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NRS 434V Week 5 Benchmark Assignment – Individual Client Health History and Examination

NRS 434V Week 5 Benchmark Assignment – Individual Client Health History and Examination


This is also known as teenage pregnancy and is defined as pregnancy in a female under the age of 20. It is the leading cause of death in teenager between the age of 15 to 19 years old.

Health risk of Adolescent pregnancy on the mother and the baby

Adolescent pregnancy is a high-risk situation and increases the risk of maternal complications during and after pregnancy. Also, it increases the risk of the fetus and infant being admitted in neonatal care unit. Complications of adolescent pregnancy are preterm birth, low birth weight and infant mortality.

Various risk factors to adolescent pregnancy

Individual risk factors for teenage pregnancy are: Drug and alcohol use, lack of knowledge about sex and contraception, low self-esteem, having sex at young age, poor school performance, lack of future goals, ambivalence about having a child, being a victim of sexual abuse and negative attitude towards using contraception. Family risk factors for adolescent pregnancy are: Poor parental supervision, single-parent family, negative family interactions, family history of teenage pregnancy, limited communication between parents and teen. Social risk factors for teen pregnancy are: Pressure from peers to have sex, friends who are sexually active, poor peer relationships and dating older people.

Community and State resources devoted in adolescent pregnancy

Between 2010 and 2015, CDC, the Federal Office of Adolescent Health (OAH), and the office of Population Affairs partnered to showcase the importance of innovation, multi module community programs for controlling the rate of adolescent pregnancy and births. The focus was to reach African Americans and Latino young persons between the age of 15 and 19. UT Health San Antonio is a community resources which provides teen education on pregnancy and empowering family and community awareness on teen health. It helps them gain confidence, knowledge and skills to reach full potential The resources provide information on where adolescent parents can get support, including where to find child support, support groups and financial benefits. The OPA Teen Pregnancy Prevention (TPP) Program is a national, evidence-based grant program that funds diverse organizations working to prevent teen pregnancy across the United States. It provides funding to develop and evaluate new approaches to prevent teen pregnancy.

Has the rate of teen pregnancy increased or decreased?

Adolescent pregnancy and childbearing has significantly reduced in the last ten years. Massachusetts has the lowest teen pregnancy rate in the United States of America with 8 births per 1,000 females. In 2005, the teen pregnancy rate was 40.5 per 1000 female teenagers. In 2014, the number went down to 35.3 per 1,000 female teenagers and in 2019, the number decreased to 29.1 per 1,000 female teenagers (Center for Disease Control and Prevention, 2019).


Center for Disease Control and Prevention, 2019. Teen Birth Rate by State. In National Center for Health Statistics. Retrieved from http://worldpopulationreview.com/states/teen-pregnancy-rates -by-states.

  • LP

Lily Polsky

replied toStanley Ogbo

Feb 10, 2022, 5:49 PM


Replies to Stanley Ogbo


How does health literacy play a part in developing a plan of care with an adolescent pregnant patient?


Dr. Polsky

  • SO

Stanley Ogbo

replied toLily Polsky

Feb 13, 2022, 11:49 PM


Replies to Lily Polsky

Hello Dr. Polsky,

Thanks for your question. Health literacy is important for everyone because at some point in our lives, we will need to be able to find, understand, and use health information and services.

Health literacy will also help us in planning care for pregnant adolescent patient.

  • EK

Ethel Kunaka

replied toStanley Ogbo

Feb 10, 2022, 8:33 PM(edited)


Replies to Stanley Ogbo


Thank you for your post. Just to add on, parents should have an open communication with their teens as it is vital in protecting them from engaging in sexual activities and other risky behaviors. Many parents are uncomfortable or not in a position to talk about such issues with their children. So the teens may end up getting wrong information from their peers. It is also important for parents to have undivided attention with their children and not to sweat over small stuff as the teens will be reluctant to talk to them when big issues arise which may then lead them to make poor choices. Parents should also lead by example and be their children`s role model as bad or risky behavior directly impacts the teens. Positive reassurance instills confidence in the children and they will know they can talk to their parents about anything and everything which goes a long way in delaying dating or engaging in risky behaviors.


