Question 1

Which situation best describes a man trying on fathering behaviors?
A) Reading books on newborn care
B) Spending more time with his siblings
C) Coaching a little league baseball team
D) Exhibiting physical symptoms related to pregnancy

Accepted Answer

Coaching a little league baseball team shows interaction with children and assuming the behavior and role of a father. This best describes a man trying on the role of being a father. Men do not normally read information that is provided in advance. The nurse should be prepared to present information after the baby is born, when it is more relevant. The man will normally seek closer ties with his father. Exhibiting physical symptoms related to pregnancy is called couvade.

Question 2

An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets this as the development of which maternal task of pregnancy?
A) Learning to give of herself
B) Developing attachment with the baby
C) Securing acceptance of the baby by others
D) Seeking safe passage for herself and her baby

Accepted Answer

Developing a strong tie in the first trimester and progressing to be in tune is the process of commitment, attachment, and interconnection with the infant. This stage begins in the first trimester and continues throughout the neonatal period. Learning to give of herself is the task that occurs during pregnancy as the woman allows her body to give space to the fetus. She continues with giving to others in the form of food and presents. Securing acceptance of the baby is a process that continues throughout pregnancy as the woman reworks relationships. Seeking safe passage is the task that ends with birth. During this task, the woman seeks health care and carries out cultural practices.

Question 3

Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
A) "I can't believe he is sucking his thumb again."
B) "He is being difficult and I don't have time to deal with him."
C) "When we brought the baby home, we made Michael stop sleeping in the crib."
D) "My husband is going to stay with the baby so I can take Michael to the park tomorrow."

Accepted Answer

It is important for a mother to seek time alone with her toddler to reassure him that he is loved. It is normal for a child to regress when a new sibling is introduced into the home. The toddler may have feelings of jealousy and resentment toward the new baby taking attention away from him. Frequent reassurance of parental love and affection is important. Changes in sleeping arrangements should be made several weeks before the birth so the child does not feel displaced by the new baby.

Question 4

An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?
A) Intercourse is safe until the third trimester.
B) Safer sex practices should be used once the membranes rupture.
C) Intercourse should be avoided if any spotting from the vagina occurs afterward.
D) Intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present.

Accepted Answer

Uterine contractions that accompany orgasm can stimulate labor and would be problematic if the woman is at risk for or has a history of preterm labor. Intercourse can continue as long as the pregnancy is progressing normally. Rupture of the membranes may require abstaining from intercourse. Safer sex practices are always recommended. Some spotting can normally occur as a result of the increased fragility and vascularity of the cervix and vagina during pregnancy.

Question 5

The nurse is teaching a pregnant patient about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? (Select all that apply.)
A) Report watery vaginal discharge.
B) Report puffiness of the face or around the eyes.
C) Report any bloody show when you go into labor.
D) Report visual disturbances, such as spots before the eyes.
E) Report any dependent edema that occurs at the end of the day.

Accepted Answer

Watery vaginal discharge could mean that the membranes have ruptured. Puffiness of the face or around the eyes and visual disturbances may indicate preeclampsia or eclampsia. These three signs should be reported. Bloody show as labor starts may mean the mucus plug has been expelled. One of the earliest signs of labor may be bloody show, which consists of the mucus plug and a small amount of blood. This is a normal occurrence. Up to 70% of women have dependent edema during pregnancy. This is not a sign of a pregnancy complication.

Question 6

A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old daughter is expecting her first child. Which is a major factor in determining how this woman will respond to becoming a grandmother?
A) Her age
B) Her career
C) Being divorced
D) Age of the daughter

Accepted Answer

Age is a major factor in determining the emotional response of prospective grandparents. Young grandparents may not be happy with the stereotype of grandparents as being old. Career responsibilities may have demands that make the grandparents not as accessible but are not a major factor in determining the woman's response to becoming a grandmother. Being divorced is not a major factor that determines the adaptation of grandparents. The age of the daughter is not a major factor that determines the adaptation of grandparents. The age of the grandparent is a major factor.

