Answer to Question 1
2
1. Incorrect. During pregnancy, the breasts may become enlarged and tender; this tends to interfere with coitus, thereby decreasing the desire to engage in sexual activity.
2. Correct. Maternal physiologic changes, such as breast enlargement, nausea, fatigue, ab-dominal changes, perineal enlargement, leukorrhea, pelvic vasocongestion, and orgasmic responses, may affect sexuality and sexual expression. Libido may be depressed in the first trimester but often increases during the second and third trimesters.
3. Incorrect. Libido may be depressed in the first trimester but often increases during the second and third trimesters.
4. Incorrect. Maternal physiologic changes, such as breast enlargement, nausea, fatigue, abdominal changes, perineal enlargement, leukorrhea, pelvic vasocongestion, and orgasmic responses, may affect sexuality and sexual expression.
Answer to Question 2
3
1, 2, 4. Incorrect. In older societies, the man enacted the ritual couvade. Changing cultural and professional attitudes over the past 30 years have encouraged fathers' participation in the birth experience.
3. Correct. The partner's main role in pregnancy is to nurture and respond to the pregnant woman's feelings of vulnerability.