Question 1

Many first-time parents do not plan on having their parents' help immediately after the newborn arrives.Which statement by the nurse is the most appropriate when counseling new parents regarding the involvement of grandparents?

Accepted Answer

Grandparents can provide valuable support and guidance to new parents, especially in terms of their experience with parenting. It is important for new parents to consider the benefits of grandparent involvement and communicate their expectations clearly to avoid any disruptions. Option A is not appropriate as it may cause unnecessary tension between the parents and grandparents. Option C is too vague and negative. Option D assumes that grandparents are only involved for their benefit, which may not be the case.

Question 2

The nurse observes that a first-time mother appears to ignore her newborn.Which strategy should the nurse use to facilitate mother-infant attachment?

Accepted Answer

Showing the mother how the infant initiates interaction and attends to her can promote mother-infant attachment by helping the mother recognize and respond to her baby's cues and behaviors. Telling the mother what she "should" do or arranging for her to watch a video may not be as effective in helping her develop a connection with her infant. Demonstrating different feeding positions may be helpful, but it may not address the overall issue of the mother's lack of attachment to her newborn.

Question 3

A nurse is observing a family.The mother is holding the baby she delivered less than 24 hours ago.Her husband is watching his wife and asking questions about newborn care.The 4-year-old brother is punching his mother on the back.How should the nurse react to this situation?

Accepted Answer

It is normal for families to go through adjustment periods after the birth of a child. The nurse should observe and offer guidance and support to the family as they adapt to their new roles and responsibilities. In this situation, the nurse can suggest ways to redirect the 4-year-old's behavior, such as teaching him to touch the baby gently or giving him a special job to feel involved. Reporting the incident to social services or assuming that the mother is a bad disciplinarian without proper evidence could cause unnecessary harm to the family.

Question 4

After birth,a crying infant may be soothed by being held in a position in which the newborn can hear the mother's heartbeat.This phenomenon is known as what?

Accepted Answer

Biorhythmicity refers to the natural rhythm and patterns that are biologically ingrained, such as a newborn being soothed by the familiar sound of the mother's heartbeat, which they were accustomed to hearing in the womb.

Question 5

The nurse observes several interactions between a postpartum woman and her new son.What behavior,if exhibited by this woman,would the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?

Accepted Answer

Seldom making eye contact with her son may indicate a possible maladaptive behavior towards parent-infant attachment. Eye contact is important for bonding and fostering a strong attachment between the mother and her infant.

Question 6

While providing routine mother-baby care,which activities should the nurse encourage to facilitate the parent-infant attachment?

Accepted Answer

Creating an environment that fosters as much privacy as possible can help facilitate parent-infant attachment by allowing the parents to have uninterrupted time with their baby and to bond without distractions. The other choices (A, B, and C) do not necessarily encourage parent-infant attachment and may even hinder it by separating the baby from the mother or limiting interaction between the parents and their baby.

Question 7

A nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dad's.This statement is most descriptive of which process?

Accepted Answer

The statement about the baby's chin is an example of the process of claiming, where parents point out similarities between themselves and their newborns in order to establish their identity as parents and form a bond with their child. Mutuality refers to the back-and-forth interactions between parent and infant, synchrony refers to the timing and coordination of these interactions, and reciprocity refers to how the actions of one partner in the interaction elicit a response from the other partner.

Question 8

When the infant's behaviors and characteristics call forth a corresponding set of maternal behaviors and characteristics,what is the correct term for this behavior?

Accepted Answer

Mutuality refers to the reciprocal interaction between a mother and her infant, where the behaviors and characteristics of one sets off a corresponding set of behaviors and characteristics in the other. This mutual responsiveness establishes an emotional connection and lays the foundation for a positive relationship between mother and child. Bonding usually refers to the strong emotional attachment that develops between a mother and child immediately after birth, while claiming refers to the process by which a mother identifies and takes possession of her newborn. Acquaintance refers to the initial period of getting to know someone or something.

Question 9

The postpartum nurse should be cognizant of what about the adaptation of other family members (primarily siblings and grandparents)to the newborn?

Accepted Answer

The answer of The postpartum nurse should be cognizant of...

Question 10

In follow-up appointments or visits with parents and their new baby,it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment.Which is a facilitating behavior?

Accepted Answer

Hovering around the infant and directing attention towards them is a facilitating behavior as it shows the parents are interested in their infant and actively seeking to bond with them. Difficulty in naming the infant or not interpreting their needs and actions is inhibiting behavior. Not progressing from fingertip touch to palmar contact and holding can also be inhibiting as it does not allow for a deeper physical connection between parent and child.

Question 11

Which statement by the nurse can assist a new father in his transition to parenthood?

