BSN 346 Psychosocial Changes /
Family Adaptation Test Questions and
All Actual Answers 2025-2026
Updated.
Question 1 of 6
Which maternal response to pregnancy is consistent with the mother washing and folding baby
clothes and cleaning the home?
Anxiety
Nesting
Narcissism
Emotional lability - Answer Nesting
Nesting is the sudden surge of energy typically seen in the third trimester (last month) of
pregnancy. Nesting is a maternal response to prepare for the impending birth.
Question 2 of 6
Which maternal adaptation is appropriate when understanding and guiding a patient through
her acceptance of pregnancy? Anxiety is an abnormal adaptation. Depression is a normal
adaptation. Narcissism is an abnormal adaptation. Mood changes are a normal adaptation. -
Answer Mood changes are a normal adaptation.
Mood changes are normal and most likely are the result of worries about finance and a changed
lifestyle as well as profound hormonal changes.
Question 3 of 6
At which stage in Rubin's tasks of pregnancy does the pregnant woman typically begin prenatal
care?
Seeking safe passage
Gaining acceptance of others
Binding-in to unborn child
Giving of oneself - Answer Seeking safe passage
Safe passage is associated with trying to protect the child and herself from danger. Seeking
prenatal care and obtaining information about pregnancy and birth reflect the working through
of this task.
,Attitude about fatherhood
Relationship with siblings
Relationship with own father
Childhood experiences
Job security - Answer Attitude about fatherhood
Relationship with own father
Childhood experiences
Question 5 of 6
During which phase of accepting the pregnancy does the father begin to negotiate his role as a
parent?
Announcement phase
Moratorium phase
Focusing phase
Couvade phase - Answer Focusing phase
In the focusing phase, the father begins to negotiate his role in the labor and delivery as well as
his role as a parent.
Question 6 of 6
Which response to pregnancy is expected from a 2-year-old child?
Jealousy
Depression
Fear of role change
Nesting - Answer Jealousy
Younger siblings may feel a sense of jealousy when the new baby is born. The age of the sibling
determines the level of acceptance.
Question 1 of 3
Which types of data are needed to select the appropriate fetal diagnostic procedures?
Parity
Maternal age
Fetal movement
, Maternal age
Maternal age of <16 or >35 years indicates the need for fetal diagnostic procedures; therefore
age is a relevant indicator of whether fetal diagnostic procedures should be performed.
Fetal movement
Decrease in or absence of fetal movement indicates the need for fetal diagnostic procedures;
therefore fetal movement is a relevant indicator of whether fetal diagnostic procedures should
be performed.
Question 3 of 3
A patient with a family history of spina bifida is 16 weeks pregnant. Which action by the nurse is
the priority?
Obtain a prescription for Rho(D) immune globulin.
Schedule the patient for maternal serum alpha fetoprotein (MSAFP).
Refer the patient to genetic counseling.
Schedule the patient for a transabdominal ultrasound. - Answer Schedule the patient for
maternal serum alpha fetoprotein (MSAFP).
MSAFP should be scheduled between 15 and 20 weeks to test AFP level, which is used in
screening for neural tube defects such as spina bifida. Scheduling this test should be a priority
action for the nurse to take.
Question 2 of 3
A patient has not felt fetal movement in several days so is scheduled for an ultrasound. Which
statement by the nurse helps explain the necessity of the ultrasound?
"The ultrasound will let us see your baby's heartbeat."
"The ultrasound can show us where your baby is located."
"The ultrasound will help us be certain of your baby's gestational age."
"With the ultrasound, we can measure how much your baby has grown since your last
appointment." - Answer "The ultrasound will let us see your baby's heartbeat."
Absence of fetal movement for several days may indicate multiple adverse events, including
fetal death. Ultrasound is used to confirm fetal viability, which is the indication that applies to
this patient.
Question 1 of 6
Which intervention is appropriate for a patient with Rh-negative blood who is unsensitized and
just received percutaneous umbilical blood?
