Question 1

A pregnant patient tells the nurse that her spouse has been diagnosed with Couvade syndrome. Which manifestations does the nurse suspect the spouse is experiencing? Select all that apply.

Accepted Answer

Couvade syndrome is a condition where the partner of a pregnant person experiences pregnancy-like symptoms, such as nausea (A), weight gain (C), and abdominal pains (D).

Question 2

A couple announces to their parents that the couple is pregnant. One expectant grandmother says, "Grandchildren will call me by my first name. I am not ready to be a grandmother." Which feelings are being expressed by the grandmother?

Accepted Answer

The grandmother's statement reflects a concern about aging, as she is not ready to embrace the traditional role and title of "grandmother," which signifies growing older.

Question 3

The nurse is providing prenatal care for a patient who is pregnant with a second child. Which understanding about complexity of a second pregnancy does the nurse use to assist the patient with the acceptance of this pregnancy?

Accepted Answer

The nurse should offer strategies for working out a new relationship with the first child, as this is a common concern for parents expecting a second child. It helps in preparing the family dynamics for the new addition.

Question 4

The nurse works in a prenatal clinic located in a multicultural city. It is important for the nurse to recognize which cultural beliefs as prescriptive? Select all that apply.

Accepted Answer

The answer of The nurse works in a prenatal clinic...

Question 5

The nurse is encouraging cultural sensitivity among the nonmedical personnel in a prenatal clinic. Which type of family does the nurse identify as including children? Select all that apply.

Accepted Answer

Nuclear family, extended family, and blended family all include children.

Question 6

The labor and delivery nursing staff is conducting research to determine the benefits of childbirth education (CBE). Which finding does evidence-based practice support?

Accepted Answer

Evidence-based practice supports that women who participated in CBE and/or had a birth plan had higher odds of a vaginal delivery.

Question 7

The nurse is providing care for a patient who is 42 years of age and in the first trimester of her pregnancy. For which possible complication will the nurse closely monitor the patient and fetus?

Accepted Answer

Given the patient's age (42 years), there is an increased risk for chromosomal abnormalities in the fetus, such as Down syndrome. Therefore, the nurse would closely monitor for alterations in fetal chromosomal studies.

Question 8

A couple informs the nurse they have decided to make arrangements for a home birth. Which criteria will the nurse share with the couple regarding a safe home birth? Select all that apply.

Accepted Answer

The pregnant woman must be in good health with a normal pregnancy, and adequate medical supplies and resuscitation equipment must be available for a safe home birth.

Question 9

A mother has a child who is 4 years of age, and she is expecting another child. The mother expresses concern to the nurse about how the older sibling will receive the newborn. Which intervention shared by the mother does the nurse discourage?

Accepted Answer

Surprising the older sibling with a new baby can cause confusion and anxiety for them. It is important for the older sibling to have time to prepare for the arrival of the new baby and to feel involved in the process. Enrolling them in sibling preparation classes, letting them hear the baby's heartbeat, and allowing them to pick out gifts for the baby and themselves are all positive interventions that can help the older sibling adjust to the new arrival.

Question 10

The nurse notes that a patient in the third trimester of pregnancy feels unable to "mother" her unborn child. Which information about the patient helps the nurse identify the sources of the patient's ambivalence? Select all that apply.

Accepted Answer

The patient's estrangement from her own mother, feelings of loss of independence, and disgust about bodily changes suggest psychological sources of ambivalence about motherhood. The patient's interest in baby care classes and partner's excitement about the baby suggest some level of readiness to become a mother.

Question 11

The nurse at a prenatal clinic is aware of the important tasks that each expectant mother will need to address. When an expectant mother states, "I will give up everything I have to make sure this baby is safe and well-cared for," which task is the mother addressing?

Accepted Answer

The statement "I will give up everything I have to make sure this baby is safe and well-cared for" indicates a willingness to sacrifice or give of oneself for the well-being of the child. This pertains to the task of being a caregiver, which involves meeting the child's physical and emotional needs.

