Chapter 8

Psychosocial Adaptations to Pregnancy

Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Psychological Responses

y First trimester y Second trimester y Third trimester

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Psychological Responses

First Trimester
y Uncertainty y Ambivalence y The self as primary focus

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Psychological Responses

Second Trimester
y Physical evidence of pregnancy y Fetus as the primary focus y Narcissism and introversion y Body image y Changes in sexuality

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Psychological Responses

Third Trimester
y Vulnerability y Increasing dependence y Preparation for birth

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Role Transition

y Transition experienced throughout pregnancy y Steps in maternal role taking y Maternal tasks of pregnancy

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Role Transition

Steps in Maternal Role Taking
y Mimicry y Role play y Fantasy y Search for a role fit y Grief work

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Maternal Role Transition

Maternal Tasks of Pregnancy
y Seeking safe passage y Securing acceptance y Learning to give of herself y Committing herself to the unknown child

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Paternal Adaptation
y Variations in paternal adaptation y Developmental processes
y The reality of pregnancy and the child y The struggle for recognition as a parent y The role of the involved father

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Adaptation of Grandparents
y Age y Number and spacing of other grandchildren y Perceptions of the role

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Adaptation of Siblings
y Toddlers y Older children y Adolescents

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Factors Influencing Psychosocial Adaptations

y Age y Multiparity y Social support y Absence of a partner y Abnormal situation y Socioeconomic status

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Barriers to Prenatal Care

y Financial y Systemic y Attitudinal

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Cultural Influences on Childbearing

y Differences within cultures y Cultural differences causing conflict y Culturally competent nursing care

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.

Application of the Nursing Process: Psychosocial Concerns

y Assessment y Analysis y Planning y Intervention y Evaluation

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Elsevier items and derived items 2010, 2006, 2002, 1998, 1994 by Saunders, and imprint of Elsevier Inc.