Author Question: A patient who is at 14 weeks' gestation is in the clinic for a regular prenatal visit. The patient ... (Read 72 times)

saliriagwu · **on:** Jun 28, 2018

A patient who is at 14 weeks' gestation is in the clinic for a regular prenatal visit. The patient is accompanied by her mother.

The patient's mother states that she is very uncertain about how to be a good grandmother to this baby, due to working full time and being so busy. The patient's mother notes that her own grandmother was retired and was always available when needed by a grandchild. The best response to this concern would be:
1. Don't worry. You'll be a wonderful grandmother. It will all work out fine.
2. Grandmothers are supposed to be available. You should retire from your job.
3. As long as there is another grandmother available, you don't have to worry.
4. How do you envision your role as grandmother?

Question 2

A 25-year-old woman is in the second trimester of her pregnancy. During the interview, you ask her partner what changes they have noticed during the pregnancy. Which of the following answers would indicate a typical response to pregnancy?

1. She has been more tense and anxious than usual, and she is not sleeping well.
2. She daydreams about what kind of parent she is going to be.
3. I haven't noticed anything. I just found out she was pregnant.
4. She has been having dreams at night about misplacing the baby.

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

Answer to Question 1

Correct Answer: 4
Rationale 1: Casual and/or false reassurance is not appropriate. Effective therapeutic communication requires supportive, nonjudgmental exploration of the patient's concerns.
Rationale 2: Assignment of guilt is not appropriate. Effective therapeutic communication requires supportive, nonjudgmental exploration of the patient's concerns
Rationale 3: Minimizing a patient's concern is not appropriate. Effective therapeutic communication requires supportive, nonjudgmental exploration of the patient's concerns.
Rationale 4: Supportive, nonjudgmental exploration of the patient's concerns is one component of therapeutic communication and is appropriate.

Answer to Question 2

Correct Answer: 2
Rationale 1: During the third trimester, the woman typically experiences more anxiety and tension, as well as increased discomfort and insomnia.
Rationale 2: The second trimester usually brings increased introspection and consideration of how she will parent.
Rationale 3: In the first trimester, pregnant women usually tell their partners of the pregnancy, explore their relationship with their mother, and think about their own role as a mother.
Rationale 4: The needs of the newborn typically are not considered until the third trimester, at which time dreams of misplacing the baby or being unable to get to the baby also may be common.