Exam 20: Transition to Parenthood

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.The nurse should:

After giving birth to a healthy infant boy,a primiparous woman,16 years old,is admitted to the postpartum unit.An appropriate nursing diagnosis for her at this time is Risk for impaired parenting related to deficient knowledge of newborn care.In planning for the woman's discharge,what should the nurse be certain to include in the plan of care?

The best way for the nurse to promote and support the maternal-infant bonding process is to:

A parent who has a hearing impairment is presented with a number of challenges in parenting.Which nursing approaches are appropriate for working with hearing-impaired new parents (Select all that apply)?

With regard to parents' early and extended contact with their infant and the relationships built,nurses should be aware that:

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.In evaluating the woman's behavior with her infant,the nurse realizes that:

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

The early postpartum period is a time of emotional and physical vulnerability.Many mothers can easily become psychologically overwhelmed by the reality of their new parental responsibilities.Fatigue compounds these issues.Although the baby blues are a common occurrence in the postpartum period,about one-half million women in America experience a more severe syndrome known as postpartum depression (PPD).Which statement regarding PPD is essential for the nurse to be aware of when attempting to formulate a nursing diagnosis?

After they are born,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:

A new father states,"I know nothing about babies," but he seems to be interested in learning.This is an ideal opportunity for the nurse to:

A man calls the nurse's station and states that his wife,who delivered 2 days ago,is happy one minute and crying the next.The man says,"She was never like this before the baby was born." The nurse's initial response could be to:

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 one is a facilitating behavior?

Nursing activities that promote parent-infant attachment are many and varied.One activity that should not be overlooked is management of the environment.While providing routine mother-baby care,the nurse should ensure that:

When working with parents who have some form of sensory impairment,nurses should understand that ________ is an inaccurate statement.

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?

The mother-baby nurse is able to recognize reciprocal attachment behavior.This refers to:

Of the many factors that influence parental responses,nurses should be conscious of negative stereotypes that apply to specific patient populations.Which response could be an inappropriate stereotype of adolescent mothers?

The nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dad's chin.This woman's statement reflects:

The postpartum woman who continually repeats the story of her labor,delivery,and recovery experience is:

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.The nurse's response should convey to the parents that: