A pregnant 15-year-old adolescent tells the nurse that she did ...

[silviawilliams41]

A pregnant 15-year-old adolescent tells the nurse that she did not use any form of contraception because she was afraid her parents would find out. The nurse should recognize what?
 
  a. This is a frequent reason given by adolescents.
  b. This suggests a poor parentchild relationship.
  c. This is not a good reason to not get contraception.
  d. This indicates that the adolescent is unaware of her legal rights.

Question 2

An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse's response should be based on what?
 
  a. Hormone therapy is necessary for the treatment of dysmenorrhea.
  b. Acetaminophen is the drug of choice for the treatment of dysmenorrhea.
  c. Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief.
  d. NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.

[joewallace]

Answer to Question 1

ANS: A
This is one of the most common reasons given by teenagers for not using contraception. Although it is optimum for the parents to be involved in the health care of adolescents, some adolescents require confidential care. Privacy is important as they develop their personal identity and establish relationships. The adolescent may be concerned about parental judgment. The adolescent should discuss with the health care provider contraception that meets her needs; some of the longer acting birth control methods may be preferable. The adolescent did not tell the nurse that she was unaware that she could legally obtain contraceptive materials; she was concerned about her parents.

Answer to Question 2

ANS: D
First-line therapy for adolescents with dysmenorrhea is NSAIDs. NSAIDs are potent anti-inflammatory agents that block the formation of prostaglandins, resulting in decreased uterine activity. Hormone therapy may be indicated if there is no physical abnormality and NSAIDs are ineffective. Acetaminophen does not have an antiprostaglandin action. It can help with pain control but will not be as effective as NSAIDs.

[silviawilliams41]

Thank you

[joewallace]

No problemo