Accepted Answer

Pointing out that the infant turned at the sound of his voice can help the father to feel important and connected to the baby. This can enhance the father's attachment to the infant and aid in his transition to parenthood. Encouraging him to go home to get some sleep and telling him to tape the infant's diaper a different way are practical suggestions but don't necessarily address the emotional or psychological aspects of transitioning to parenthood. Suggesting that he let the infant sleep in the bassinet is also a practical suggestion, but it doesn't necessarily address the father's emotional needs during this transitional period.

Question 12

Which statement regarding postpartum depression (PPD)is essential for the nurse to be aware of when attempting to formulate a nursing diagnosis?

Accepted Answer

It is important for the nurse to be aware that PPD can easily go undetected, as many women may not report their symptoms or may be overlooked during routine postpartum assessments. This knowledge can help the nurse to screen for and recognize PPD in their patients, leading to earlier intervention and treatment. Choices A, B, and D are incorrect. PPD symptoms can vary in severity, affect both mothers and fathers, and it is within the nurse's scope of practice to educate and provide resources to new parents regarding PPD.

Question 13

Which concerns regarding parenthood are often expressed by visually impaired mothers? (Select all that apply. )

Accepted Answer

The answer of Which concerns regarding parenthood are often expressed...

Question 14

After giving birth to a healthy infant boy,a primiparous client,16 years of age,is admitted to the postpartum unit.An appropriate nursing diagnosis for her is "Lack of understanding of infant care." What should the nurse be certain to include in the plan of care as he or she prepares the client for discharge?

Accepted Answer

The answer of After giving birth to a healthy infant...

Question 15

During a telephone follow-up conversation with a woman who is 4 days postpartum,the woman tells the nurse,"I don't know what's wrong.I love my son,but I feel so let down.I seem to cry for no reason!" Which condition might this new mother be experiencing?

Accepted Answer

The woman's symptoms suggest she may be experiencing postpartum blues, which is a common condition that affects up to 80% of new mothers. Symptoms include mood swings, anxiety, and crying spells, and typically begin within the first week after delivery and resolve on their own within a few weeks. Letting-go refers to the process of separating from the pregnancy and adjusting to the reality of parenting, while attachment difficulty refers to difficulty forming an emotional bond with the baby. Postpartum depression is a more severe form of mood disorder that can persist for several months and may require treatment.

Question 16

New parents express concern that because of the mother's emergency cesarean birth under general anesthesia,they did not have the opportunity to hold and bond with their daughter immediately after her birth.Which information should the nurse's response convey?

Accepted Answer

Attachment or bonding is indeed a process that develops over time and is not solely dependent on immediate contact after birth. While early contact can be beneficial, it is not the only factor that influences the bonding process between parents and their child.

Question 17

A 25-year-old gravida 1 para 1 who had an emergency cesarean birth 3 days ago is scheduled for discharge.As the nurse prepares her for discharge,she begins to cry.The nurse's next action should be what?

Accepted Answer

Allowing the mother time to express her feelings and acknowledging them is the best action for the nurse to take. This can help the mother feel heard, validated, and supported during a time of vulnerability. Assessing for pain and pointing out how lucky she is may be appropriate actions, but they do not address the underlying emotional distress the mother is experiencing. While postpartum blues is a common experience for many new mothers, it should not be assumed without further assessment and discussion with the patient.

Question 18

In follow-up appointments or visits with parents and their new baby,it is useful if the nurse can identify infant behaviors that can either facilitate or inhibit attachment.What is an inhibiting behavior?

Accepted Answer

An inhibiting behavior is when the infant seeks attention from any adult in the room instead of primarily seeking attachment with their parents. This can hinder the development of a strong parent-infant bond, which is crucial for healthy social, emotional, and cognitive development.

Question 19

In addition to eye contact,other early sensual contacts between the infant and mother involve sound and smell.What other statement regarding the senses is correct?

Accepted Answer

Infants can recognize their mother's voice from as early as a few days after birth.

Answer: D
 Mother’s breast milk actually does have a distinctive odor that can be detected by the baby.

Question 20

A new father states,"I know nothing about babies";however,he seems to be interested in learning.How would the nurse best respond to this father?

Accepted Answer

Including the father in teaching sessions would allow him to learn and ask any questions he may have about caring for his newborn. This would be a positive and helpful way for the nurse to support the father's interest in learning. Option A, continuing to observe without actively involving the father, may not provide him with the guidance he needs. Option B, telling him when he does something wrong, may be discouraging and could damage his confidence. Option C, showing no concern, may also discourage the father from seeking guidance and support from healthcare professionals.

Quiz 22: Transition to Parenthood