Which comment made by a client in her first trimester indicates ambivalent feelings?
a. "My body is changing so quickly."
b. "I haven't felt well since this pregnancy began."
c. "I'm concerned about the amount of weight I've gained."
d. "I wanted to become pregnant, but I'm scared about being a mother." - ANS D. "I wanted to
become pregnant, but I'm scared about being a mother."
A client who is 7 months pregnant states, "I'm worried that something will happen to my baby."
Which is the nurse's best response?
a. "Your baby is doing fine."
b. "Tell me about your concerns."
c. "There is nothing to worry about."
d. "The doctor is taking good care of you and your baby." - ANS B. "Tell me about your concerns."
An expectant client asks the nurse about the behavior of "mimicry." Which is an example of mimicry
that the nurse should relate to the client?
a. Daydreaming about the newborn
b. Imagining oneself as a good mother
c. Babysitting for a neighbor's children
d. Wearing maternity clothes before they are needed - ANS D. Wearing maternity clothes before
they are needed
What is the term for the step in maternal role attainment that relates to the woman giving up
certain aspects of her previous life?
a. Fantasy
b. Grief work
c. Role-playing
d. Looking for a fit - ANS B. Grief work
An expectant client in her third trimester reports that she developed a strong tie to her
,baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets
this as the development of which maternal task of pregnancy?
a. Learning to give of herself
b. Developing attachment with the baby
c. Securing acceptance of the baby by others
d. Seeking safe passage for herself and her baby - ANS B. Developing attachment with the baby
Which situation best describes a man trying on fathering behaviors?
a. Reading books on newborn care
b. Spending more time with his siblings
c. Coaching a little league baseball team
d. Exhibiting physical symptoms related to pregnancy - ANS C. Coaching a little league baseball team
Margaret, a 36-year-old divorcee with a successful modeling career, finds out that her 18-year-old
married daughter is expecting her first child. Which is a major factor in determining how Margaret
will respond to becoming a grandmother?
a. Her age
b. Her career
c. Being divorced
d. Age of the daughter - ANS A. Her age
Which comment made by a new mother to her own mother is most likely to encourage the
grandmother's participation in the infant's care?
a. "Could you help me with the housework today?"
b. "The baby is spitting up a lot. What should I do?"
c. "I know you are busy, so I'll get John's mother to help me."
d. "The baby has a stomachache. I'll call the nurse to find out what to do." - ANS B. "The baby is
spitting up a lot. What should I do?"
Which is a major concern among members of lower socioeconomic groups?
a. Practicing preventive health care
b. Meeting health needs as they occur
c. Maintaining an optimistic view of life
,d. Maintaining group health insurance for their families - ANS B. Meeting health needs as they occur
Which comment made by a new mother exhibits understanding of her toddler's response to a new
sibling?
a. "I can't believe he is sucking his thumb again."
b. "He is being difficult and I don't have time to deal with him."
c. "When we brought the baby home, we made Michael stop sleeping in the crib."
d. "My husband is going to stay with the baby so I can take Michael to the park tomorrow." - ANS D.
"My husband is going to stay with the baby so I can take Michael to the park tomorrow."
While teaching an Asian client about prenatal care, the nurse notes that the client refuses to make
eye contact. Which is the most likely cause?
a. A submissive attitude
b. Lack of understanding
c. Embarrassment about the subject
d. Cultural beliefs about eye contact - ANS D. Cultural beliefs about eye contact
The nurse in labor and birth is caring for a Muslim client during the active phase of labor. The nurse
notes that the client quickly draws away when touched. Which
intervention should the nurse implement?
a. Ask the charge nurse to reassign you to another client.
b. Assume that she doesn't like you and decrease your time with her.
c. Continue to touch her as much as you need to while providing care.
d. Limit touching to a minimum because physical contact may not be acceptable in her culture. - ANS
D. Limit touching to a minimum because physical contact may not be acceptable in her culture
Which client may require more help and understanding when integrating the newborn
into the family?
a. A primipara from an upper income family
b. A primipara who comes from a large family
c. A multipara (gravida 2) who has a supportive husband and mother
d. A multipara (gravida 6) who has two children younger than 3 years - ANS D. A multipara (gravida
6) who has two children younger than 3 years
, An Asian-American expectant father tells the nurse that he seems to be gaining weight, just like his
wife. The nurse recognizes that this behavior is most likely a
reflection of which?
a. Couvade
b. Embarrassment
c. Ambivalence regarding the pregnancy
d. Limited interest in the well-being of his wife - ANS A. Couvade
An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for
the baby. What should the nurse tell the couple?
a. Intercourse is safe until the third trimester.
b. Safer sex practices should be used once the membranes rupture.
c. Intercourse should be avoided if any spotting from the vagina occurs afterward.
d. Intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are
present. - ANS D. Intercourse and orgasm are often contraindicated if a history of or signs of preterm
labor are present
A pregnant client comes into the medical clinic stating that her family and friends are telling her that
she is always talking about the pregnancy and nothing else. She is concerned that something is
wrong with her. What psychological behavior is she
exhibiting?
a. Antepartum obsession
b. Ambivalence
c. Uncertainty
d. Introversion - ANS D. Introversion
During the course of the pregnancy, the client states that she feels a deep connection
with her unborn child. This behavior illustrates the maternal task acquisition of:
a. safe passage.
b. gaining acceptance.
c. fostering an interconnection.
d. developing empathy through physical actions. - ANS C. Fostering an interconnection
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