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Continuous Assessment

This document contains a case study about 17-year-old Sarah who is 24 weeks pregnant with her first child. Her pregnancy was unplanned and the father has little contact. Sarah has gained 20 pounds and feels unattractive. The document asks to [1] describe three factors that can influence Sarah's adaptation to pregnancy, [2] explain two psychological responses Sarah may exhibit, and [3] state three nursing interventions to help Sarah accept her body image.

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heidi
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35 views

Continuous Assessment

This document contains a case study about 17-year-old Sarah who is 24 weeks pregnant with her first child. Her pregnancy was unplanned and the father has little contact. Sarah has gained 20 pounds and feels unattractive. The document asks to [1] describe three factors that can influence Sarah's adaptation to pregnancy, [2] explain two psychological responses Sarah may exhibit, and [3] state three nursing interventions to help Sarah accept her body image.

Uploaded by

heidi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NAME: HEIDI ALEXANDER

STUDENT ID#: 00067746

Continuous Assessment #1-10%


17 year old Sarah is pregnant for the first time. She attends antenatal clinic at 24 weeks of
gestation. She tells the midwife that the pregnancy was unplanned, and she has very little
contact with the baby’s father. She has gained 20 lbs. and feels that she is unattractive and fat.
(a) Describe three (3) factors that can influence Sarah’s psychosocial adaptation to her
pregnancy (9
marks)
Age
Sarah’s psychosocial adaption to her pregnancy can be influenced by her age because it may

become difficult for her to manage the changes of adolescents in addition to pregnancy. At

the adolescents stage of life teenagers are faced with the task of identifying and

accomplishing the needs of oneself. However, pregnancy at the stage can disrupt that task as

the demands of the foetus may overshadow those of the teen. Adapting to this change can be

challenging for adolescents as they believe that their needs are no long a priority; in addition

it can also result in the teen not being able to accept the pregnancy.

Absence of Partner
In Sarah’s case, being single and pregnant can be difficult to handle. Without the child’s

father in the picture, Sarah is expected to experience challenges such as poverty. Whilst in

poverty she may delay prenatal care which can make her susceptible to pregnancy

complications. In addition Sarah may have to rely on family and friends to for social support.

Socioeconomic Status

(b) Briefly explain two (2) psychological responses that Sarah may exhibit during this
trimester of pregnancy (4 marks)
Physical Evidence of Pregnancy
NAME: HEIDI ALEXANDER
STUDENT ID#: 00067746

(c) State 3 nursing interventions the nurse can use to help Sarah accept her body image.
(6 marks)

1. Exhibit positive caring routine activities

During clinical visits, positive remarks by the nurse may encourage Sarah to develop

positive responses to the physical changes of her body.

2. Discuss with patient about the normalcy of body image disturbance

It is important for the nurse to reassure Sarah that her physical body changes are

normal, as this may ease her self-conscious feelings about her image

3. Educate the patient about adaptive behaviour

The nurse can suggest to Sarah the option of wearing clothing that enhances or

conceal the changes that he body may experience (stretch marks). Clothing that is

loose and comfortable for pregnant women. This kind of adaptive behaviour allows

for her to compensate for the changes experienced.

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