# data[].attributes.body
Hurdlers [Online image]. (n.d).

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Smiling Medical People [Online image]. (n.d.).

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Pregnant Teen and Nurse [Online image]. (n.d.).

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Nurse Leaders

Change Agents

Evidence-based Research

Lobbying

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School Nurse Roles

develop policies, programs, procedures for health services

develop school safety plans

address bullying/violence

teach healthy lifestyles

promote physical and mental health

screenings--immunizations, infectious diseases

referrals--healthcare, financial, shelter food

medication administration

Labor and Delivery Nurses' Current Roles

support system--these nurses may find themselves in the position of being the only support the teen has

last minute educators

close and time consuming monitoring for undiagnosed complications

providing specialized care for undiagnosed complications

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Prenatal Care at School Program (PAS) was a pilot study conducted to help with prenatal care compliance, labor and delivery education, and to decrease school absenteeism.  The pilot study showed a 14.2% increase in school attendance, 5.7% increase in prenatal care attendance, and 42% increase in pregnancy and delivery knowledge (Griswold, Nasso, Swider, Ellison, Griswold, & Brooks, 2012).

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Issue:  Lack of Prenatal Care and Pregnancy Education in Pregnant Teens

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Issue:  Lack of Prenatal Care and Pregnancy Education in Pregnant Teens

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Teen with Pregnancy Test [Online image]. (n.d.).

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Pregnant Teenagers and the Lack of Prenatal Care

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Pregnant Teenagers and the Lack of Prenatal Care

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Fleming, O'Driscoll, Becker, and Spitzer (2015) list the following reasons pregnant teens do not seek prenatal care:

lack of knowledge

concerning importance of prenatal care

the consequences of not obtaining prenatal care

desire to hide pregnancy

contemplation of abortion

fear of judgmental attitudes from adults and health care providers

financial barriers

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Analysis 2: Importance of Nurse Involvement 

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Analysis 2: Importance of Nurse Involvement 

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reduced maternal complications

preterm labor

reduced neonatal complications

low birth weight

improved coping

positive birthing experiences

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Recommendations to Encourage Prenatal Care and Labor and Delivery Education

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Recommendations to Encourage Prenatal Care and Labor and Delivery Education

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1: School Based Program

Pre-pregnancy Education

Prenatal Monitoring and Education

2: Multidisciplinary Approach

School Nurses

Labor and Delivery Nurses

3: Environment

Adolescent Focused

Supportive of both the mother and father of the child

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Analysis 3:  Barriers & Challenges For Nurses

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Analysis 3:  Barriers & Challenges For Nurses

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School Nurses

minimal collaboration between the nurse and the health educator(s)

nurses not identified as a formal resource of sex education within schools

school boards

school administrators

parent's beliefs

federal and state government control of the content that can be taught in a sex education class (federal/state governments fund the schools to promote abstinence and contraception only)

Labor and Delivery Nurses

undiagnosed complications

extensive education

immaturity

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Medical Complications Related to Teen Pregnancy

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Medical Complications Related to Teen Pregnancy

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hypertension/pre-eclampsia/eclampsia/HELLP

gestational diabetes

urinary infection

premature rupture of membrane

prolonged rupture of membrane

nutritional deficiencies

death from abortion

preterm delivery

low birth weight

higher frequency of infant mortality

depression