The health-care provider is caring for an adolescent patient who is pregnant. The health-care provider knows that pregnancy during adolescence is linked with what influencing factor or factors? Select all that apply.

Correct Answer: A,B,C

Rationale: A: Low socioeconomic status is a contributing factor to adolescent pregnancy due to limited access to education, healthcare, and contraception. B: Psychologic problems such as low self-esteem or mental health issues can increase the likelihood of adolescent pregnancy. C: Social problems like lack of support from family or peers, or exposure to risky behaviors, can also influence adolescent pregnancy. D: Unemployment, while a potential issue, is not directly linked to adolescent pregnancy as the other factors are more significant in this context.

Correct Answer: D

Rationale: The correct answer is D: Varicella (chickenpox). Varicella virus is highly contagious and spreads through airborne particles. It can cause intrauterine fetal demise, skin scarring, eye, limb, or neurologic abnormalities, anemia, thrombocytopenia, and low birth weight in the fetus. Varicella infection during pregnancy can lead to severe complications for both the mother and the fetus. Toxoplasmosis (A), syphilis (B), and rubella (C) can also cause complications during pregnancy, but they do not match all the characteristics mentioned in the question.

Correct Answer: B

Rationale: The correct answer is B: severe headache. A common sign of preeclampsia is a severe headache due to high blood pressure, a hallmark symptom of the condition. Preeclampsia can lead to dangerous complications for both the mother and the baby. Abdominal cramps (A) are not typically associated with preeclampsia. Increased appetite (C) is not a typical symptom and may even decrease due to other factors. Elevated heart rate (D) is not a specific sign of preeclampsia; high blood pressure is the key indicator.

Correct Answer: A

Rationale: Correct Answer: A - Abdominal palpation Rationale: Abdominal palpation can lead to increased risk of placental abruption in patients with HELLP syndrome. This can cause severe hemorrhage and compromise fetal and maternal well-being. Therefore, it should be avoided. Summary of other choices: - B: Venous sample of blood: Necessary for assessing blood parameters in patients with HELLP syndrome. - C: Checking deep tendon reflexes: Important for evaluating neurological status in patients with HELLP syndrome. - D: Auscultation of the heart and lungs: Essential for monitoring cardiovascular and respiratory function in patients with HELLP syndrome.

Correct Answer: B

Rationale: The correct answer is B: missed. In a missed abortion, the fetus dies but is not expelled from the uterus. This can be diagnosed during an ultrasound when no fetal heartbeat is detected. The term "inevitable" (choice A) refers to an abortion that is in progress and cannot be stopped. "Incomplete" (choice C) refers to an abortion where some fetal or placental tissue remains in the uterus. "Threatened" (choice D) refers to vaginal bleeding in early pregnancy, with a viable pregnancy.