A 20-year-old patient who is 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 four years old."
3. "You should go to a pregnancy support group to be a good mother."
4. "It's common to feel ambiguous about pregnancy in the first trimester."
Correct Answer: 4
Rationale 1: Fathers might not be told immediately about the diagnosis of pregnancy.
Rationale 2: Loss of the patient's own mother at a young age would not affect the occurrence of ambivalence in the first trimester.
Rationale 3: No psychopathology is present, so a support group is not indicated.
Rationale 4: Ambivalence toward the pregnancy is very common in the first trimester.
You might also like to view...
A nurse plans health teaching for a patient with generalized anxiety disorder who takes lorazepam (Ativan). What information should be included? Select all that apply
a. Use caution when operating machinery. b. Allowed tyramine-free foods in diet. c. Understand the importance of caffeine restriction. d. Avoid alcohol and other sedatives. e. Take the medication on an empty stomach.
Suppose that one afternoon a family mem ber asks the homemaker/home health aide to change the position of a client who is on bed rest. The homemaker/home health aide finds the client asleep. The aide should un derstand that
a. clients should not be awakened to have their positions changed b. clients are awakened for everything that is ordered for them c. it is not good for clients to nap during the day because it interferes with nursing care d. the decision about whether to wake the client is the family memberÃs responsibility
The nurses on the unit were planning care for a group of clients and determining whether they could best meet client needs in a task or a process group. Their decision was based on the under-standing that a task group focuses on:
1. Relations among the members 2. Communication styles 3. Content issues 4. The "here and now"
An older patient is receiving a nephrotoxic medication. Which of the following would be a priority for the nurse to monitor?
a. Electrocardiogram b. Lung sounds c. Blood pressure d. Level of consciousness