The 20-year-old client at 10 weeks' gestation is preparing for her first prenatal visit. She confides: "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant
And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next? 1. "It's really unusual for a pregnant woman to feel this way early in the pregnancy."
2. "These thoughts are because your mother died when you were 4 years old."
3. "You should go to a pregnancy support group to be a good mother."
4. "It's common to feel ambivalent about pregnancy in the first trimester."
4
Rationale:
1. Uncertainty about the quality of parenting that one can provide is often experienced, especially prior to quickening (when the fetus becomes more real to the client). Clients become more introspective, and explore what it means to be a mother. They also might have fantasies about miscarriage, and then feel guilty and worry that these thoughts could harm the baby.
2. Uncertainty about the quality of parenting that one can provide is often experienced, especially prior to quickening (when the fetus becomes more real to the client). Clients become more introspective, and explore what it means to be a mother. They also might have fantasies about miscarriage, and then feel guilty and worry that these thoughts could harm the baby.
3. Uncertainty about the quality of parenting that one can provide is often experienced, especially prior to quickening (when the fetus becomes more real to the client). Clients become more introspective, and explore what it means to be a mother. They also might have fantasies about miscarriage, and then feel guilty and worry that these thoughts could harm the baby.
4. Ambivalence towards the pregnancy is very common in the first trimester; the baby does not seem real.
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