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OB NURS 306 STUDY GUIDE WEEK 2 CONTENT.

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OB NURS 306 STUDY GUIDE WEEK 2 CONTENT.

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April 2, 2022
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Written in
2021/2022
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OB NURS 306 STUDY GUIDE WEEK 2 CONTENT.

, 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 (Page 88-89)
Rubin’s “Maternal Tasks of Pregnancy” Lederman’s “7 Dimensions of Maternal Role
Ensuring a safe passage for herself and her Development”
child 1. Accepting the pregnancy
Ensuring a social acceptance of the child by 2. Identification with the motherhood role
significant others 3. Relationship to her mother
Attaching or “binding-in” to the child 4. Re-ordering relationships with her partner
Giving of oneself to the demands of being a 5. Preparation for labor
mother – makes sacrifices for the child 6. Prenatal fear of loss of control in labor
7. Prenatal fear of loss of self-esteem in labor

▪ Common psycho-social changes that accompany pregnancy
o Decrease ability to deal with stress
o Ambivalent feelings
▪ Special needs regarding specific patient populations
o Teenagers
▪ Specific concerns regarding teenage parents:
▪ Coping with the role/tasks of pregnancy and adolescence at the same time
• Erickson’s: Ego Identity vs Role Confusion
▪ Abandonment
▪ increased adverse pregnancy outcomes,
▪ and inability to complete school education, which may ultimately limit their future social
and economic opportunities
▪ no prenatal care or delayed entry into prenatal care
▪ body image changes
▪ acceptance of pregnancy
▪ higher rates of abuse
▪ Intimate partner violence (1 in 12 pregnancies)
o Risk factors:
o pregnancy and unintended pregnancy
o Screening tools and possible barriers to screening
■ Common questions asked in an IPV screening tool are:
■ Has your partner ever hit you?
■ Do arguments with your partner result in you feeling bad about yourself?
■ Do you ever feel frightened by what your partner says or does?
■ Do you feel safe in your current relationship?
o Assessment findings / conflicting emotions

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