A pregnant woman indicates to her nurse that since her pregnancy began she is experiencing sleep disturbance and horrible nightmares that wake her. What questions should the nurse include during the assessment? Select all that apply
1. "Does your partner snore and disturb your sleep at night?"
2. "Are you taking any medications?"
3. "Have you had any past traumas that pregnancy might have reactivated?"
4. "Are there any significant family problems that are causing you concern?"
5. "Have you ever been diagnosed with a mental health problem?"
Answer: 2, 3, 4, 5
Explanation: Family dynamics may change during a pregnancy the nurse should always consider these changes when assessing a pregnant client experiencing symptoms of mental illness. During pregnancy, memories of past traumas, anxieties, or disappointments may be reactivated. Hormonal, social, and psychological changes can exacerbate a prior mental illness. The nurse should always assess pregnant patients for medications, including over-the-counter medications and supplements. A partner's snoring, although it may be of some concern to the patient, is not significantly related to anxiety during pregnancy.
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