Author Question: A nurse is working with a woman in her second trimester and her partner. The partner comes to clinic ... (Read 78 times)

lb_gilbert · **on:** Jun 28, 2018

A nurse is working with a woman in her second trimester and her partner. The partner comes to clinic appointments but spends his time texting on his cell phone in the waiting room. The woman states that this behavior makes her sad.

Which action by the nurse is best?
A.
Ask the father to turn off his cell phone in the clinic.
B.
Assess the woman for ongoing relationship problems.
C.
Invite the father into the exam room to listen to the baby's heartbeat.
D.
Refer the couple to counseling for depression.

Question 2

A pregnant woman has the nursing diagnosis of risk for ineffective role performance. What statement by the patient indicates that she is meeting a maternal task associated with the second trimester?

A.
All of this morning sickness and fatigue are distressing.
B.
I don't understand why I feel drawn to pregnant women.
C.
I really will miss my girls' nights out at the local bars.
D.
This baby seems so real to me since I feel him move.

234sdffa · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Fathers have developmental tasks to accomplish during a woman's pregnancy. During the second trimester, a father may seem disconnected and binding in may take longer than it did for the mother. This may be due to the remoteness of the fetus and father. Actions that can make the baby seem more real to the father will be helpful. A warm invitation to come into the exam room and listen to fetal heart tones is the best option. Asking the father to turn off his cell phone is likely to be perceived as disrespectful and will not be helpful. Assessing for relationship problems and referring the couple for counseling may be indicated in some situations, but is not the best choice here.

Answer to Question 2

ANS: D
In the second trimester, a woman begins to feel the baby's movement, and this makes her truly aware of the fetus as a separate being. Being concerned with one's own well-being rather than that of the fetus is common in the first trimester. Being drawn to other pregnant women is a general principle and is not tied to a specific trimester. Giving up favorite activities, or accepting other trade-offs for the baby, generally occurs in the first trimester.