A nurse is providing anticipatory guidance regarding psychosocial ...

[tatyanajohnson]

A nurse is providing anticipatory guidance regarding psychosocial adaptations to pregnancy to a group of women. Which topics are consistent with their associated trimesters? (Select all that apply.)
 
  A.
  First trimester: ambivalence about the pregnancy
  B.
  First trimester: separation from the fetus
  C.
  Second trimester: active dreams and fantasy life
  D.
  Second trimester: becoming more introspective
  E.
  Third trimester: realignment of roles and tasks

Question 2

A woman in the first trimester of her first pregnancy is upset and worried about physical changes, the labor and birth process, and being able to care for a newborn. Which action by the nurse is best?
 
  A.
  Ask the woman about her exposure to newborns.
  B.
  Assess the woman for access to a knowledgeable support person.
  C.
  Provide information about childbirth preparation classes.
  D.
  Reassure the woman that these fears are natural.

[amandanbreshears]

Answer to Question 1

ANS: A, C
During the first trimester, the woman may feel ambivalent about the pregnancy. In the second trimester, active dreams and fantasy life are common. Separation from the fetus is a task of the third trimester, as is becoming more introspective. Realignment of roles and tasks typically occurs in the second trimester.

Answer to Question 2

ANS: C
The importance of childbirth education classes cannot be overemphasized by the nurse. The other options may be helpful, but they are not nearly as beneficial as getting the woman involved in childbirth education classes. Simple reassurance that fears are normal does not help the woman care for herself. Asking about exposure to newborns is likely to be of little help. The woman should be assessed for a support system, but this is not as important as attending classes.

[tatyanajohnson]

TYSM

[covalentbond]

Excellent