While it can occur in severe cases of HELLP syndrome, it is not a specific finding used to diagnose HELLP syndrome. Instead, it's a complication that can develop due to various underlying conditions, including HELLP syndrome.

B. Elevated platelet count:

In HELLP syndrome, platelet count is typically decreased, not elevated. HELLP syndrome stands for Hemolysis, Elevated Liver enzymes, and Low Platelets. The low platelet count is a key diagnostic feature of HELLP syndrome and contributes to the risk of bleeding complications.

C. Elevated liver enzymes:

Elevated liver enzymes, particularly elevated levels of AST (aspartate aminotransferase) and ALT (alanine aminotransferase), are hallmark features of HELLP syndrome. Liver involvement is a significant component of this syndrome, and elevated liver enzymes are part of the diagnostic criteria.

D. Hyperglycemia:

While hyperglycemia can occur in various conditions, it is not a characteristic finding of HELLP syndrome. HELLP syndrome primarily affects the liver, blood clotting factors, and platelets, leading to features such as elevated liver enzymes, low platelet count, and hemolysis (destruction of red blood cells).

A. ipratropium B. albuterol C. salmeterol D. Prednisone

Correct Answer is C

Explanation

A. Ipratropium:

Ipratropium is an anticholinergic bronchodilator used to relieve bronchospasm associated with asthma and chronic obstructive pulmonary disease (COPD). It works by relaxing the muscles around the airways to improve breathing. In pregnant women with asthma, ipratropium is generally considered safe for use when the benefits of controlling asthma symptoms outweigh the potential risks to the fetus. It is minimally absorbed systemically, reducing the risk of systemic side effects for both the mother and the fetus.

B. Albuterol:

Albuterol is a short-acting beta agonist (SABA) commonly used as a rescue inhaler for acute asthma symptoms. It works by relaxing the muscles in the airways, making it easier to breathe. Albuterol is considered safe for use during pregnancy, and it is often recommended as needed to relieve bronchospasm in pregnant women with asthma. Controlling asthma symptoms with albuterol can help improve maternal oxygenation and prevent complications associated with poorly controlled asthma during pregnancy.

C. Salmeterol:

Salmeterol is a long-acting beta agonist (LABA) used for the long-term control of asthma symptoms. It works similarly to albuterol but has a longer duration of action. Salmeterol is generally not recommended as the sole therapy for asthma during pregnancy due to limited safety data. While animal studies have shown adverse effects on fetal development, there are no adequate and well-controlled studies in pregnant women. Therefore, the risks versus benefits of using salmeterol during pregnancy should be carefully considered, and alternative treatments may be preferred.

D. Prednisone:

Prednisone is a corticosteroid medication used to reduce inflammation and suppress immune responses in conditions such as asthma. It is often prescribed to manage asthma exacerbations during pregnancy. While corticosteroids are generally considered safe for short-term use during pregnancy to control asthma symptoms, they may have risks associated with long-term or high-dose use, especially if used during the first trimester. Potential risks include fetal growth restriction and cleft palate. However, the benefits of controlling asthma symptoms and preventing exacerbations often outweigh the potential risks of corticosteroid use during pregnancy. Therefore, prednisone may be prescribed judiciously during pregnancy, and the dose should be tailored to the individual's needs while considering potential risks to the fetus.

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A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspects? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding?

Correct Answer is C

Explanation

A woman with a history of asthma comes to the clinic for evaluation for pregnancy. The woman's pregnancy test is positive. When reviewing the woman's medication therapy regimen for asthma, which medication would the nurse identify as problematic for the woman now that she is pregnant?

Correct Answer is C

Explanation

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