Summary Maternal and Child Nursing Reviewer Part 2
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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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Pamantasan Ng Lungsod Ng Maynila
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MATERNAL CHILD NURSING LEC – TRANS II AGON
OBSTETRIC NURSING PART 2
By: AGON, ARC
TABLE OF CONTENTS - 3rd Trimester: decrease in sexual urge
• CHANGES IN PREGNANCY because of problem in finding comfortable
1. Psychological Changes during Pregnancy position and the thinking that the father might
hit the baby.
• SOURCE: Pilliteri 6th Edition – Maternal and
Child Nursing
LESSON I: PSYCHOLOGICAL CHANGES IN
PREGNANCY
EMOTIONAL REACTIONS EXPERIENCED BY A 1. EMOTIONAL REACTIONS OF A PREGNANT
NEWLY PREGNANT PATIENT PATIENT
1. AMBIVALENCE - Is it a planned or a wanted pregnancy?
- Refers to the patient’s simultaneous attraction - Is it the first pregnancy?
for and against the pregnancy. - What experiences and memories does the
- The negative response to the pregnancy does patient have about previous pregnancies?
not mean that she doesn’t want the baby.
- She may simply have doubts as to whether she 2. SOCIAL INFLUENCE
will be a good parent, wonder if she is ready - Practices before pregnant women usually goes
for a baby, how a new baby will affect her to the clinic alone.
family and her lifestyle, and so forth. o From the before they know that they
- This is not to say that she doesn’t feel good are pregnant up to the time they going
about the pregnancy. to deliver the baby.
o Even though she may be doubtful in o Nowadays, we encourage the whole
some ways, she may be experiencing family to be involved they are advised
joy and excitement as well as to be present the entire duration.
happiness and anticipation. - Not limited in prenatal checkups but also
2. FEAR AND ANXIETY during labor and delivery.
- Refers to the patient being concerned for her - The experiences of the mother and significant
own health and health of the baby. others such the friends and relatives have
3. UNCERTAINTY great impact in process of patient’s and family
- Before the pt. accept the fact that she is care.
pregnant, she must ask herself “Am I really - That’s why it is the role of the nurse and other
pregnant?” health professionals, to educate and help them
- This may last until a positive diagnosis of to make the pregnancy and childbirth even
pregnancy is confirmed by a physician. pleasurable for the patient, their families, and
- “Quickening” is usually a big milestone in the significant others.
process of accepting pregnancy. 3. CULTURAL INFLUENCES
4. EMOTIONAL LIABILITY - The beliefs and health practices of client,
- Moo swing first few months partner and family may interfere in the
- Hormonal changes process of care. During prenatal visits cultural
5. BODY IMAGE AND BOUNDARY beliefs and practices are included.
- Thinks she would be looking like of being a - During the assessment period and as a
pregnant/ getting bigger. healthcare provider respect to their beliefs,
- Thinks that their body is delicate. Nothing should be considered.
should get near them and afraid of being hurt. 4. FAMILY INFLUENCES
6. NARCISSISM/ INTROVERSION - The family background, beliefs and situation
- Self-centeredness can also affect the mother and childcare.
- Change in level of activity - It is the role of the nurse to help the mother
- Figure conscious elicit all those negativities and adopts positive
- Health conscious outlook in life thru educating and giving them
7. SEXUAL DESIRE advises.
- 1ST Trimester: decrease in sexual urge due to 5. INDIVIDUAL INFLUENCES
the discomforts which the pregnant mother - A woman’s ability to cope with or adapt to
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