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Capella 4060 Assessment 1

Capella 4060 Assessment 1

Assessment 1: Health Promotion Plan



Capella University

FPX-NURS 4060: Practicing in the Community to Improve Population Health

Prof. Name:

May 2023

Teen Pregnancy: A Community Health Concern

Community Health provides health services to society with the help of healthcare professionals in the community. It focuses on the well-being of the community individuals and enhances protection by spreading awareness about the significance of healthy lifestyles and medical interventions timely. Nurses play a vital role in spreading community health awareness and providing community health to individuals living in the communities and enhancing their quality of life (Choudhary, 2021). Teen pregnancy is a rapidly emerging community problem that can be reduced by the effective strategies of community nurses. In the US, teen pregnancy rates have declined over the years but still, the US teen birth rate is greater than in other Western countries. Teen pregnancy rates had consistent differences within ethnic groups in the US. Teen pregnancy resulted in birth rates for Hispanic teens (25.3) and non-Hispani Black teens (25.8) found higher twice than the birth rate for non-Hispanic white teens (11.4). While the teen pregnancy birth rate of American Indians or teen girls residing in Alaska was the greatest among all the ethnicities. Teen pregnancy is influenced by many factors including poverty, and lack of education, the residing places where the teen girls live. For instance, teen girls in foster home care become victims of unwanted sexual activities and hence become pregnant at an early age. Teen pregnancy also enhances high school leaving rates among girls. The teen girls who do not happen to become pregnant at a young age graduate from high school at the rate of 90 %, while the rate of teen mothers who get high school diploma by 22 years is only 50%. (Centers for Disease Control and Prevention, 2021).  

Capella 4060 Assessment 1

Why Addressing this Health Concern is Important to Create a Plan?

This health concern is essential to be addressed as it has been enhancing tremendously among teenage girls and the young girls not only become young mothers but also face many health issues such as depression and trauma and also become a victim of social issues including social relationships among teen pregnant girls, and social stigma related to early pregnancy. Teen girls also face emotional instability after early pregnancy. Teenage pregnancy often makes girls get shy and they do not seek proper medical care and neglect antenatal care treatment, which later poses serious health complications e.g. eclampsia, episiotomy, preterm delivery, and low childbirth weights may result in dangers to infants (Abebe et al., 2020).

According to Emeri and Olarenwaju (2022), teenage pregnancy prohibits the rights of girls and has been connected with depression trauma, poor social linkage, social stigma, and poor emotional stability. Their study findings provided the conclusion that teenage pregnancy as a result of early marriage or unprotected sexual activity impacts both the young mother as her childhood gets stolen by early motherhood and will be unable to lead her life as her male counterparts can in all aspects of life (Emeri & Olarenwaju, 2022). 

As a result, Vila Health Community Management must resolve this important health issue. Teenage pregnancy can lead to many health and wellness-related consequences and also pose dangers to the delivery baby by early pregnancy. These health hazards should be minimized by providing an effective approach to reduce teenage pregnancy with the assistance of nurses who should actively facilitate such patients Vila Community Management Center should support this approach by providing effective opportunities to both nurses and the affected patients. 

Patient Demographics

 Ana a 14 years old girl was received at Vila Health Community Center. The following information was found about her. Ana happened to be an orphan ever since she was born and had been living with her mother. Her socioeconomic condition was very poor and there was barely any money to buy food. Daily she and her mother had to go to earn some money and tried to rent a shop. Ana informed how the shop owner harassed her because her mother had taken a loan from him and at a young age, she got pregnant. She did not know about the pregnancy until she told her mother how nauseous she is becoming lately. Her mother could not help her properly in medical terms due to poor finances and she ended up getting high blood pressure due to pregnancy and faced many challenges in pregnancy. Her mother supported her emotionally and also left the shop and started working in another store as a cleaner. Eclampsia, puerperal endometritis, and a few systemic infections were major complications in Ana’s case. Ana feels her childhood has been stolen by becoming pregnant at such young age. The duty of bringing up a child at such a young age dreads her the most. According to a study, the prevalence of preeclampsia and eclampsia in teenage pregnancy is 6.7% due to various socioeconomic and demographic factors affecting teenage pregnancy outcomes (Macedo et al., 2020). According to WHO, 55% of unwanted pregnancies in teenage girls result in unsafe abortions (World Health Organization, 2022).

