Which patient would the perinatal nurse assess as being most at risk for maternal attachment problems?
A.
18 year-old married woman with a supportive family who lives nearby
B.
20-year-old woman with remote history of chlamydia and gonorrhea
C.
22-year-old alcoholic who has been sober for 10 years
D.
52-year-old unemployed divorced woman who thought she was in menopause
ANS: D
Maternal attachment to the fetus is an important area to assess and can be useful in identifying families at risk for maladaptive behaviors (Youngkin et al., 2012). The nurse should assess for indicators such as unintended pregnancy, intimate partner violence, difficulties in the partner relationship, sexually transmitted infections, limited financial resources, substance use, adolescence, poor social support systems, low educational level, and the presence of mental conditions that might interfere with the patient's ability to bond with and care for the infant. The divorced, unemployed woman experiencing an unexpected pregnancy has the most risk factors.
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