The nurse is preparing an in-service presentation for a group of middle-school nurses. Which ...

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 seek abortion more often than do teens in poverty.
Rationale 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.
Rationale 3: In the United States, the adolescent birth rate is higher among African American and Hispanic teens than among white teens. To some degree, the higher teenage pregnancy rate in these groups reflects the impact of poverty, because a disproportionately higher number of African American and Hispanic youths live in poverty.
Rationale 4: When the first birth occurs in the early teen years, the next birth also is likely to occur prior to adulthood.
Rationale 5: Having a mother or a sister who had her first child during adolescence is a risk for a teen to become pregnant.