Chapter 5 Psycho-Social-Cultural Aspects of the Antepartum Period

Chapter 5  Psycho-Social-Cultural Aspects of the Antepartum Period

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice

1. Sally is in her third trimester and has begun to sing and talk to the fetus. Sally is probably exhibiting signs of:a. Mental illnessb. Delusionsc. Attachmentd. Crisis

ANS: c

Feedback
a.
This is normal maternal–fetal adaptation.
b.
Delusions are not real, and the fetus is real.
c.
Correct, because talking to the fetus is a sign of positive maternal adaptation. All other answers indicate pathology.
d.
Interacting with the fetus in utero represents normal development of attachment to the fetus.
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Moderate

2. What is the most common expected emotional reaction of a woman to the news that she is pregnant? a. Jealousyb. Acceptancec. Ambivalenced. Depression

ANS: c

Feedback
a.
Others in the family may be jealous of the fetus, but that is not a common maternal response.
b.
Acceptance of the pregnancy typically occurs later in the pregnancy.
c.
Ambivalence is a normal expected reaction to the news of pregnancy, whether or not the pregnancy is planned or wanted.
d.
This would represent an abnormal emotional response to pregnancy.

KEY: Integrated Process: Teaching and Learning | Nursing Process: Analysis | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Easy

3. 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.

ANS: d

Feedback
a.
There are no contraindications to sexual activity during this time for a normally progressing pregnancy.
b.
Nausea and fatigue affect sexual desire during the first trimester, not the third.
c.
Increased sexual desire r/t increased pelvic congestion is a characteristic of the second trimester, not the third.
d.
Correct. An enlarging abdomen creates feelings of awkwardness and bulkiness and may require couples to modify intercourse positions for the pregnant woman’s comfort.
KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate

4. 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.

ANS: c

Feedback
a.
Adolescents must cope with the conflicting developmental tasks of pregnancy and adolescence at the same time.
b.
Social support has been associated with a more positive adaptation to mothering for adolescents.
c.
Correct. Pregnant adolescents face conflicting and multiple developmental tasks of pregnancy and adolescence at the same time.
d.
By late adolescence (ages 17 to 20) this can occur, but early adolescents are oriented toward the present and are self-centered, and often pregnancy at this age is a result of abuse or coercion.

KEY: Integrated Process: Communication and Documentation | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Difficult

5. Jane’s husband Brian has begun to put on weight. What is this a possible sign of? a. Culturalism syndromeb. Couvade syndromec. Moratorium phased. Attachment

ANS: b

Feedback
a.
This is not related to culture.
b.
Correct. Couvade syndrome has symptoms that mimic changes of pregnancy.
c.
Moratorium phase represents one of the phases of the father’s responses to pregnancy.
d.
Attachment is reflected in behaviors.
KEY: Integrated Process: Caring | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Easy