Family Adaptation Test Questions and
All Actual Answers 2025-2026
Updated.
Question 1 of 6
Which maternal response to pregnancy is consistent with the mother washing and folding baby
clothes and cleaning the home?
Anxiety
Nesting
Narcissism
Emotional lability - Answer Nesting
Nesting is the sudden surge of energy typically seen in the third trimester (last month) of
pregnancy. Nesting is a maternal response to prepare for the impending birth.
Question 2 of 6
Which maternal adaptation is appropriate when understanding and guiding a patient through
her acceptance of pregnancy? Anxiety is an abnormal adaptation. Depression is a normal
adaptation. Narcissism is an abnormal adaptation. Mood changes are a normal adaptation. -
Answer Mood changes are a normal adaptation.
Mood changes are normal and most likely are the result of worries about finance and a changed
lifestyle as well as profound hormonal changes.
Question 3 of 6
At which stage in Rubin's tasks of pregnancy does the pregnant woman typically begin prenatal
care?
Seeking safe passage
Gaining acceptance of others
Binding-in to unborn child
Giving of oneself - Answer Seeking safe passage
Safe passage is associated with trying to protect the child and herself from danger. Seeking
prenatal care and obtaining information about pregnancy and birth reflect the working through
of this task.
,Attitude about fatherhood
Relationship with siblings
Relationship with own father
Childhood experiences
Job security - Answer Attitude about fatherhood
Relationship with own father
Childhood experiences
Question 5 of 6
During which phase of accepting the pregnancy does the father begin to negotiate his role as a
parent?
Announcement phase
Moratorium phase
Focusing phase
Couvade phase - Answer Focusing phase
In the focusing phase, the father begins to negotiate his role in the labor and delivery as well as
his role as a parent.
Question 6 of 6
Which response to pregnancy is expected from a 2-year-old child?
Jealousy
Depression
Fear of role change
Nesting - Answer Jealousy
Younger siblings may feel a sense of jealousy when the new baby is born. The age of the sibling
determines the level of acceptance.
Question 1 of 3
Which types of data are needed to select the appropriate fetal diagnostic procedures?
Parity
Maternal age
Fetal movement
, Maternal age
Maternal age of <16 or >35 years indicates the need for fetal diagnostic procedures; therefore
age is a relevant indicator of whether fetal diagnostic procedures should be performed.
Fetal movement
Decrease in or absence of fetal movement indicates the need for fetal diagnostic procedures;
therefore fetal movement is a relevant indicator of whether fetal diagnostic procedures should
be performed.
Question 3 of 3
A patient with a family history of spina bifida is 16 weeks pregnant. Which action by the nurse is
the priority?
Obtain a prescription for Rho(D) immune globulin.
Schedule the patient for maternal serum alpha fetoprotein (MSAFP).
Refer the patient to genetic counseling.
Schedule the patient for a transabdominal ultrasound. - Answer Schedule the patient for
maternal serum alpha fetoprotein (MSAFP).
MSAFP should be scheduled between 15 and 20 weeks to test AFP level, which is used in
screening for neural tube defects such as spina bifida. Scheduling this test should be a priority
action for the nurse to take.
Question 2 of 3
A patient has not felt fetal movement in several days so is scheduled for an ultrasound. Which
statement by the nurse helps explain the necessity of the ultrasound?
"The ultrasound will let us see your baby's heartbeat."
"The ultrasound can show us where your baby is located."
"The ultrasound will help us be certain of your baby's gestational age."
"With the ultrasound, we can measure how much your baby has grown since your last
appointment." - Answer "The ultrasound will let us see your baby's heartbeat."
Absence of fetal movement for several days may indicate multiple adverse events, including
fetal death. Ultrasound is used to confirm fetal viability, which is the indication that applies to
this patient.
Question 1 of 6
Which intervention is appropriate for a patient with Rh-negative blood who is unsensitized and
just received percutaneous umbilical blood?
