Deck 8: Psychosocial Adaptations to Pregnancy

Question 1

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."

Answer 1

"Tell me about your concerns."

Question 2

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

Answer 2

Wearing maternity clothes before they are needed

Question 3

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

Answer 3

Couvade

Question 4

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

Question 5

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

Question 6

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.

Question 7

Which of the following would be considered to be a system barrier to the birth of prenatal care?

A) Adolescent pregnant client
B) Inability to schedule an appointment with the health care provider because of a busy medical practice
C) Pregnant client has no health insurance
D) Having to sign in for the initial appointment and complete health history records

Question 8

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

Question 9

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."

Question 10

The nurse reveals to the patient that the over-the-counter test is verified and that she is pregnant. The patient confides to the nurse, "We have wanted to be pregnant for some time. These last few days I have been questioning our decision. I am feeling really bad right now." What is the nurse's best response?

A) "You will come around in time and you will grow to love this baby."
B) "Don't feel bad. It is the hormones of pregnancy talking right now."
C) "Why do you think you are feeling bad when you wanted to be pregnant?"
D) "Your feelings are understandable. Ambivalence is not uncommon right now."

Question 11

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

Question 12

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

Question 13

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

Question 14

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."

Question 15

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

Question 16

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."

Question 17

A pregnant client relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this client statement?

A) Tell her not to worry because it is natural for her boyfriend to make her feel better by identifying with her pregnancy.
B) Refer the client to a psychologist for counseling to deal with this problem because it is clearly upsetting her.
C) Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners.
D) Ask the client specifically to define her concerns related to her relationship with her boyfriend and suggest methods to stop this type of behavior by her significant other.

Question 18

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.

Question 19

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

Question 20

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.

Question 21

A Vietnamese client who speaks little English is admitted to the labor and birth unit in early labor. The nurse plans to use an interpreter during an initial assessment. Which should the nurse plan to implement with regard to using an interpreter? (Select all that apply.)

A) Face the interpreter when speaking.
B) Listen carefully to what the client says.
C) Speak slowly and smile when appropriate.
D) Plan to use a male interpreter, even if a female interpreter is available.
E) Ask the interpreter to explain exactly what is said as much as possible, instead of paraphrasing.

Question 22

In some Middle Eastern and African cultures, female genital mutilation is a prerequisite for marriage. Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of their genitalia. When caring for this client, the nurse can formulate a diagnosis with the understanding that the client may be at risk for which of the following? (Select all that apply.)

A) Infection
B) Laceration
C) Hemorrhage
D) Obstructed labor
E) Increased signs of pain response

Question 23

The nurse is assessing a client in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to asses? (Select all that apply.)

A) The client is excited to see her baby.
B) The client has not started to prepare the nursery for the new baby.
C) The client expresses concern about how to know if labor has started.
D) The client and her spouse are concerned about getting to the birth center in time.
E) The client and her spouse have not discussed how they will share household tasks.

Question 24

A patient arrives to the clinic 2 hours late for her prenatal appointment. This is the third time she has been late. What is the nurse's best action in response to this patient's tardiness?

A) Ask the patient if she has a way to tell the time.
B) Ask the patient if she is deliberately being late for her appointments.
C) Determine if the patient wants this baby and if this is her way of acting out.
D) Determine if the patient arrives after the start time for other types of appointments.