Question 1

The nurse on a postpartum unit is acutely aware that cultural influences impact the patient's process of "becoming a mother." For which cultural influences does the nurse assess? Select all that apply.

Accepted Answer

Cultural influences can significantly affect various aspects of the postpartum experience, including the amount of time a mother spends in each phase of becoming a mother (A), differences in expectations related to rest and recuperation (B), the mother's involvement in decision-making during the early months (D), and her interest and approach to caring for her baby (E). These factors are influenced by cultural beliefs, practices, and norms surrounding childbirth and motherhood. Physical recovery from labor and delivery (C) is more of a biological process, although cultural practices can influence perceptions and management of recovery.

Question 2

Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant?

Accepted Answer

Unidirectional bonding refers to the attachment process where the affection or bond is initiated by one party towards another without requiring a reciprocal response at that time. In this context, calling the baby by name is an action that demonstrates the parents' affection and recognition of the baby as an individual, which is a form of unidirectional bonding. The other options (A, C, D) involve interactions that could be considered bidirectional, as they involve a response or engagement from both the baby and the parents.

Question 3

The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal care?

Accepted Answer

As the mother is an adolescent, it is important to present the information in an age-appropriate manner. This will ensure that the mother and her family fully understand the care needed for the newborn. While the involvement of grandparents and father is important, it is secondary to presenting the information in a way that the adolescent mother can best understand. The parents' discussion of expectations is also important, but not the most crucial factor in this situation.

Question 4

The nurse is aware that some parenting skills are acquired through the process of intentional learning. Which activity does the nurse associate with intentional learning?

Accepted Answer

Intentional learning involves seeking out information and actively learning through instruction or education. Attending hospital classes addressing newborn and infant care is an example of intentional learning, as the couple is actively seeking out information to prepare for parenthood. Observing others, discussing parenting experiences with each other, and watching media containing parenting roles may also contribute to learning, but they are not necessarily intentional or structured forms of learning.

Question 5

As a result of the previously mentioned research study, the nurses in a postpartum facility will implement which evidence-based change?

Accepted Answer

The answer of As a result of the previously mentioned...

Question 6

Dayton et al. (2016) performed qualitative research regarding expectant fathers' beliefs and expectations. The nurse identifies which theme as emerging from this research?

Accepted Answer

The answer of Dayton et al. (2016) performed qualitative research...

Question 7

The nurse on a postpartum unit is focused on providing care that will assist the mother and father in making the transition to parenthood. For which reason does the nurse review the prenatal and labor records?

Accepted Answer

Review of the prenatal and labor records can provide valuable information about the pregnancy and birth experiences, which can have an impact on the mother's ability to transition to parenthood. This information can help the nurse identify any concerns or issues that may need to be addressed, and can guide the nurse in providing appropriate care and support for the new parents.

Question 8

The nurse is providing care for a new mother during a follow-up visit 6 weeks after a vaginal delivery. The mother begins to cry and reports difficulty with eating and sleeping. The nurse identifies postpartum blues and cites which reason as the most likely cause?

Accepted Answer

Postpartum blues are a common and mild form of depression experienced by many new mothers. Hormonal fluctuations are believed to be the primary cause, as well as fatigue and stress associated with adjusting to the new role of motherhood. Frustration over physical appearance and a fussy baby may exacerbate these feelings, but they are not the primary cause.

Question 9

The nurse uses research from Greenberg and Morris (1974) as a guideline for identifying the presence of engrossment in a new baby by the father. Which behaviors exhibit paternal-infant bonding related to engrossment? Select all that apply.

Accepted Answer

The answer of The nurse uses research from Greenberg and...

Question 10

The nurse is interested in promoting coparenting because of the high likeability that at some point, both parents will be working outside the home. After reading research by Davis, Schoppe-Sullivan, Mangelsdorf, and Brown (2009), the nurse learns that which factor impacts coparenting the most?

Accepted Answer

Infant temperament has a significant impact on coparenting, as difficult infant temperament can increase stress and challenges in parenting roles, influencing how parents work together in raising their child.

Question 11

A new mother expresses frustration about how to know what her baby wants. The mother states, "I don't know what I expect, but then, the baby doesn't know either." Which situation does the nurse use as an example of neonate communication?

Accepted Answer

Rooting is a neonate's instinctive behavior to seek out a nipple when the cheek is stroked or touched. This is a clear form of communication from the baby indicating hunger or the need to feed. The other options do not necessarily indicate a clear form of communication from the baby.

Question 12

Loutzenhiser, McAuslan, and Sharpe (2015) performed a study regarding maternal and paternal fatigue and factors associated with fatigue across the transition to parenthood. Which evidence-based conclusion is made regarding fatigue and the transitioning parents?

Accepted Answer

The study found that levels of prenatal and postnatal fatigue were associated, meaning that fatigue experienced during pregnancy may predict fatigue experienced after birth. The other options are not mentioned as evidence-based conclusions in the study.

Question 13

The nurse is counseling a lesbian couple who have decided to have a child. Which considerations does the nurse present with regard to which partner will become pregnant? Select all that apply.

Accepted Answer

The nurse would consider the age and health of each partner (A) to ensure a healthy pregnancy, evaluate each partner's career goals (B) to understand the impact of pregnancy on their professional lives, decide which partner has better insurance (C) for financial and healthcare considerations, and identify which woman desires to be pregnant (E) as personal desire and readiness are crucial. Determining who will be on the birth certificate (D) is a legal matter that may be influenced by local laws and is not directly related to the decision of who will become pregnant.

Question 14

When providing care to a multiparous mother, the nurse needs to assess for the presence of ____________________ between the older children and the new baby.

Accepted Answer

The answer of When providing care to a multiparous mother,...

Question 15

The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother-infant bonding?

Accepted Answer

The mother focusing only on her physical recovery and concerns during the home visit may indicate a possible lack of attachment or bonding with her baby. A healthy maternal-infant bond involves not only physical care but also emotional attachment and interaction between the mother and baby. The presence of grandparents or the involvement of the baby's father can actually enhance bonding and support the mother-infant relationship. The mother being pleased to have the nurse visit her home and baby is also a positive sign that she is open to seeking support and guidance.

Question 16

The nurse is researching for evidence-based practice related to a mother's response during the postpartum period. Based on research by Rubin and Mercer, which finding will the nurse be able to easily implement to change the culture of the unit?

Accepted Answer

Alterations in terminology can easily be implemented by changing the language used on the unit to be more family-centered and inclusive, which can have a positive impact on the mother's response during the postpartum period. Satisfaction questionnaires, decreasing nurse/patient ratios, and soliciting paternal expectations may be more difficult or time-consuming to implement and may have less impact on changing the culture of the unit.

Question 17

The nurse is observing a new mother interact with her baby and notices the mother holding the baby close to her body. However, the nurse also notices that the mother does not hold the baby in an enface position. Which question is most appropriate for the nurse to ask?

Accepted Answer

This question is open-ended and non-judgmental, allowing the mother to share any cultural or personal beliefs that may influence her interaction with the baby.

Question 18

The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful?

Accepted Answer

Encouraging the couple to identify mutual expectations of the fathering role is most helpful as it promotes communication and understanding between the parents, which can lead to a clearer understanding of the father's role in caring for the neonate. Critiquing the father's methods or providing written materials may come off as judgmental or overwhelming for the new parent. Observing for a competitive attitude may be necessary, but it does not actively assist the father in identifying his role.

Question 19

The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse recognize as a cause for bonding/attachment problems? Select all that apply.

Accepted Answer

The answer of The nurse in a postpartum unit evaluates...

Quiz 13: Transition to Parenthood