Question 12

A pregnant patient and her spouse live in the same home as the spouse's family who is not supportive of the pregnancy. The patient feels the family is ruining the happiness about the pregnancy. Which is the most important determination for the nurse to make?

Accepted Answer

The safety and well-being of the patient must be the nurse's top priority. If there is a possibility of abuse or if abuse is already occurring, the nurse must take appropriate action to protect the patient and unborn child. This may involve discussing options such as moving into a separate location or seeking legal intervention. While improving the support network and identifying sources of support are important, they should not take precedence over ensuring the patient's safety.

Question 13

A couple is planning for the birth of their first child and is discussing the difference between a physician and a midwife. Which information presented by the couple does the nurse validate as being true?

Accepted Answer

Physicians provide care for both low- and high-risk patients. Midwives receive formal training and may deliver babies in a variety of settings, including hospitals and birthing centers, but may not have the capability to manage high-risk pregnancies or deliveries. Physician use of technological procedures may vary depending on individual practice and medical necessity, but is not a defining characteristic. Midwives are required to complete accredited midwifery education programs and pass licensing exams.

Question 14

The more prepared a pregnant woman feels for the birth of her baby will lower her anxiety and fear. The behavior is referred to as ____________________.

Accepted Answer

The answer of The more prepared a pregnant woman feels...

Question 15

The nurse works in a prenatal clinic that serves a multicultural population. The nurse is culturally aware, and so, which behaviors by a patient are expected due to common restrictive beliefs? Select all that apply.

Accepted Answer

The answer of The nurse works in a prenatal clinic...

Question 16

A patient is experiencing pregnancy complications. Which factors will affect the client's ability to manage this situation? Select all that apply.

Accepted Answer

The answer of A patient is experiencing pregnancy complications. Which...

Question 17

The nurse is providing care in a school clinic established for the care of adolescent mothers. When assessing a patient who is 11 years of age and pregnant, which deduction regarding the patient's psychosocial development will the nurse recognize?

Accepted Answer

According to Erikson's theory of psychosocial development, adolescents between the ages of 12-18 are in the stage of identity vs. role confusion. During this stage, adolescents are self-centered, and their focus is on understanding who they are and where they fit in society. They are oriented toward the present and have difficulty considering the long-term consequences of their actions. Therefore, the nurse can recognize that the adolescent is self-centered and oriented toward the present, and this may affect her decision making regarding the pregnancy.

Question 18

The nurse is counseling a couple in the third trimester of pregnancy and recommends the couple attend childbirth education classes. For which reason is the nurse least likely to recommend the classes?

Accepted Answer

Childbirth education classes offer a wide range of benefits, including affirming the normalcy of birth (A), acknowledging a woman's inherent ability to give birth (C), and exploring ways to find strength and comfort during labor (D). However, while these classes often teach techniques that can help manage pain and potentially reduce the need for medication, they do not exclusively enable a medication-free delivery (B). The primary goal is to prepare the couple for childbirth by providing information and coping strategies, not to guarantee a delivery without medication.

Question 19

A patient in the second trimester of pregnancy seems distressed. With encouragement, the patient states, "I have been totally avoiding physical contact with my husband to avoid prompting any sexual activity." Which statement by the nurse is the best response?

Accepted Answer

The nurse's response should acknowledge the patient's distress but also offer practical advice. Option A is the most appropriate response as it recognizes the importance of affection between partners and encourages the patient to seek alternative expressions of intimacy. The other options may not be appropriate or helpful, as they do not address the patient's concerns or may be coercive.

Question 20

The nurse works in a prenatal clinic and interacts with multiple patients from various socioeconomic backgrounds. Which patient does the nurse assess most carefully for a mental health issue?

Accepted Answer

The military veteran who was deployed twice is at higher risk for developing mental health issues such as post-traumatic stress disorder (PTSD) and depression. It is important for the nurse to carefully assess for these conditions and provide appropriate referrals and resources if needed. While all patients should receive thorough assessment and care, the veteran is at higher risk for mental health issues due to their experiences in the military.

Quiz 5: The Psycho-Social-Cultural Aspects of the Antepartum Period