To provide anticipatory psychosocial guidance to a woman entering her third trimester, what topic should the nurse plan to include?
A.
Extreme fatigue may make the woman very vulnerable at the end.
B.
She may feel overwhelmed with the physical discomforts of pregnancy.
C.
Initial feelings of uncertainty will go away at childbirth.
D.
She may worry about impending childbirth but see it as a relief.
ANS: D
Around the seventh month of pregnancy, the woman begins to feel extremely vulnerable and worries about the impending labor and birth. At the same time, she is exhausted and sees this event as delivering her from the pregnancy. This contradiction can be disconcerting for some women who have not been educated about the normalcy of its occurrence. Fatigue is not the driving force for the vulnerability, although it can contribute to it. Uncertainty about one's ability to be a parent can continue past childbirth. Concern with physical discomforts is more acute in the first trimester for most women.
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