In planning a conference for adolescents, the nurse researches ...

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In planning a conference for adolescents, the nurse researches the most common socioeconomic and cultural factors that contribute to adolescent pregnancy.
 
  True statements that should be included in this conference would include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Economic status has a relatively low impact on an adolescent's sexual activity.
  2. Nearly half of all teens age 1519 have had sex at least once.
  3. Poor self-esteem contributes to adolescent pregnancy.
  4. Thirty-eight percent of sexually active students use a condom.
  5. Domestic violence is not an issue with teen mothers.

Question 2

The patient is carrying monochorionic-monoamniotic twins. The nurse teaches the patient what this is, and the implications of this finding. The nurse knows that teaching is successful when the patient states:
 
  1. My babies came from two eggs.
  2. About two thirds of twins have this amniotic sac formation.
  3. My use of a fertility drug led to this issue.
  4. My babies have a lower chance of surviving to term than fraternal twins do.

[mcinincha279]

Answer to Question 1

2,3
Rationale 1: Poverty is both a cause and a consequence of teen pregnancy and childbearing.
Rationale 2: Nearly half (46) of all teens have had sex at least once.
Rationale 3: This is a true statement. Poor self-esteem is a major contributing factor in adolescent pregnancy.
Rationale 4: Sixty-two and eight tenths percent of sexually active students report using a condom.
Rationale 5: Statistics show that half of teen mothers experience domestic abuse before, during, or after the pregnancy.

Answer to Question 2

4
Rationale 1: Monochorionic-monoamniotic twins are both in one amniotic sac, and are also monozygotic, or identical, coming from one ovum.
Rationale 2: About 2 of twins are of this type.
Rationale 3: Fertility drugs lead to an increase in dizygotic, not monochorionic-monoamniotic, twinning.
Rationale 4: Monochorionic-monoamniotic twins are both in one amniotic sac. Because the umbilical cords can tangle or knot, there is a higher incidence of fetal demise than with dizygotic twins.