t (50%) of teen mothers that had quit school did so before becoming pregnant and the other half dropped out after becoming pregnant. Children of teen parents often do worse in school and are fifty percent (50%) more likely to repeat a grade (1998).
             With these statistics, the nursing professional addressing a macro perspective to the issue would need to look at what are some of the influences, which increase teenage pregnancy, specifically societal contributions. According to Nola Pender that health promotion involves strategies related to an individual lifestyle and personal choices made in a social context that have a strong influence over one's own health expectations (1996). Keeping this ideal in mind and looking at
             some areas which may be addressed are the higher numbers of teenage pregnancy linked to lack of education, self esteem uncertainties, lack of access to the health care delivery system, relationships pressures, and access to medical expulsions of unwanted pregnancies.
             Looking at strategies to improve lack of education first, nurses should get involved in the political arena to develop and encourage referendums in legislative policies to get the needed education to the target population. This should be accomplished at the local, state, and national levels to encompass that macro perspective. Nursing professionals must maintain that professional status by presen
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