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 D

Explanation

A. Social isolation related to feelings about appearance:

Social isolation refers to a state in which an individual lacks social interaction or feels disconnected from others. This can occur when individuals feel self-conscious or ashamed about their appearance and may withdraw from social situations as a result. In this scenario, the woman's feelings about her appearance may indeed lead to social isolation. However, while social isolation is a significant concern, it may not be the most immediate priority compared to addressing the woman's feelings of low self-esteem.

B. Ineffective peripheral tissue perfusion related to effects of disease on vasculature:

Ineffective peripheral tissue perfusion refers to inadequate blood flow to the peripheral tissues, which can lead to impaired tissue oxygenation and nutritional deficits. While PCOS can have metabolic and cardiovascular implications, such as insulin resistance and dyslipidemia, leading to potential vascular issues, there is no indication in the scenario provided that the woman is experiencing acute vascular compromise. Therefore, this nursing diagnosis is less relevant in this context.

C. Risk for suicide related to effects of condition and fluctuating hormone levels:

PCOS is associated with an increased risk of mental health issues, including depression and anxiety, which can contribute to an elevated risk of suicidal ideation or behavior. The woman's distress over the physical manifestations of PCOS and feelings of diminished femininity could certainly exacerbate such psychological issues. However, while suicide risk is a serious concern, there is no explicit indication in the scenario that the woman is actively expressing suicidal thoughts or behaviors. Therefore, while it's important to monitor for signs of depression and suicidal ideation, this nursing diagnosis may not be the most immediate priority at this stage.

D. Situational low self-esteem related to masculinization effects of the disease:

This nursing diagnosis addresses the woman's feelings of low self-esteem specifically related to the physical manifestations of PCOS, such as hirsutism, alopecia, breast atrophy, and increased muscle mass, which are affecting her sense of femininity and self-identity. Given her distress and negative perception of her appearance, addressing her low self-esteem and providing support and interventions to help improve her self-image would likely be the most immediate priority in her care.

A. bleeding after intercourse B. vaginal discharge C. irregular, acyclic bleeding D. bleeding between menses

Correct Answer is A

Explanation

A. Bleeding after intercourse

Endometrial polyps can cause bleeding after intercourse (postcoital bleeding) due to irritation or trauma to the polyps during sexual activity. This symptom occurs because the polyps protrude into the uterine cavity and are easily disturbed by movement or contact.

B. Vaginal discharge

While vaginal discharge can be a symptom of various gynecological conditions, it is not typically associated specifically with endometrial polyps. Instead, other conditions like bacterial vaginosis or vaginal infections are more commonly linked to vaginal discharge.

C. Irregular, acyclic bleeding

Endometrial polyps can cause irregular, acyclic bleeding, but this symptom is less specific compared to bleeding after intercourse. Irregular bleeding can occur due to hormonal changes, uterine fibroids, or other gynecological conditions as well.

D. Bleeding between menses

Bleeding between menstrual periods (intermenstrual bleeding) can occur with endometrial polyps, but it is not as specific a manifestation as bleeding after intercourse. Intermenstrual bleeding can also be caused by hormonal imbalances, cervical or uterine infections, or other underlying conditions.

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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.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation?

Correct Answer is A

Explanation

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