Question 7

The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate? (Select all that apply.)
A) The patient is excited to see her baby.
B) The patient has not started to prepare the nursery for the new baby.
C) The patient expresses concern about how to know if labor has started.
D) The patient and her spouse are concerned about getting to the birth center in time.
E) The patient and her spouse have not discussed how they will share household tasks.

Accepted Answer

As birth nears, the expectant patient will express a desire to see the baby. Most pregnant patients are concerned with their ability to determine when they are in labor. Many couples are anxious about getting to the birth facility in time for the birth. As birth nears, a nesting behavior occurs, which means getting the nursery ready. Not preparing the nursery at this stage is not a response that the nurse should expect to assess. Negotiation of tasks is done during this stage. Discussion regarding the division of household chores is not a response that the nurse should expect to assess at this stage.

Question 8

A pregnant patient comes into the medical clinic stating that her family and friends are telling her that she is always talking about the pregnancy and nothing else. She is concerned that something is wrong with her. What psychological behavior is she exhibiting?
A) Antepartum obsession
B) Ambivalence
C) Uncertainty
D) Introversion

Accepted Answer

The patient is exhibiting behaviors associated with introversion and/or narcissism. These are normal findings during pregnancy as long as they do not become obsessive to the exclusion of everything else. The patient is talking about the pregnancy but there is no evidence that it is affecting her perception of reality and/or ability to perform ADLs. It is normal for pregnant women to focus on the self as being of prime importance in their life initially during the pregnancy. Some women may feel ambivalent about their pregnancy, which is a normal reaction. However, this patient's behavior does not support this finding. Some women react with uncertainty at the news of being pregnant, which is a normal reaction. However, this patient's behavior does not support this finding.

Question 9

The capacity of the uterus in a term pregnancy is how many times its prepregnant capacity? Record your answer as a whole number. ______ times

Accepted Answer

The answer of The capacity of the uterus in a...

Question 10

Which findings are presumptive signs of pregnancy? (Select all that apply.)
A) Quickening
B) Amenorrhea
C) Ballottement
D) Goodell's sign
E) Chadwick's sign

Accepted Answer

Quickening, amenorrhea, and Chadwick's sign are presumptive signs of pregnancy. Ballottement and Goodell's sign are probable signs of pregnancy.

Question 11

Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?
A) "Could you help me with the housework today?"
B) "The baby is spitting up a lot. What should I do?"
C) "I know you are busy, so I'll get John's mother to help me."
D) "The baby has a stomachache. I'll call the nurse to find out what to do."

Accepted Answer

Looking to the grandmother for advice encourages her to become involved in the care of the infant. Housework does not encourage the grandmother to participate in the infant's care. Getting John's mother to help and calling the nurse about advice excludes the grandmother.

Question 12

A patient relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this patient statement?
A) Tell her not to worry because it is natural for her boyfriend to make her feel better by identifying with her pregnancy.
B) Refer the patient to a psychologist for counseling to deal with this problem because it is clearly upsetting her.
C) Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners.
D) Ask the patient specifically to define her concerns related to her relationship with her boyfriend and suggest methods to stop this type of behavior by her significant other.

Accepted Answer

Provide factual information that will help reduce stress and modify acceptance. Telling her not to worry does not address the possibility that her boyfriend may be experiencing couvade syndrome. The patient is expressing concern but does not have all the facts related to couvade syndrome and requires education, rather than referral. Couvade syndrome is not an abnormal condition and should be treated with acceptance and understanding.

Quiz 6: Maternal Adaptations to Pregnancy

Which situation best describes a man trying on fathering behaviors?

An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets this as the development of which maternal task of pregnancy?

Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?

An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?

The nurse is teaching a pregnant patient about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? (Select all that apply.)

A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old daughter is expecting her first child. Which is a major factor in determining how this woman will respond to becoming a grandmother?

The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate? (Select all that apply.)

A pregnant patient comes into the medical clinic stating that her family and friends are telling her that she is always talking about the pregnancy and nothing else. She is concerned that something is wrong with her. What psychological behavior is she exhibiting?

The capacity of the uterus in a term pregnancy is how many times its prepregnant capacity? Record your answer as a whole number. ______ times

Which findings are presumptive signs of pregnancy? (Select all that apply.)

Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?

A patient relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this patient statement?