Capella 4060 Assessment 1

By analyzing the data of such patients, it depicts that poor socioeconomic status, illiteracy of sex education in teen girls, and pedophilic behavior of males are all major key factors involving teenage pregnancy and the health dangers related to it. According to a study, such findings can be managed by education and awareness initiatives and running campaigns. The SMART goals as follows can help eradicate this teenage pregnancy and related problems.

SMART Health Goals

An educational session will be conducted by the Villa Health Community Center targeting Saint Joseph School. The participants for this educational session comprise teen girls aged 13-19 to spread awareness of teenage sexual health and also prevent teenage pregnancy.  SMART goals were developed by collaboration with the participants in the form of group activities and were evaluated by continuously monitoring the progress of the community in terms of the reduction in teen pregnancy rate as a result of this educational session. 

These SMART goals will be helpful in reducing teen pregnancy and bringing betterment in their health. SMART goal-making is an efficient methodology for attaining desired results and bringing knowledge into practice. In SMART goal, SMART is an acronym for specific, measurable, attainable, realistic, and time-bound goals (Bailey, 2019). Following are the goals developed as a result of active educational session with participants:

  1. Goal #1: Obtaining three causes (measurable) that promote teenage pregnancy (specific) and providing two significant methods of preventing it to occur (realistic and achievable) at the end of this educational session (time-bound).
  2. Goal #2: Finding three ways (measurable) by which teenage pregnancy can be reduced (specific) and how these ways can be made possible to practice (realistic and achievable) when our session ends (time-bound)
  3. Goal #3: Collaborating with the school’s teaching faculty for creating training and educational classes (realistic, measurable, and achievable) monthly (time-bound) on sex education and healthy sex life in teen girls for reducing the chances of incidence of teenage pregnancy (specific).


Teenage pregnancy poses serious health complications in adolescent girls. Adequate educational and awareness campaigns should be run to facilitate young girls with proper education about their sexual health and ways to cope with such situations to prevent getting pregnant early in their life. This demands the nurses’ active participation in educating, guiding, and providing care treatment to such patients and nurses should attain evidence-based training certifications for handling teenage pregnancies. SMART health goals can reduce health complications in teenage pregnant girls and prevent early deaths.


Abebe, A. M., Fitie, G. W., Jember, D. A., Reda, M. M., & Wake, G. E. (2020). Teenage pregnancy and its adverse obstetric and perinatal outcomes at Lemlem Karl hospital, tigray, ethiopia, 2018. BioMed Research International.

Bailey, R. R. (2019). Goal Setting and Action Planning for Health Behavior Change. American Journal of Lifestyle Medicine, 13(6), 615–618.  

Centers for Disease Control and Prevention. (2023). Health Care Providers and teen pregnancy prevention. Centers for Disease Control and Prevention. Retrieved May 4, 2023, from 

Centers for Disease Control and Prevention. (2021). About teen pregnancy. Centers for Disease Control and Prevention. Retrieved May 4, 2023, from 

Choudhary , S. (2021). Community health and its importance. 

Emeri, P. N., & Olarenwaju, F. O. (2022). Impact of teenage pregnancy and early marriage on psychosocial well-being of pregnant teenagers in Lagos State: Sociological implications. International Journal of Educational Research, 10(1), 91–101. 

Macedo, T. C. C., Montagna, E., Trevisan, C. M., Zaia, V., de Oliveira, R., Barbosa, C. P., Laganà, A. S., & Bianco, B. (2020). Prevalence of preeclampsia and eclampsia in adolescent pregnancy: A systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. European Journal of Obstetrics & Gynecology and Reproductive Biology, 248, 177–186. 

World Health Organization. (2022). Adolescent pregnancy. WHO; World Health Organization: WHO. Retrieved May 4, 2023, from 

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