Author Question: Which of the following would be considered to be a system barrier to the birth of prenatal care? ... (Read 17 times)

soccerdreamer_17 · **on:** Jun 28, 2018

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 2

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

Swizqar · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
A delay in the ability to schedule an appointment with a health care provider is an example of a system barrier to the birth of prenatal care. An adolescent pregnant client would not be considered to be a system barrier but rather a psychosocial factor that would affect the pregnancy state. Having no health insurance is an example of a financial barrier to the birth of prenatal care. Completing a health history record is part of a comprehensive assessment.

Answer to Question 2

ANS: D
The client is exhibiting behaviors associated with introversion and/or narcissism. These are normal findings during pregnancy as long as they do not become obsessive to the exclusion of everything else. The client is talking about the pregnancy but there is no evidence that it is affecting her perception of reality and/or ability to perform ADLs. It is normal for pregnant women to focus on the self as being of prime importance in their life initially during the pregnancy. Some women may feel ambivalent about their pregnancy, which is a normal reaction. However, this client's behavior does not support this finding. Some women react with uncertainty at the news of being pregnant, which is a normal reaction. However, this client's behavior does not support this finding.