Nokea
What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life?
- A. Fantasy
- B. Grief work
- C. Role playing
- D. Looking for a fit
Correct Answer: B
Rationale: The correct answer is B: Grief work. In the process of maternal role attainment, giving up certain aspects of her previous life involves experiencing grief over the losses associated with the new role. This step is essential for the woman to fully embrace her new identity as a mother. Fantasy (A) refers to imagining scenarios, role playing (C) involves acting out behaviors, and looking for a fit (D) focuses on finding a balance between personal needs and the demands of the maternal role. Grief work is the most appropriate term that specifically addresses the emotional process of letting go and adjusting to the new responsibilities of motherhood.
You may also like to solve these questions
To reassure and educate pregnant patients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
- A. because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests
are much easier to evaluate. - B. Quickening is a technique of palpating the fetus to engage it in passive movement.
- C. the deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor.
- D. increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
Correct Answer: D
Rationale: The correct answer is D because increased vascularity of the vagina during pregnancy leads to heightened sensitivity and can result in increased arousal, especially in the second trimester. This is due to increased blood flow and hormonal changes affecting the vaginal tissues. This physiological response is a normal part of pregnancy and can enhance sexual experiences for some women.
A is incorrect because changes in the cervix do not impact the evaluation of abnormal Pap tests. B is incorrect as quickening refers to the first perception of fetal movements by the pregnant woman, not palpating the fetus. C is incorrect as Chadwick's sign, the deepening color of the vaginal mucosa and cervix, typically appears in the first trimester, not the second trimester.
A client at 10 weeks gestation is being seen by the nurse. The client reports that she has nausea and vomiting each morning. Which is the nurse's best response?
- A. Drink a large glass of milk before you get out of bed.
- B. Eat crackers before you get out of bed.
- C. Eat dinner before 6:00 p.m. every night.
- D. Eat small meals during the day.
Correct Answer: B
Rationale: The correct answer is B: Eat crackers before you get out of bed. This is the best response because eating crackers before getting out of bed can help alleviate nausea and vomiting associated with morning sickness in early pregnancy. The crackers can help stabilize blood sugar levels and settle the stomach. Drinking a large glass of milk (choice A) may exacerbate nausea for some individuals. Eating dinner before 6:00 p.m. (choice C) is not directly related to morning sickness. Eating small meals during the day (choice D) is generally a good strategy, but specifically eating crackers before getting out of bed is more effective for morning sickness.
The fallopian tubes are:
- A. Hollow, muscular, pear-shaped organs located posterior and superior to the urinary bladder
- B. A pair of muscular tubes that extend from the left and right superior corners of the uterus to the edge of the ovaries
- C. The lower, narrow part of the uterus (womb), forming a canal that opens into the vagina, which leads to the outside of the body
Correct Answer: B
Rationale: The fallopian tubes transport eggs from the ovaries to the uterus and are the site of fertilisation.
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:
- A. amenorrhe
- B. positive pregnancy test.
- C. Chadwick's sign.
- D. Hegar's sign.
Correct Answer: A
Rationale: The correct answer is A: amenorrhea. At 10 weeks of gestation, a woman should have missed at least two menstrual periods, indicating amenorrhea. This is a presumptive sign of pregnancy as it is a common early pregnancy symptom. Positive pregnancy test (B) confirms pregnancy but is not specific to 10 weeks. Chadwick's sign (C) is a bluish discoloration of the cervix and vagina, typically seen around 6-8 weeks, not specifically at 10 weeks. Hegar's sign (D) is softening of the lower uterine segment, usually felt around 6-12 weeks, not specifically at 10 weeks.
The maternity nurse understands that vascular volume increases 40% to 45% during pregnancy to:
- A. compensate for decreased renal plasma flow.
- B. provide adequate perfusion of the placenta.
- C. eliminate metabolic wastes of the mother.
- D. prevent maternal and fetal dehydration.
Correct Answer: B
Rationale: The primary function of increased vascular volume is to transport oxygen and nutrients to the fetus via the placenta.