The partner of a pregnant patient at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he's having a hard time relating to his partner's fatigue and food aversions
Which of the following statements would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy."
2. "My husband had no problem with this. What was your childhood like?"
3. "You might need professional psychological counseling. Ask your physician."
4. "Many men feel this way. Feeling the baby move will help make it real."
4
Rationale:
1. Ambivalence is common among partners, especially prior to their either seeing the baby on ultrasound or feeling the baby kick and move.
2. The ambivalence and disbelief occur across all socioeconomic groups, in both partners who were fathered well and those who grew up without a father.
3. This reaction is not indicative of psychological pathology.
4. Kicking and ultrasound visualization are concrete evidence of the baby's existence, and often are turning points in acceptance for partners.
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