The nurse provides increased support to a woman during her first prenatal visit for her current pregnancy. The patient's first pregnancy ended in a miscarriage. The nurse understands that the reasons the patient may be ambivalent about this baby include w

A.
Awareness of a new 24-hour responsibility
B.
Needs related to a second pregnancy
C.
Potential role/relationship changes
D.
Previous perinatal loss
E.
Unresolved grief and mourning


ANS: A, C, D, E
Ambivalence is a normal response to pregnancy that is in part related to the anticipated role changes that will occur. The loss of a previous pregnancy brings many emotions to a subsequent pregnancy. This patient should be counseled for her previous loss, unresolved grief and mourning, potential role changes, and new responsibilities as a parent if she carries this pregnancy to term.

Nursing

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