5

A first-time father is experiencing couvade syndrome. He is likely to exhibit which of the following symptoms or behaviors? a. Urinary frequency. b. Hypotension. c. Bradycardia. d. Prostatic hypertrophy.

a. Urinary frequency. -Urinary frequency is a common symptoms of couvade.

Which statement best exemplifies adaptation to pregnancy in relation to the adolescent? a. Adolescents adapt to motherhood in a similar way to other childbearing women. b. Social support has very little effect on adolescent adaptation to pregnancy. c. The pregnant adolescent faces the challenge of multiple developmental tasks. d. Pregnant adolescents of all ages can be capable and active participants in health-care decisions.

c. The pregnant adolescent faces the challenge of multiple developmental tasks. -Pregnant adolescents face conflicting and multiple developmental tasks of pregnancy and adolescent at the same time.

Jenny, a 21-year-old single woman, comes for her first prenatal appointment at 31 weeks' gestation with her first pregnancy. The clinic nurses most appropriate statement is: a. "Jenny, it is late in your pregnancy to be having your first appointment, but it is nice to meet you and I will try to help you get caught up in your care." b. "Jenny, have you had care in another clinic? I can't believe this is your first appointment!" c. "Jenny, by the date of your last menstrual period, you are 31 weeks, and now that you are finally here, we need you to come monthly for the next two visits then weekly." d. "Jenny, by your information, you are 31 weeks' gestation in this pregnancy. Do you have questions for me before I begin your prenatal history and information sharing?"

d. "Jenny, by your information, you are 31 weeks' gestation in this pregnancy. Do you have questions for me before I begin your prenatal history and information sharing?" -The initial interview time with the patient should be used to build a positive, nonthreatening relationship and to gain her confidence by respecting her choices and advocating for continued prenatal care. The prenatal nurse's objective is to provide a user-friendly service that is efficient, effective, caring, and patient centered.

A pregnant client at 20 weeks' gestation comes to the clinic for her prenatal visit. Which of the following client statements would indicate a need for further assessment? a. "I hate it when the baby moves." b. "I've started calling my mom every day." c. "My partner and I can't stop talking about the baby." d. "I still don't know much time I'm going to take off work after the baby comes."

a. "I hate it when the baby moves." -Experiencing quickening as unpleasant may be a sign of maladaptation to pregnancy and needs further assessment by the nurse.

An example of a cultural prescriptive belief during pregnancy is: a. Remain active during pregnancy. b. Coldness in any form should be avoided. c. Do not have your picture taken. d. Avoid sexual intercourse during the third trimester.

a. Remain active during pregnancy. -The belief that the patient should remain active during pregnancy is the only example of a cultural prescriptive belief. All of the other answers are examples of cultural restrictive beliefs.

The perinatal nurse screens all pregnant women early in pregnancy for maternal attachment risk factors, which include (select all that apply): a. Adolescence. b. Low educational level. c. History of depression. d. A strong support system for the pregnancy.

a. Adolescence. b. Low educational level. c. History of depression. -Maternal attachment to the fetus is an important area to assess and can be useful in identifying families at risk for maladaptive behaviors. The nurse should assess for indicators such an unintended pregnancy, domestic violence, difficulties in the partner relationship, sexually transmitted infections, limited financial resources, substance us, adolescence, poor social support system, low educational level, the presence of mental conditions, or adolescence that might interfere with the patient's ability to bond with and care for the infant. A strong support system can facilitate the patient ability to bond with and care for the infant.

The nurse is interviewing a pregnant client who states she plants to drink chamomile tea to ensure an effective labor. The nurse knows that this is example of: a. Cultural prescription. b. Cultural taboo. c. Cultural restriction. d. Cultural demonstration.

a. Cultural prescription. -Cultural prescription is an expected behavior of the pregnant woman during the childbearing period.

Taboos are cultural restrictions that: a. Have serious supernatural consequences. b. Have serious clinical consequences. c. Have superstitious consequences. d. Are functional and neutral practice.

a. Have serious supernatural consequences. -Taboos are believed to have serious supernatural consequences. Taboos are not known to have clinical or superstitious consequences and are not functional or neutral practices.

A pregnant client asks the nurse why she should attend childbirth classes. The nurse's response would be based on which of the following information? a. Attending childbirth class is a good way to make new friends. b. Childbirth classes will help new families develop skills to meet the challenges of childbirth and parenting. c. Attending childbirth classes will help a pregnant woman have a short labor. d. Childbirth classes will help a pregnant woman decrease her chance of having a cesarean delivery.

b. Childbirth classes will help new families develop skills to meet the challenges of childbirth and parenting.

