Chapter 08: Psychosocial Adaptations to Pregnancy

Chapter 08: Psychosocial Adaptations to Pregnancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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

Ambivalence refers to conflicting feelings. Expressing a concern about being a mother indicates conflicting or ambivalent feelings. Not feeling well since the pregnancy began does not reflect conflicting feelings. The woman is trying to confirm the pregnancy when she is stating the rapid changes to her body. She is not expressing conflicting feelings. By expressing concerns over gaining weight, which is normal, the woman is trying to confirm the pregnancy.

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   124

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

 

2. 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

Encouraging the client to discuss her feelings is the best approach. The nurse should not disregard or belittle the client’s feelings. Responding that your baby is doing fine disregards the client’s feelings and treats them as unimportant. Responding that there is nothing to worry about does not answer the client’s concerns. Saying that the doctor is taking good care of you and your baby is belittling the client’s concerns.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   128

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Psychosocial Integrity

 

3. 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

Mimicry involves observing and copying the behaviors of other women who are pregnant or are mothers. Wearing maternity clothes before they are needed helps the expectant mother feel what it’s like to be obviously pregnant. Daydreaming is a type of fantasy in which the woman tries out a variety of behaviors in preparation for motherhood. Imagining herself as a good mother is the woman’s effort to look for a good role fit. She observes behavior of other mothers and compares them with her own expectations. Babysitting other children is a form of role-playing in which the woman practices the expected role of motherhood.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   128

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

 

4. 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

The woman experiences sadness as she realizes that she must give up certain aspects of her previous self and that she can never go back. This is called grief work. Fantasies allow the woman to try on a variety of possibilities or behaviors. This usually deals with how the child will look and the characteristics of the child. Role-playing involves searching for opportunities to provide care for infants in the presence of another person. Looking for a fit is when the woman observes the behaviors of mothers and compares them with her own expectations.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   128, 129

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

 

5. 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 a strong tie in the first trimester and progressing to be in tune is the process of commitment, attachment, and interconnection with the infant. This stage begins in the first trimester and continues throughout the neonatal period. Learning to give of herself is the task that occurs during pregnancy as the woman allows her body to give space to the fetus. She continues with giving to others in the form of food and presents. Securing acceptance of the baby is a process that continues throughout pregnancy as the woman reworks relationships. Seeking safe passage is the task that ends with birth. During this task, the woman seeks health care and carries out cultural practices.

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   129

OBJ:   Nursing Process Step: Evaluation     MSC:  Client Needs: Health Promotion and Maintenance