A woman has given birth to a child with a cleft lip. What action ...

[Chelseaamend]

A woman has given birth to a child with a cleft lip. What action by the patient would best indicate that goals for the diagnosis of dysfunctional grieving have been at least partially met?
 
  A.
  Birth announcements include photo and wording to explain cleft lip.
  B.
  Father accepts information about a cleft lip/cleft palate support group.
  C.
  Mother watches demonstration of holding baby appropriately for feeding.
  D.
  Parents express concern about their abilities to care for the baby.

Question 2

To provide anticipatory psychosocial guidance to a woman entering her third trimester, what topic should the nurse plan to include?
 
  A.
  Extreme fatigue may make the woman very vulnerable at the end.
  B.
  She may feel overwhelmed with the physical discomforts of pregnancy.
  C.
  Initial feelings of uncertainty will go away at childbirth.
  D.
  She may worry about impending childbirth but see it as a relief.

[ryansturges]

Answer to Question 1

ANS: A
Dysfunctional grieving (or other types of grieving) can occur with perinatal loss, including birth of a less-than-perfect child. When the parents demonstrate acceptance of the child as he or she is, they are meeting a goal for this diagnosis. Sending birth announcements with photos and wording to explain the anomaly demonstrate that they accept the child and expect others to do so as well. Passively accepting information about a support group or watching a feeding demonstration do not show real parental involvement. Most parents have concerns about their abilities to care for a baby, perfect or not.

Answer to Question 2

ANS: D
Around the seventh month of pregnancy, the woman begins to feel extremely vulnerable and worries about the impending labor and birth. At the same time, she is exhausted and sees this event as delivering her from the pregnancy. This contradiction can be disconcerting for some women who have not been educated about the normalcy of its occurrence. Fatigue is not the driving force for the vulnerability, although it can contribute to it. Uncertainty about one's ability to be a parent can continue past childbirth. Concern with physical discomforts is more acute in the first trimester for most women.