Nurse Midwife Exam Prep

Category - Midwifery

A client is in her 18th week of pregnancy. Which of the following psychosocial changes is expected at this time?
  1. The client is ambivalent about being pregnant.
  2. The client begins to imagine how she will feel during the delivery.
  3. The client is excited to attend childbirth educational classes.
  4. The client engages in nest-building activities.
Explanation
Answer: B - During the 18th week of pregnancy, the client begins to concentrate on how it will feel to be a parent or how she will feel during the delivery. This is manifested by role-playing. During the first trimester, the major developmental task is to accept the pregnancy. Ambivalence is a common reaction, and it can also occur in women who planned for the pregnancy. During the second trimester, an important developmental task is to accept the baby as a separate entity, and during during the third trimester, the major developmental task is to prepare for the baby. Options C and D are commonly seen in clients during the third trimester.
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