Risk Factors: Scope: Populations: -adolescents -low-income individuals Biophysical factors Psychosocial factors Sociodemographic factors Environmental factors Not Pregnant ---------------------- Pregnant (By choice/Not by choice) (Unplanned/ Planned) Definition: Reproduction - “The process by which organisms produce offspring.” Assessment Data: Primary/Secondary Prevention: Primary Prevention- Parenting classes Sexual education (STI’s, abstinence, contraception) Methods of contraception Secondary Prevention- - CBC, blood type and Rh, rubella titer, Pap smear, glucose, STI testing Emotional health of mother Screen for domestic violence/abuse HistorySexual, contraceptive, pregnancy, STIs, family Exam- Vital signs, weight gain, BP, fetal heart rate, edema Diagnostic testsPregnancy test, Rh factor, STI, amniocentesis (if needed), glucose tests Sexuality Concept Map On Next Page Risk Factors: Scope: Sexual Well-Being Sexual Function Sexual Ill-Being Sexual Dysfunction Populations- Adolescents - Disabilities (cognitive, developmental, physical) - Newly unpartnered - Sexual orientation and identification Individual risk - High risk behaviors - Underlying medical conditions/medications Definition: Sexuality “A central aspect of being human throughout life encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction.” Assessment Data: Primary/Secondary Prevention: Primary Prevention- Contraception, safe sex practices, healthy relationships, abstinence, HPV vaccine Secondary Prevention-Screening for STIs - Pap smear -Screening for intimate partner violence History – - Partners, practices, protection, past history of infection, prevention of pregnancy, menstrual cycle Exam – Clinical findings – blood, pain, distention. External genitalia and internal structures, pelvic exam (female). Genitalia, testes, prostate (male). Collect specimens. Tests – Pap smear, STI tests, PSA tests References: Giddens, J. F. (2021). Concepts for Nursing Practice (3rd ed.). St. Louis, MI: Elsevier.