Deck 23: Transition to Parenthood

Question 1

Which facilitates parent-infant attachment?

A) Instruction on infant feeding cues
B) Preparing parent(s)for expected role changes involved in becoming a parent
C) Discussing behavioural characteristics with the parent(s)
D) Teaching parent(s)skills to care for newborn

Answer 1

Discussing behavioural characteristics with the parent(s)

Question 2

When dealing with parents who have some form of sensory impairment,nurses should realize that which of the following statements is not true?

A) One of the major difficulties that visually impaired parents experience is the skepticism of health care providers.
B) Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact.
C) The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities.
D) Technological advances,including the Internet,can provide deaf parents with a full range of parenting activities and information.

Answer 2

Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact.

Question 3

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

A) Entrainment
B) Reciprocity
C) Synchrony
D) Biorhythmicity

Answer 3

Biorhythmicity

Question 4

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

A) She talks and coos to her son.
B) She seldom makes eye contact with her son.
C) She cuddles her son close to her.
D) She tells visitors how well her son is feeding.

Question 5

Which statement is accurate?

A) High-pitched voices irritate newborns.
B) Infants can learn to distinguish their mother's voice from others soon after birth.
C) All babies in the hospital smell alike.
D) A mother's breast milk has no distinctive odour.

Question 6

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

A) The parents have difficulty naming the infant.
B) The parents hover around the infant,directing attention to and pointing at the infant.
C) The parents make no effort to interpret the actions or needs of the infant.
D) The parents do not move from fingertip touch to palmar contact and holding.

Question 7

Many first-time parents do not plan on their parents' help immediately after the newborn arrives.What is most important when counselling new parents about the involvement of grandparents?

A) Parents should be encouraged to inform grandparents to give them some space immediately after birth.
B) Grandparents can help with parenting skills and preserving family traditions.
C) Grandparent involvement can be very disruptive to the family.
D) As they are old,parents should let grandparents be involved while they can.

Question 8

Which should the nurse ensure while providing routine mother-baby care with regard to the management of the environment?

A) The baby is able to return to the nursery at night so that the new mother can sleep.
B) Routine times for care are established to reassure the parents.
C) The father should be encouraged to go home at night to prepare for mother-baby discharge.
D) An environment that fosters as much privacy as possible should be created.

Question 9

The nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dad's chin.What does this woman's statement reflect?

A) Mutuality
B) Synchrony
C) Claiming
D) Reciprocity

Question 10

What should the nurse be aware of with regard to the adaptation of other family members,mainly siblings and grandparents,to the newborn?

A) Sibling rivalry cannot be dismissed as overblown psychobabble;negative feelings and behaviours can take a long time to blow over.
B) Participation in preparation classes helps both siblings and grandparents.
C) In Canada,paternal and maternal grandparents consider themselves of equal importance and status.
D) There is a decrease in the number of grandparents providing permanent care to their grandchildren over the last 10 years.

Question 11

During a phone follow-up conversation with a woman who is 4 days postpartum,the woman tells the nurse,"Everyone loves my baby! I have a routine that I am settling into and I feel physically well." Which phase would the nurse assess that this woman is experiencing?

A) Taking-in
B) Taking-hold
C) Postpartum (PP)blues
D) Letting-go

Question 12

What should nurses be aware of with regard to parents' early and extended contact with their infant?

A) Immediate contact is essential for the parent-child relationship.
B) Skin-to-skin contact is preferable to contact with the body totally wrapped in a blanket.
C) Extended contact is especially important for adolescents and low-income parents because they are at risk for parenting inadequacies.
D) Mothers need to take precedence over their partners and other family matters.

Question 13

Which concern about parenthood is often expressed by visually impaired mothers?

A) Skepticism of nurse
B) Lack of direct eye contact
C) The ability to care for the infant
D) Inability to care for themselves postpartally

Question 14

The nurse notes that a Vietnamese woman does not cuddle or interact with her newborn other than to feed him,change his diapers or soiled clothes,and put him to bed.Which does he nurse understand with regard to evaluating the woman's behaviour with her infant?

A) What appears to be a lack of interest in the newborn is in fact the Vietnamese way of demonstrating intense love by attempting to ward off evil spirits.
B) The woman is inexperienced in caring for newborns.
C) The woman needs a referral to a social worker for further evaluation of her parenting behaviours once she goes home with the newborn.
D) Extra time needs to be planned for assisting the woman in bonding with her newborn.

Question 15

Which can the nurse do to help a father in his transition to parenthood?

A) Point out that the infant turned at the sound of his voice.
B) Encourage him to go home to get some sleep.
C) Tell him to tape the infant's diaper a different way.
D) Suggest that he let the infant sleep in the bassinet.

Question 16

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

A) Attachment is a process that occurs over time and does not require early contact.
B) The time immediately after birth is a critical period for people.
C) Early contact is essential for optimum parent-infant relationships.
D) They should just be happy that the infant is healthy.

Question 17

Of the many factors that influence parental responses,nurses should be aware that which statements regarding age are true? Select all that apply.Express answer in small letters followed by a comma,and a space-e.g. ,a,b,c

A) An adolescent mother's egocentricity and unmet developmental needs interfere with her ability to parent effectively.
B) An adolescent mother is likely to use less verbal instruction,be less responsive,and interact less positively than other mothers.
C) Adolescent mothers have a higher documented incidence of child abuse.
D) Mothers older than 35 often deal with more stress related to work and career issues and decreasing libido.
E) Adolescent mothers are at decreased risk of postpartum depression.
F) Adolescent mothers have a high tolerance for frustration.

Question 18

The nurse observes that a 15-year-old mother seems to ignore her newborn.What is a strategy that the nurse can use to facilitate mother-infant attachment in this mother?

A) Tell the mother she must pay attention to her infant.
B) Show the mother how the infant initiates interaction and pays attention to her.
C) Demonstrate for the mother different positions for holding her infant while feeding.
D) Arrange for the mother to watch a video on parent-infant interaction.

Question 19

What is the term used when the infant's behaviours and characteristics call forth a corresponding set of maternal behaviours and characteristics?

A) Mutuality
B) Bonding
C) Claiming
D) Acquaintance

Question 20

The en face position is preferred immediately after birth.Which would facilitate this process? Select all that apply.Express answer in small letters followed by a comma,and a space,e.g.-a,b,c.

A) Washing both the infant's face and the mother's face
B) Placing the infant on the mother's abdomen with their heads on the same plane
C) Dimming the lights
D) Delaying the instillation of prophylactic antibiotic ointment in the infant's eyes
E) Ensuring that the infant and parent's face are 10 cm apart
F) Encouraging breastfeeding with the baby in the transverse hold

Question 21

Which are facilitating behaviours affecting infant attachment? Select all that apply.Express answer in small letters followed by a comma,and a space-e.g. ,a,b,c

A) Identifies the infant with someone the parent dislikes
B) Names the infant
C) Hovers over the infant to maintain proximity
D) Views infants' behaviour as deliberately uncooperative
E) Maintains bland countenance
F) Assigns meaning to the infant's actions