The school sexual health clinic nurse has female adolescent ...

[jayhills49]

The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?
 
  1. 17-year-old adolescent with a history of child abuse
  2. 14-year-old adolescent whose 17-year-old sister is pregnant
  3. 15-year-old adolescent who reports using condoms regularly
  4. 16-year-old adolescent who had a chlamydial infection treated 2 weeks ago

Question 2

The nurse who is counseling a group of middle school girls on pregnancy avoidance should include which statement?
 
  1. Although condom use is growing, there is still an increasing rate of STIs among teens.
  2. It has become far less acceptable to give birth during your teenage years than it used to be.
  3. You have learned enough from your friends and families to understand how pregnancy occurs.
  4. Although sexuality is common in the media, your peer pressure to have sex is not an important factor.

[14vl19]

Answer to Question 1

4
Explanation:
1. Although adolescents with a history of abuse are more likely to become pregnant than are their peers who have not experienced abuse, too little information is given about this client to determine risk for pregnancy. This client is not the top priority.
2. Although this student is at risk for becoming pregnant because her sister is experiencing an adolescent pregnancy, it is not known whether this client is sexually active. This student is not the top priority.
3. Condom use will decrease the risk of becoming pregnant. This client is a low priority.
4. This client is the top priority. Having had a chlamydial infection, a sexually transmitted infection, indicates that the client is sexually active and not using a barrier method of birth control. This client is at risk for pregnancy and another STI.

Answer to Question 2

1
Explanation:
1. Condom use is increasing, but the rate of sexually transmitted infections (STIs), including HIV, is also rising. Research indicates that young people 15 to 24 years of age make up 25 of the sexually experienced population in the United States. However, they account for nearly half of the new cases of STIs.
2. Society has become more accepting of teen pregnancy, and there are fewer stigmas attached to being a young mother.
3. Formal education on the physiology of the body and conception will decrease the myths and misunderstandings that abound among teens and undereducated adults.
4. Images of sexuality are common in American society: in music lyrics and videos, in advertising, in television shows and movies. Peer pressure to have sex is also common, and is a strong influence on when a teen becomes sexually active.