A 20-year-old client who is at 10 weeks' gestation confides that ...

[khang]

A 20-year-old client who is at 10 weeks' gestation confides that the pregnancy was unplanned and is unsure about continuing it or sharing news about it with her partner. How should the nurse respond to this client?
 
  1. You should go to a pregnancy support group to be a good mother.
  2. It's common to feel ambiguous about pregnancy in the first trimester.
  3. These thoughts are because your mother died when you were 4 years old.
  4. It's really unusual for a pregnant woman to feel this way early in the pregnancy.

Question 2

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

[blakeserpa]

Answer to Question 1

2
Explanation:
1. No psychopathology is present, so a support group is not indicated.
2. Ambivalence toward the pregnancy is very common in the first trimester.
3. Loss of the client's own mother at a young age would not affect the occurrence of ambivalence in the first trimester.
4. Fathers might not be told immediately about the diagnosis of pregnancy.

Answer to Question 2

1
Explanation:
1. Kicking and ultrasound visualization are concrete evidence of the baby's existence and often are turning points in acceptance for partners.
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 psychologic pathology.
4. Ambivalence is common among partners, especially prior to either seeing the baby on ultrasound or feeling the baby kick and move.