Maternal-Newborn Nursing 1st Edition Chapman Durham Test Bank
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Chapter 5: Psycho-Social-Cultural Aspects of the Antepartum Period
- Sally is in her third trimester and has begun to sing and talk to the fetus. Sally is probably exhibiting signs of:
- A) Mental illness
- B) Delusions
- C) Attachment
- D) Crisis
- What is the most common expected emotional reaction of a woman to the news that she is pregnant?
- A) Jealousy
- B) Acceptance
- C) Ambivalence
- D) Depression
- Which of the following information regarding sexual activity would the nurse give a pregnant woman who is 35 weeks’ gestation?
- A) Sexual activity should be avoided from now until 6 weeks postpartum.
- B) Sexual desire may be affected by nausea and fatigue.
- C) Sexual desire may be increased due to increased pelvic congestion.
- D) Sexual activity may require different positions to accommodate the woman’s comfort.
- Which statement best exemplifies adaptation to pregnancy in relation to the adolescent?
- A) Adolescents adapt to motherhood in a similar way to other childbearing women.
- B) Social support has very little effect on adolescent adaptation to pregnancy.
- C) The pregnant adolescent faces the challenge of multiple developmental tasks.
- D) Pregnant adolescents of all ages can be capable and active participants in health care decisions.
- Jane’s husband Brian has begun to put on weight. What is this a possible sign of?
- A) Culturalism syndrome
- B) Couvade syndrome
- C) Moratorium phase
- D) Attachment
- Cathy is pregnant for the second time. Her son, Steven, has just turned 2 years old. She asks you what she should do to help him get ready for the expected birth. What is the nurse’s most appropriate response?
- A) Steven will probably not understand any explanations about the arrival of the new babyRemember, Cathy should do nothing.
- B) If Steven’s sleeping arrangements need to be changed, it should be done well in advance of the birth.
- C) Steven should come to the next prenatal visit and listen to the fetal heartbeat to encourage sibling attachment.
- D) Steven should be encouraged to plan an elaborate welcome for the newborn.
- The nurse is interviewing a pregnant client who states she plans to drink chamomile tea to ensure an effective labor. The nurse knows that this is an example of:
- A) Cultural prescription
- B) Cultural taboo
- C) Cultural restriction
- D) Cultural demonstration
- Which of the following would be a priority for the nurse when caring for a pregnant woman who has recently emigrated from another country?
- A) Help her develop a realistic, detailed birth plan.
- B) Identify her support system.
- C) Teach her about expected emotional changes of pregnancy.
- D) Refer her to a doula for labor support.
- A pregnant client at 20 weeks’ gestation comes to the clinic for her prenatal visit. Which of the following client statements would indicate a need for further assessment?
- A) “I hate it when the baby moves.”
- B) “I’ve started calling my mom every day.”
- C) “My partner and I can’t stop talking about the baby.”
- D) “I still don’t know much time I’m going to take off work after the baby comes.”
- A pregnant client asks the nurse why she should attend childbirth classes. The nurse’s response would be based on which of the following information?
- A) Attending childbirth class is a good way to make new friends.
- B) Childbirth classes will help new families develop skills to meet the challenges of childbirth and parenting.
- C) Attending childbirth classes will help a pregnant woman have a shorter labor.
- D) Childbirth classes will help a pregnant woman decrease her chance of having a cesarean delivery.
- A woman presents for prenatal care at 6 weeks gestation by LMP. Which of the following findings would the nurse expect to see?
- A) Multiple pillow orthopnea
- B) Maternal ambivalence
- C) Fundus at the umbilicus
- D) Pedal and ankle edema
- The clinic nurse encourages paternal attachment during pregnancy by including the father in: Select all answers that apply.
- A) Prenatal visits
- B) Ultrasound appointments
- C) Prenatal class information
- D) History taking and obtaining prenatal screening information
- The clinic nurse talks with Becky, a 16-year-old woman who is now 28 weeks gestation. Today’s visit is only the second prenatal appointment that Becky has kept. The nurse wonders if Becky’s failure to come for routine prenatal checks is, in part, related to an adolescent’s orientation to the ________, rather than to the _________.
- According to Rubin, the mother-to-be needs to accept the pregnancy and incorporate it into her own reality and _______________. This process is known as “______________.”
- Jenny, a 21-year-old single woman, comes for her first prenatal appointment at 31 weeks gestation with her first pregnancy. The clinic nurse’s most appropriate statement is:
- A) “Jenny, it is late in your pregnancy to be having your first appointment, but it is nice to meet you and I will try to help you get caught up in your care.”
- B) “Jenny, have you had care in another clinic? I can’t believe this is your first appointment!”
- C) “Jenny, by the date of your last menstrual period, you are 31 weeks and now that you are finally here, we need you to come monthly for the next two visits and then weekly.”
- D) “Jenny, by your information, you are 31 weeks gestation in this pregnancy. Do you have questions for me before I begin your prenatal history and information sharing?”
- The clinic nurse asks pregnant women about their acceptance and planning for this pregnancy as a component of domestic violence screening. The nurse is aware that a(n) ______ pregnancy _______ the risk for domestic violence.
- The clinic nurse visits with Wayne, a 32-year-old man whose partner is pregnant for the first time and is at 12 weeks. Wayne describes nausea and vomiting, fatigue, and weight gain. His symptoms are best described as:
- A) Influenza
- B) Couvade syndrome
- C) Acid reflux
- D) Cholelithiasis
- The perinatal nurse screens all pregnant women early in pregnancy for maternal attachment risk factors, which include:
Select all answers that apply.
- A) Adolescence
- B) Low educational level
- C) History of depression
- D) A strong support system for the pregnancy
- A first-time father is experiencing couvade syndrome. He is likely to exhibit which of the following symptoms or behaviors?
- A) Urinary frequency
- B) Hypotension
- C) Bradycardia
- D) Prostatic hypertrophy
- When providing a psychosocial assessment on a pregnant woman at 21 weeks gestation, the nurse would expect to observe which of the following signs?
- A) Ambivalence
- B) Depression
- C) Anxiety
- D) Happiness
Sexual activity may require different positions to accommodate the woman’s comfort.
The pregnant adolescent faces the challenge of multiple developmental tasks.
If Steven’s sleeping arrangements need to be changed, it should be done well in advance of the birth.
Identify her support system.
“I hate it when the baby moves.”
Childbirth classes will help new families develop skills to meet the challenges of childbirth and parenting.
Prenatal class information
History taking and obtaining prenatal screening information
- present; future
- self-concept; binding in
“Jenny, by your information, you are 31 weeks gestation in this pregnancy. Do you have questions for me before I begin your prenatal history and information sharing?”
- unplanned; increases
Low educational level
History of depression