Jane's husband Brian has begun to put on weight. What is this a possible sign of? a. Culturalism syndrome. b. Couvade syndrome. c. Moratorium phase. d. Attachment.

b. Couvade syndrome. -Couvade syndrome has symptoms that mimic changes of pregnancy.

The clinic nurse visits with Wayne, a 32-year-old man whose partner is pregnant for the first time and is at 12 weeks. Wayne describes nausea and vomiting, fatigue, and weight gain. His symptoms are best described as: a. Influenza. b. Couvade syndrome. c. Acid reflux. d. Cholelithiasis.

b. Couvade syndrome. -In preparation for parenthood, the male partner moves through a series of developmental tasks. During the first trimester, the father begins to deal with the reality of the pregnancy and may worry about financial strain and his ability to be a good father. Feelings of confusion and guilt often surface with the recognition that he is not as excited about the pregnancy as his partner, and couvade syndrome, the experience of maternal signs and symptoms, may develop.

Which of the following would be a priority for the nurse when caring for a pregnant woman who has recently immigrated from another country? a. Help her develop a realistic, detailed birth plan. b. Identify her support system. c. Teach her about expected emotional changes of pregnancy. d. Refer her to a doula for labor support.

b. Identify her support system. -Lack of social support has been correlated with an increased risk of pregnancy complications and difficult adaptation to pregnancy. Pregnant women who are recent immigrants face many challenges in obtaining needed social support, and the nurse should first identity her support system to plan further interventions and referrals.

Cathy is pregnant for the second time. Her son, Steven, has just turned 2 years old. She asks you what she should do to help him get ready for the expected birth. What is the nurse's most appropriate response? a. Steven will probably not understand any explanations about the arrival of the new baby, so Cathy should do nothing. b. If Steven's sleeping arrangements need to be changed, it should be done well in advance of the birth. c. Steven should come to the next prenatal visit and listen to the fetal heartbeat to encourage sibling attachment. d. Steven should be encouraged to plan an elaborate welcome for the newborn.

b. If Steven's sleeping arrangements need to be changed, it should be done well in advance of the birth. -Children still sleeping in a crib should be moved to a bed at least 2 months before the baby is due, as this age group is particularly sensitive to disruptions of the physical environment.

A woman presents for prenatal care at 6 weeks' gestation by LMP. Which of the following findings would the nurse expect to see? a. Multiple pillow orthopnea. b. Maternal ambivalence. c. Fundus at the umbilicus. d. Pedal and ankle edema.

b. Maternal ambivalence. -Ambivalence is a common feeling of women during the first trimester.

The clinic nurse encourages paternal attachment during pregnancy by including the father in (select all that apply): a. Prenatal visits. b. Ultrasounds appointments. c. Prenatal class information. d. History taking and obtaining prenatal screening information.

b. Ultrasounds appointments. c. Prenatal class information. d. History taking and obtaining prenatal screening information. -Pregnancy is psychologically stressful for men; some enjoy the role of the nurturer, but others feel alienated and begin to stray from the relationship. The nurse can be instrumental in promoting early paternal attachment. Involvement of the father during examinations and tests and prenatal classes, along with thorough examinations of the need for them, can minimize the father's feelings of being left out. A history and prenatal screening should be conducted at the first prenatal visit with the woman alone to ensure confidentiality and an open discussion of any problems or concerns she may have. The history should include information about the current pregnancy; the obstetric and gynecology history; and a cultural assessment, and a medical, nutritional, social, and family (including the father's) medical history.

What is the most common expected emotional reaction of a woman to the news that she is pregnant? a. Jealousy. b. Acceptance. c. Ambivalence. d. Depression.

c. Ambivalence. -Ambivalence is a normal expected reaction to the news of pregnancy, whether or not the pregnancy is planned or wanted.

Sally is in her third trimester and has begun to sing and talk to the fetus. Sally is probably exhibiting signs of: a. Mental illness. b. Delusions. c. Attachment. d. Crisis.

c. Attachment. -Talking to the fetus is a sign of positive maternal adaptation. All other answers indicate pathology.

When providing psychosocial assessment of a pregnant woman at 21 weeks' gestation, the nurse would expect to observe which of the following signs? a. Ambivalence. b. Depression. c. Anxiety. d. Happiness.

d. Happiness.

Which of the following information regarding sexual activity would the nurse give a pregnant woman who is 35 weeks' gestation? a. Sexual activity should be avoided from now until 6 weeks postpartum. b. Sexual desire may be affected by nausea and fatigue. c. Sexual desire may be increased due to increased pelvic congestion. d. Sexual activity may require different positions to accommodate the woman's comfort.

d. Sexual activity may require different positions to accommodate the woman's comfort. -An enlarging abdomen creates feelings of awkwardness and bulkiness and may require couples to modify intercourse positions for the pregnant woman's comfort.