The partner of a pregnant patient at 16 weeks' gestation ...

[Cooldude101]

The partner of a pregnant patient at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he's having a hard time relating to his partner's fatigue and food aversions.
 
  Which of the following statements would be best for the nurse to make? 1. If you would concentrate harder, you'd be aware of the reality of this pregnancy.
  2. My husband had no problem with this. What was your childhood like?
  3. You might need professional psychological counseling. Ask your physician.
  4. Many men feel this way. Feeling the baby move will help make it real.

Question 2

The client at 30 weeks' gestation with her first child is upset. She tells the prenatal clinic nurse that she is excited to become a mother, and has been thinking about what kind of parent she will be.
 
  But her mother has told her that she doesn't want to be a grandmother because she doesn't feel old enough, while her husband has said that the pregnancy doesn't feel real to him yet, and he will become excited when the baby is actually here. What is the most likely explanation for what is happening within this family? 1. Her husband will not attach with this child, and will not be a good father.
  2. Her mother is rejecting the role of grandparent, and will not help out.
  3. The client is not progressing through the developmental tasks of pregnancy.
  4. Each family member is adjusting to the role change at his own pace.

[onowka]

Answer to Question 1

4
Rationale:
1. Ambivalence is common among partners, especially prior to their either seeing the baby on ultrasound or feeling the baby kick and move.
2. The ambivalence and disbelief occur across all socioeconomic groups, in both partners who were fathered well and those who grew up without a father.
3. This reaction is not indicative of psychological pathology.
4. Kicking and ultrasound visualization are concrete evidence of the baby's existence, and often are turning points in acceptance for partners.

Answer to Question 2

4
Rationale:
1. The husband's statement is quite common. Partners often feel that a pregnancy isn't real to them because they are not experiencing any of the physical changes associated with pregnancy.
2. Adaptation to the role of grandparent is another life task that takes time. Younger grandparents often have busy and full lives, and view grandparenthood as a time for elderly people who are retired and slowed down. The family will form a view of grandparenthood within this family, in a way that works for them.
3. This is a false statement. The client is at the stage of seeking acceptance of this child by others, which first will be her partner and other family members.
4. This is a true statement. When the other family members are at different stages of adjustment to the pregnancy, conflict can ensue.

[Cooldude101]

TYSM

[marict]

Excellent