Study Guide for Week 2 Content (1) (2) (1).docx - Study Guide for Week 2 Content(Chapters 5 6 9 Chapter 5 Overview of the transition the woman goes

Study Guide for Week 2 Content (1) (2) (1).docx - Study...

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Study Guide for Week 2 Content (Chapters 5, 6 & 9) Chapter 5 Overview of the transition the woman goes through into her new maternal role o Rubin’s Maternal Tasks of Pregnancy Ensuring a safe passage for herself and her child Ensuring a social acceptance of the child by significant others Attaching or “binding-in” to the child According to Rubin, the mother-to-be needs to accept the pregnancy and incorporate it into her own reality and self-concept This process is known as binding in. Giving of oneself to the demands of being a mother o When does the mom accept the pregnancy? When she feels the baby move, when they feel it, when they visualize it. It is going to be different for everyone, some people as soon as they find out, and some until after the baby is actually born. o Lederman’s “Seven Dimensions of Maternal Role Development” Accepting the pregnancy Identification with the motherhood role Relationship to her mother Re-ordering relationships with her partner Preparation for labor Prenatal fear of loss of control in labor Prenatal fear of loss of self-esteem in labor Common psycho-social changes that accompany pregnancy o Decreased ability to deal with stress and cope with changes of pregnancy o Major developmental phases ambivalence and conflicting emotions o Nursing care tailored through each pregnancy milestone o Refer to table 8-4 (psychosocial adaptations to pregnancy. Special needs regarding specific patient populations o Teenagers Specific concerns regarding teenage parents Teen mothers are 7 times more likely to commit suicide than non- mothers. 57% of teen mothers in one study wanted to go to college but they lacked the resources to make it a reality. 75% of unmarried teen mothers go on welfare within 5 years of the birth of their first child. 64% of children born to an unmarried teenage high-school dropout live in poverty.
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Normal adolescent developmental tasks conflict with tasks of pregnancy o Erickson’s “Ego Identity vs Role Confusion” No prenatal care or delayed entry into care o She may get pregnant and then try to hide it, she may diet so that she can lose weight, higher risk of abuse. Not future oriented – may not accept reality of unborn child Acceptance of pregnancy hindered Difficulties with body image changes Higher rates of abuse They do not have the maturity yet, and often times 90% of teen parents are likely not going to stay together. They are still trying to figure out who they are Rape, teens, intimate partner violence, intimate partner violence is pretty high. Intimate partner violence o Risk factors 1 in 12 pregnancies Up to 20% in some studies Often begins or escalates in pregnancy Unintended pregnancy: 3 fold risk of abuse More common then preeclampsia or gestational diabetes o Screening tools and possible barriers to screening Infrequently screened for in office Screening barriers o Assessment findings Over 300,000 women in the US experience intimate partner violence during pregnancy each year.
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