Durham & Chapman Maternal-Newborn Nursing Chapter 5 Complete Exam

Reva Rubin ANSWER: identified significant maternal tasks women undergo during the course of pregnancy on their journey toward motherhood Reva Rubin maternal tasks ANSWER: -ensure safe passage for herself and baby -ensure social acceptance of the child by significant others -attachment or binding in to the child -give oneself to the demands of being a mother Regina Lederman ANSWER: identified seven dimensions of maternal role development Maternal tasks of preganancy: ANSWER: were first identified in the physchoanalytic literature - then further explored and outlined by classic maternity nurse researchers Reva Rubin, Ramona Mercer, and Regina Lederman 7 dimensions of maternal role development ANSWER: 1-acceptance of pregnancy 2-identification with the motherhood role 3-relationship to her mother 4-reorder relationship with her husband or partner 5-preparation for labor 6-prenatal fear of loss of control in labor 7- prenatal fear of loss of self-esteem in labor Maternal Adaptation variables ANSWER: -parity -maternal age -sexual orientation -single parenting -multiple pregnancies -socioeconomic factors -abuse Parity: Multigravidas may have the benefit of experience but it shouldnt be assumed that they need ANSWER: less helps thena a first time mother - they know more of what to expect in terms of peon during abor, postpartum adaption, and the many added responsibilities of motherhood, but they may need time to process and develop strategies for integrating a new member into the family Parity: Pregnancy tasks may be more complex. Giving adequate attention to all children and supporting sibling adaption are unique challenges faced by the ANSWER: multigravida Maternal Age: The younger she is the more difficult the adolescent woman has with ANSWER: body image changes, acknowledging the changes and pregnancy, seeking helath care, and planning for the changes the pregnancy and parenting will bring Maternal Age: Early adolescence can be defined as the period between ANSWER: 11 and 15 years - greater likelihood that pregnancy at this age is a result of abuse or coericion Maternal Age: Middle Adolescents is defined as the period between ANSWER: 14 to 16 years - during this time the adolescent will be more capable of abstract thinking and understanding consenquenses of current behaviors Maternal Age: By age 17-20 as adolescents mature into late adolescents these skills will be further developed and eventually ANSWER: mastered - the older pregnant adolescent is more likely to be a capable and active participant in helath care decisions Maternal Age: Older mothers, ______________ that are more common in women over 35 may affect the pregnancy. ANSWER: Chronic diseas