Summary Maternal and Child Nursing Reviewer & Notes Part 3
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Course
Maternal And Child Nursing
Institution
Pamantasan Ng Lungsod Ng Maynila
Book
The Nurse and the Childbearing Family
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Maternal and Child Health Nursing 8th Edition Pillitteri Test Bank
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MATERNAL CHILD NURSING LEC – TRANS III AGON
OBSTETRIC NURSING PART 3
By: AGON, ARC
TABLE OF CONTENTS 1. UNMARRIED
• CHANGES IN PREGNANCY - There may have been an unplanned pregnancy
1. Physiologic Changes during Pregnancy and a decisions was made not to marry the
• SOURCE: Pilliteri 6th Edition – Maternal and father of the child.
Child Nursing - A patient just may desire a child without the
PHYSIOLOGIC TASKS OF PREGNANCY commitment of a marriage.
- 1st Trimester: Accepting the pregnancy - Pregnancy could be the result of a rape and the
- 2nd Trimester: Accepting the baby patient decided to terminate the pregnancy.
- 3rd Trimester: Preparing for the baby and end - A patient just may desire a child without the
of pregnancy. commitment of a marriage.
2. WIDOWED
3. DIVORCED
ADJUSTMENTS OF FATHERS DURING - There may have been a planned pregnancy to
PREGNANCY save a marriage and it did not work. It may
1. Men undergo far less social preparation have been totally unplanned, and the patient
than women do for parenthood. With a close, decided to continue with the divorce and
supportive family relationship, the father can pregnancy.
receive help in his adjustment if needed. 4. SEPARATION
2. Introduction comes with the actual - The father may be imprisoned, may be on
confirmation of the diagnosis of pregnancy, military duty or just separated from the
focusing more on impending fatherhood mother.
rather than the immediate state of pregnancy. 5. SURROGATE MOTHER
o Accepting the fact of pregnancy can - A woman who carries the fetus of the infertile
raise excitement versus denial, that is, woman’s husband and then relinquishes the
is it really his? child to the couple for rearing.
o This may cause guilt feelings over the - This is usually done for the couples that have
discomforts his partner may be difficulty with delivering a viable fetus.
experiencing and may develop a new
image of himself and his altered • Counseling is done to: (Most single patients need
responsibilities counseling regardless of their age)
3. The father is busily reworking the family
budget to afford a child. A. Aid her to make realistic plans for her
4. He may need encouragement to participate in child’s future.
the preparation for parenting. B. Help her to cope up with emotional stress
o Encourage him to accompany his especially during labor. If possible, have
partner on prenatal visits. These visits the patient find a friend to go through
can allow him to listen to the fetal labor with her.
heart tones. (if pt.’s have anxiety if the C. Provide sources of counseling to include
baby is dead or alive, let them listen to whether to have an abortion, keep the
FHT) child or put the child up for adoption.
o The growth and development of the D. Inform her of community agencies that
fetus should be explained to him. may help her financially with childcare
o He should also be included in office and other responsibilities.
visits. E. Provide mechanisms to help her cope up
o Encouraging him to participate in with loneliness.
classes on natural childbirth,
parenting, and childcare are all • Pregnant Teenage – Married or Not
important. - The teenager is still growing
o Allow the father to participate in the - She needs a specialized nutritional nursing
labor and delivery process if he care plan.
expresses a desire to participate. - The diet should be adjusted to what and where
she normally eats.
, MATERNAL CHILD NURSING LEC – TRANS III AGON
- The teenager lacks compliance with - Consider ages and personalities when talking
instructions and lack of physical and with children ‘Inform older children first, but
psychological maturity. She has not yet do not leave out the younger ones.
achieved physical and psychological maturity. - Children understand far more than you think
- Emphasize that the baby is not replacing
FACTORS INFLUENCES THE ROLE OF THE anyone but is an addiction to be loved by all.
UNWED FATHER b. Make physical changes to the home if
1. ECONOMIC necessary:
- Can he support a child - Changes should be made well in advance,
- Does he have a job? especially if it means changing sibling’s room
- Is he married with another family to support? or bed arrangement
- What is the age of the father? If a teenager, is - Include children in the changes and
he still in school? adjustments.
c. Prepare children for the separation from their
mother during delivery
2. SOCIAL IMPLICATIONS - Evaluate hospital sibling’s visitation policies in
- Implications may indicate the reaction of the advance
news by his peers - If available let siblings go meet the newborn
- With the pregnancy force an early marriage and see their mother in the hospital.
- If married to someone else, how will this affect
that relationship
3. PSYCHOLOGICAL RESPONSE
LESSON II: PHYSIOLOGIC CHANGES DURING
- May question whether he is the father PREGNANCY
- May experience a sense of loss or grief if he
REPRODUCTIVE CHANGES
cannot be involved with the child. In some
states, adoption without his consent may be
allowed.
- May experience anger from the girl of his
parents
- May affect his relationship with another
female.
FACTORS AFFECTING THE PARENTS OF THE
UNWED MOTHER AND FATHER
- Most single patients need counseling
regardless of their age
o Rejection or neglect from family or
friends.
o May feel exposed to judgmental
attitudes of medical and nursing
personnel over how they could have
let this happen.
o May feel guilty for what happened.
o May face financial burden, especially if
they decide to keep or adopt the child. • UTERINE CHANGES
o May face a permanent loss of a - The uterus is the most affected organ of the
grandchild if the child is given up for mother.
adoption. o Changes in measurements in all
o May face loss of relationship with their aspects especially it is the body part
child because of the decision made which will carry the fetus
SPECIAL NEEDS OF SIBLINGS - The uterus can be felt at the lower wall of the
- The response of siblings o pregnancy varies abdomen and upper part of the symphysis
with age and dependence needs pubis by the end of the 3rd lunar month.
- Open communication with siblings will be o By the 5th-6th lunar month it should
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