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.
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Which statement about a condition of pregnancy is accurate?
- A. Insufficient salivation (ptyalism) is caused by increases in estrogen
- B. Acid indigestion (pyrosis) begins early but declines throughout pregnancy
- C. Hyperthyroidism often develops (temporarily) because hormone production increases
- D. Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial
Correct Answer: D
Rationale: Nausea and vomiting are common and rarely harmful, potentially offering protective benefits. Ptyalism involves excessive salivation, pyrosis worsens later in pregnancy, and hyperthyroidism does not typically develop.
To reassure and educate pregnant patients about changes in their cardiovascular system, maternity nurses should be aware that:
- A. a pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear
- B. changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term
- C. palpitations are twice as likely to occur in twin gestations
- D. all of the above changes will likely occur
Correct Answer: B
Rationale: Auditory changes in the heart occur due to positional and structural changes during pregnancy. Sinus arrhythmia is common and benign unless accompanied by other symptoms.
A patient in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?” The nurse's best response is:
- A. "It is due to an increase in gastric motility.”
- B. "It may be due to changes in hormones.”
- C. "It is related to an increase in glucose levels.”
- D. "It is caused by a decrease in gastric secretions.”
Correct Answer: B
Rationale: The correct answer is B: "It may be due to changes in hormones." During the first trimester of pregnancy, hormonal changes, particularly an increase in human chorionic gonadotropin (hCG) and estrogen levels, can trigger nausea and vomiting, commonly known as morning sickness. These hormonal fluctuations can affect the gastrointestinal system, leading to symptoms of nausea and vomiting. The other choices are incorrect because: A) an increase in gastric motility typically occurs in later stages of pregnancy, not the first trimester; C) an increase in glucose levels is not directly linked to nausea and vomiting in early pregnancy; D) a decrease in gastric secretions is unlikely to be the primary cause of nausea and vomiting in the first trimester.
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.
Correct Answer: C
Rationale: The correct answer is C because couvade syndrome is a real phenomenon where male partners experience similar symptoms to their pregnant partners. By explaining this to the patient, it validates her concerns and normalizes her boyfriend's behavior.
Choice A is incorrect because it dismisses the patient's concerns and does not address the underlying issue. Choice B is incorrect because referring the patient to a psychologist may be premature without exploring the possibility of couvade syndrome first. Choice D is incorrect because it does not address the potential root cause of the boyfriend's behavior and may not provide a satisfactory resolution for the patient.
A patient at 24 weeks of gestation contacts the nurse at her obstetric provider’s office to complain that she has cravings for dirt and
gravel. The nurse is aware that this condition is known as ________ and may indicate anemia.
- A. ptyalism
- B. pyrosis
- C. pica
- D. decreased peristalsis
Correct Answer: C
Rationale: The correct answer is C: pica. Pica is a condition where individuals crave and consume non-food items like dirt or gravel, which can indicate underlying anemia due to iron deficiency. In this case, the patient's cravings for dirt and gravel are concerning as it may suggest she is lacking essential nutrients like iron.
A: Ptyalism is excessive saliva production and not related to cravings for non-food items.
B: Pyrosis is a medical term for heartburn and is not associated with cravings for dirt or gravel.
D: Decreased peristalsis refers to reduced movement of the intestines and is not directly related to cravings for non-food items.