The nurse is preparing an in-service presentation for a group of middle school nurses. Which statements by the nurse would indicate that the nurse understands the role of culture in adolescent pregnancy? Select all that apply

Question

1. "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status."
2. "Teens who have a lot of time without adult supervision are more sexually active."
3. "Although the rate has dropped, teens of color are more likely to become pregnant."
4. "Young teens who have a child are more likely to have another while still a teen."
5. "Most pregnant teens do not have any relatives who had their first child as teens."

Answer 1

2; 3; 4
Rationale:
1. When teens in poverty become pregnant, they are more likely to maintain the pregnancy and view the birth as a way to be seen as an adult. Middle class teens are more likely to have future education and career goals, use contraception, and seek therapeutic abortion if they become pregnant.
2. Teens who spend more time without adult supervision are more likely to be sexually active and to become pregnant. Conversely, teens who participate in afterschool activities are less likely to be sexually active, and therefore have fewer pregnancies.
3. The pregnancy rate for African-American teens age 15–17 has dropped by 15%, but Hispanic- and African-American teens have a disproportionately large number of adolescent births.
4. When the first birth occurs in the early teen years, the next birth also is likely to occur prior to adulthood.
5. Having a mother or a sister who had her first child during adolescence is a risk for a teen to become pregnant.