Which patient would the perinatal nurse assess as being most at ...

[moongchi]

Which patient would the perinatal nurse assess as being most at risk for maternal attachment problems?
 
  A.
  18 year-old married woman with a supportive family who lives nearby
  B.
  20-year-old woman with remote history of chlamydia and gonorrhea
  C.
  22-year-old alcoholic who has been sober for 10 years
  D.
  52-year-old unemployed divorced woman who thought she was in menopause

Question 2

The nurse in a family practice clinic is working with a woman of childbearing age who recently was married and has no plans to have children yet. Which action by the nurse is most important?
 
  A.
  Asking the woman when the couple plans to get pregnant
  B.
  Encouraging the woman to review her birth control plan
  C.
  Instructing the woman to get 0.4 mg of folic acid daily
  D.
  Reviewing the woman's family history for genetic defects

[britb2u]

Answer to Question 1

ANS: D
Maternal attachment to the fetus is an important area to assess and can be useful in identifying families at risk for maladaptive behaviors (Youngkin et al., 2012). The nurse should assess for indicators such as unintended pregnancy, intimate partner violence, difficulties in the partner relationship, sexually transmitted infections, limited financial resources, substance use, adolescence, poor social support systems, low educational level, and the presence of mental conditions that might interfere with the patient's ability to bond with and care for the infant. The divorced, unemployed woman experiencing an unexpected pregnancy has the most risk factors.

Answer to Question 2

ANS: C
Because of the strong connection between folic acid deficiency and the subsequent development of neural tube defects, all women of childbearing age should take a folic acid supplement of at least 400 mcg/day (0.4 mg/day). Because the woman may not realize that she is pregnant early in her pregnancy when neural tube defects occur, prophylactic supplementation is recommended. The other options may be applicable too, but they are not as important as educating the woman about the importance of folic acid.

[moongchi]

Thank you

[britb2u]

No problemo