A woman is 3 months pregnant. At her prenatal visit she tells the nurse that she doesn't know what is happening; one minute she's happy that she is pregnant, and the next minute she cries for no reason
Which response by the nurse is most appropriate? a. "Don't worry about it; you'll feel better in a month or so."
b. "Have you talked to your husband about how you feel?"
c. "Perhaps you really don't want to be pregnant."
d. "Hormonal changes during pregnancy commonly result in mood swings."
D
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A This statement dismisses the patient's concerns and is not the most appropriate response.
B Although women should be encouraged to share their feelings, this is not the most appropriate response and does not provide the patient with a rationale for the psychosocial dynamics of her pregnancy.
C This response is completely inappropriate and deleterious to the psychologic well-being of the woman. Hormonal and metabolic adaptations often cause mood swings in pregnancy. The woman's responses are normal. She should be reassured about her feelings.
D This is an accurate statement and the most appropriate response by the nurse.
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