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Nursing Care Related to Psychological and Physiologic Changes of Pregnancy. CH10.p
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Nursing Care Related to Psychologicaland Physiologic Changes of Pregnancy.
CH10
1. A woman in a prenatal clinic tells the nurse that her pregnancy was unplanned and
unwanted. At what point in pregnancy does the average woman change her mind about
an unwanted pregnancy?
A) around the third month
B) when quickening occurs
C) after lightening happens
D) after the seventh month - ANS-Ans: B
Client Needs: Health Promotion and Maintenance
Cognitive Level: Understand
Page: 206
Feedback: Quickening, or feeling the baby move inside the body, is such a dramatic
event that it can cause a woman's perceptions about the pregnancy to change.
2. A nurse is assessing a pregnant woman who has come to the clinic for a follow up
visit. During the visit the nurse assesses the woman for evidence that she is working
through the developmental tasks and adjusting psychologically. Which statement would
the nurse interpret as indicating that the woman is adjusting positively?
A) "My mother and I are closer than ever before."
B) "I don't care what sex baby I have as long as it's healthy."
C) "I'm thinking about everything I eat these days."
D) "There are a lot of allergies in my husband's family." - ANS-Ans: A
Client Needs: Psychosocial Integrity
Cognitive Level: Analyze
Page: 207
Feedback: A developmental task for a woman during pregnancy is to review and
restructure her relationship with her mother.
3. During pregnancy, which situation would interfere with mother-child bonding?
A) A woman's neighbor is planning an extensive vacation.
B) A woman's father has been very ill during the pregnancy.
C) A woman's husband was awarded a large year-end bonus.
D) A woman's sister recently had a baby boy. - ANS-Ans: B
Client Needs: Psychosocial Integrity
, Cognitive Level: Analyze
Page: 207
Feedback: Any event during pregnancy that has the potential to reduce the time the
woman spends working through the developmental tasks of pregnancy can interfere
with bonding.
4. A pregnant woman needs to increase the amount of milk she drinks daily. Early in
pregnancy, which statement would probably be most effective as a health teaching
measure?
A) "Milk will strengthen your fingernails as well as be good for the baby."
B) "The fetus needs milk to build strong bones and teeth."
C) "Milk is a rich source of calcium that is important for fetal growth."
D) "Your future baby will benefit from a high milk intake." - ANS-Ans: A
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Page: 208
Feedback: Early in pregnancy, before the pregnancy seems real, women often respond
best to health teaching that meets their needs rather than those of the coming infant.
5. A pregnant woman's husband does not voice concerns at prenatal visits. Which
observation would lead the nurse to suspect that the husband is emotionally involved in
the pregnancy?
A) He states he definitely wants a girl.
B) He walks around furniture as if his abdomen is enlarged.
C) He states he is concerned about the loss of his free time.
D) He has refused to paint the baby's room blue. - ANS-Ans: B
Client Needs: Psychosocial Integrity
Cognitive Level: Analyze
Page: 209
Feedback: Many partners experience physical symptoms such as nausea, vomiting,
and backache to the same degree or even more intensely than their partners during a
pregnancy; some begin to gain weight along with their partner. This is known as
couvade syndrome. As a woman's abdomen begins to grow, partners may perceive
themselves as growing larger too, as if they were the ones who were experiencing
changing boundaries the same as the pregnant woman. These symptoms apparently
result from stress, anxiety, and empathy for the pregnant woman. Men who identify with
their wife's pregnancy may act as if their abdomen is enlarging, the same as they may
take on nausea of pregnancy.
6. To prepare his 4-year-old son for a new baby, a father should use which statement?
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