Holly is a 30-year-old G2P1 at 20 weeks of gestation. She had anuncomplicated normal spontaneous vaginal delivery (NSVD) at term 2½ years ago. Her other child is 3 years old, and, according toHolly, he “was not very pleased to hear that another baby will bein the house.” Holly said that she feels more excited about thispregnancy since she felt the baby move 2 weeks ago. She has made anappointment with her nurse-midwife for a routine prenatalvisit.

1. What is the maternal adaptation to pregnancy?

2. Why does it occur in the second trimester?

3. What are the developmental tasks in adapting to the maternalrole? Explain in each development task.

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