Teenage Pregnancy Risky factors: Positive Communication


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Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.



Adolescent pregnancy is seen as high-risk, as it causes serious risks for both mother and baby. Some of these risk factors include children being born pre-term, have lower birth weight, and higher neonatal mortality. Mothers tend to have greater rates of post-partum depression and are less likely to initiate breastfeeding [1, 2]. May 25, 2016. According to the CDC all sectors of the population communitywide should all make an effort to address teen pregnancy prevention. From 2010Campa to 2015, nine state-and community-based organizations and five national organizations were funded by cooperative agreement, Teen Pregnancy Prevention. The state- and community-based grantees, in turn, provide training and technical assistance to youth-serving organizations and partners. National resource, National Campaign to Prevent Teen and Unplanned Pregnancy. Its mission is promoted through, Raising awareness through affiliation with the media, policy makers, and influential leaders. Promote discussion about prevention of teed and unplanned pregnancy and Develops and distributes materials including pamphlets and online information. State resource, Human services help people find stability, and can include everything from providing for basic needs like food and shelter with the goal of promoting self-sufficiency. Over the last ten years, California’s females ages 15-19 increased by 15% between 2000 and 2016 the number of births in this population decreased by 61%. Although reasons for the decline are not totally clear, evidence suggests these declines are due to more teens abstaining from sexual activity, and more teens who are sexually active using birth control than in previous years.



Parenting in the digital age


https://cdc,gov> teen pregnancy

Centers for Disease Control and Prevention




Replies to Valencia Classen

Hello Valencia, its true that adolescent pregnancy is a problem in our societies. Over the years, I have seen young mothers getting depressed especially from families where they have been rejected,. This is an issue that we must find a balance, more so for the rare cases of pregnancies that are unavoidable. At the same time, low birthweight has been a challenge for the new-borns , and this can be attributed to poor feeding programme that the mother might be having or even stress of the mother during the babies development in the womb.


Latasha Brooks

Posted Date

Feb 10, 2022, 3:02 PM


Replies to Valencia Classen

According to the CDC, Native Americans have the highest rate of teen pregnancies amongst ethnicities. Blacks and Hispanic teens follow right behind Native Americans, who rank just under 30% of U.S. teens, ranking in the 25 percentile range for both groups (CDC, 2021). Considering the percentage of teen pregnancy in America requires a look at risk factors. Adolescent risk factors fall under many categories, some of which include socioeconomic standing, family history, religious considerations, and cultural traditions and concepts. Low income families, one parent households, absence of higher levels of education, reduced access to resources designed to prevent teen pregnancy, and little affiliation with church or religious organizations seem to have higher incidents of adolescent pregnancies (NIH, 2018).

When considering risk factors, the nurse has an opportunity to provide patient education in an effort to prevent incidences of teen pregnancy. There are many community and state resources available that provide education, program information, and contact information to various programs in a patient’s area. The U.S. Department of Health and Human Services lists resources in the California area. It is well known that the Native American communities are often underserved. The Tribal Personal Responsibility Education Program (Tribal PREP) and the Personal Responsibility Education Innovative Strategies Program (PREIS) provide programs and information that assist indirectly in the reduction of the teen pregnancy rate. For example, access to programs that assist in funding services such as child care, family violence prevention, child welfare prevention, and short term emergency financial assistance in an effort to maintain the family nucleus. According to the CDC, teen pregnancy rates have decreased over the last 10 years nationwide, including California (CDC, 2018). While the exact reasons can not be identified specifically, it is clear that providing education, access to resources, and encouragement of support amongst family and social groups help to reduce isolation, poor examples, and other aspects that lead to teen pregnancy.




Centers for Disease Control and Prevention. (2018, November 15). Reproductive health: Teen pregnancy. Retrieved February 9, 2022, from https://www.cdc.gov/teenpregnancy/about/

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