Despite continued down trending teen birth rates, adolescent pregnancy remains a critical public health concern, particularly within educational environments. As school based healthcare providers, your role extends beyond physical care to confront the complex realities that pregnant teens encounter. This chapter delves into the multifaceted aspects of teenage pregnancy including nausea, abdominal pain, and vaginal bleeding. By fostering a supportive and non-judgmental environment, we can empower young mothers to make informed decisions about their health, education, and future. Through collaboration with parents, pediatricians, and obstetricians, we can mitigate the risks associated with teenage pregnancy and promote positive outcomes for both mother and child.