A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in their teaching?

Choice A reason: Chlamydia is a reportable infection to the state health department. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. It can cause pelvic inflammatory disease, infertility, ectopic pregnancy, and neonatal complications. Reporting chlamydia cases can help to monitor the prevalence, incidence, and trends of the infection, and to implement prevention and control measures.

Choice B reason: Herpes simplex virus is not a reportable infection to the state health department. Herpes simplex virus is a common viral infection that causes oral or genital lesions. It can be transmitted through direct contact with the lesions or the infected fluids. There is no cure for herpes simplex virus, but antiviral medications can reduce the frequency and severity of the outbreaks.

Choice C reason: Group B Streptococcus B hemolytic is not a reportable infection to the state health department. Group B Streptococcus B hemolytic is a type of bacteria that can be found in the gastrointestinal or genital tract of some people. It can cause serious infections in newborns, pregnant women, and people with weakened immune systems. Screening and treatment of pregnant women can prevent the transmission of the bacteria to their babies.

Choice D reason: Human papillomavirus is not a reportable infection to the state health department. Human papillomavirus is a group of viruses that can cause warts or cancers in different parts of the body. It can be transmitted through sexual contact or skin-to-skin contact. There is no treatment for human papillomavirus, but vaccines can prevent some types of the virus that cause cervical cancer and genital warts.

Choice A reason: Blood pressure screening is not the first thing that the nurse should perform, as it is a physical assessment that can be done later in the visit. Blood pressure screening is important to monitor the client's cardiovascular health and risk of hypertension, but it is not a priority for the initial visit.

Choice B reason: Mental status examination is not the first thing that the nurse should perform, as it is a psychological assessment that can be done later in the visit. Mental status examination is important to evaluate the client's cognitive, emotional, and behavioral functioning and identify any mental health issues, but it is not a priority for the initial visit.

Choice C reason: Review of the neighborhood is the first thing that the nurse should perform, as it is an environmental assessment that can provide valuable information about the client's living conditions, safety, and resources. Review of the neighborhood is important to identify any potential hazards, barriers, or needs that may affect the client's health and well-being, and to plan appropriate interventions and referrals.

Choice D reason: Family history is not the first thing that the nurse should perform, as it is a genetic and social assessment that can be done later in the visit. Family history is important to determine the client's risk of inheriting or developing certain diseases, and to understand the client's family dynamics and support system, but it is not a priority for the initial visit.