Question

Chapters 14-15 & 26-27 Nursing Care of the Family during Pregnancy Maternal & Fetal Nutrition Assessment of High Risk Pregnancy Hypertensive Disorders Holly is a 30-year-old 62 P1 at 20 weeks of gestation. She had an uncompliccated NSVD at term 2.5 years ago, Her other child is 3 years old, and according to Holly he "was not very pleased to hear that another baby will be in the house." Holly said that she feels more excited about this pregnancy because she felt the baby move 2 weeks ago. She has made an appointment with her nurse-midwife for a routine prenatal visit. What is maternal adaptation to pregnancy, and why does it occur in the second trimester? 1 2. What is the first developmental task in adapting to the maternal role? 3. What is the second developmental task in adapting to the maternal role? What is the third developmental task in adapting to the maternal role? 4. 5. What is the fourth developmental task in adapting to the maternal role? 6. What is the last developmental task in adapting to the maternal role? 7. Holly tells her midwife that she had "a very happy childhood," She remembers that her mother was "warm and nurturing." She loved playing with baby dolls when she was a little girl and has always wanted to be a mother. What developmental stage of maternal adaptation is Holly experiencing? Elizabeth is a healthy 28-year-old who has been married for two years. She would like to try to conceive within the next 6 months. Elizabeth has scheduled an appointment with the nurse practitioner at her gynecologist's office to discuss her nutritional needs before pregnancy. 1. How does maternal nutritional status influence the outcome of pregnancy? 2. Why is meeting nutritional needs before conception important? 3. What is a desirable weight gain during pregnancy? 4. What is body mass index, and how is it calculated? 5 Elizabeth is 5 feet 1 inch tall (61 inches) and weighs 158 pounds. Calculate her BMI. Is her pre-pregnant weight appropriate? 6. What is the pattern of weight gain during pregnancy?? 7. What are the risks of gaining more than expected weight gain during pregnancy? Hes fiert hahy weighed 9 nounds 12 ounces and was delivered by cesarean

Answer 1

1. It is a time when significant maternal cardiovascular a hemodynamic changes occur. Such alterations may include blood volume, heart rate, stroke volume, cardiac output, and systemic vascular resistance. It is the process of accepting the pregnancy and adjusting to the changes within her body and her life.

2) 3)and 4) The first ,second and third developmental task in adapting to the maternal role are :-

1. ensuring a safe passage for herself and her child refers to the mother's knowledge and care-seeking behaviors to ensure that both she and the newborn emerge from pregnancy healthy

2. ensuring social acceptance of the child by significant others refers to the woman engaging her social network in the pregnancy.

3. attaching or "binding-in" to the child refers to the development of maternal-fetal attachment

4. giving of oneself to the demands of being a mother refers to the mother's willingness and effort to make personal sacrifices for the child