Question 1

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

Accepted Answer

A)   "One of the major difficulties visually impaired parents experience is the skepticism of health care professionals."
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)   "Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information." B

Question 2

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.)

Accepted Answer

A)   Use devices that transform sound into light.
B)   Assume that the patient knows sign language.
C)   Speak quickly and loudly.
D)   Ascertain whether the patient can read lips before teaching.
E)   Written messages aid in communication. A,D,E

Question 3

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?

Accepted Answer

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. C

Question 4

The nurse can help a father in his transition to parenthood by:

Accepted Answer

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

Question 5

In the United States the en face position is preferred immediately after birth.Nurses can facilitate this process by all of these actions except:

Accepted Answer

A)   washing both the infant's face and the mother's face.
B)   placing the infant on the mother's abdomen or breast with their heads on the same plane.
C)   dimming the lights.
D)   delaying the instillation of prophylactic antibiotic ointment in the infant's eyes.

Question 6

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

Accepted Answer

A)   the positive feedback an infant exhibits toward parents during the attachment process.
B)   behavior during the sensitive period when the infant is in the quiet alert stage.
C)   unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact.
D)   behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parents.

Question 7

To promote bonding and attachment immediately after delivery,the most important nursing intervention is to:

Accepted Answer

A)   allow the mother quiet time with her infant.
B)   assist the mother in assuming an en face position with her newborn.
C)   teach the mother about the concepts of bonding and attachment.
D)   assist the mother in feeding her baby.

Question 8

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

Accepted Answer

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 9

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:

Accepted Answer

A)   tell him to ignore the mood swings, as they will go away.
B)   reassure him that this behavior is normal.
C)   advise him to get immediate psychological help for her.
D)   instruct him in the signs, symptoms, and duration of after birth blues.

Question 10

With regard to the adaptation of other family members,mainly siblings and grandparents,to the newborn,nurses should be aware that:

Accepted Answer

A)   sibling rivalry cannot be dismissed as overblown psychobabble; negative feelings and behaviors can take a long time to blow over.
B)   participation in preparation classes helps both siblings and grandparents.
C)   in the United States paternal and maternal grandparents consider themselves of equal importance and status.
D)   in the past few decades the number of grandparents providing permanent care to their grandchildren has been declining.

Question 11

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

Accepted Answer

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 women because they are at risk for parenting inadequacies.
D)   mothers need to take precedence over their partners and other family matters.

Question 12

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?

Accepted Answer

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 13

After giving birth to a healthy infant boy,a primiparous woman,16 years old,is admitted to the after birth 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?

Accepted Answer

A)   Instruct the patient how to feed and bathe her infant.
B)   Give the patient written information on bathing her infant.
C)   Advise the patient that all mothers instinctively know how to care for their infants.
D)   Provide time for the patient to bathe her infant after she views an infant bath demonstration.

Question 14

The nurse observes several interactions between a after birth 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

A)   Talks and coos to her son
B)   Seldom makes eye contact with her son
C)   Cuddles her son close to her
D)   Tells visitors how well her son is feeding

Question 15

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:

Accepted Answer

A)   attachment, or bonding, 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 16

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

Accepted Answer

A)   Letting go
B)   Taking hold
C)   Taking in
D)   Taking on

Question 17

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

Accepted Answer

A)   Infant safety
B)   Transportation
C)   The ability to care for the infant
D)   Missing out visually
E)   Needing extra time for parenting activities to accommodate the visual limitations

Question 18

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

Accepted Answer

A)   "You should tell your parents to leave you alone."
B)   "Grandparents can help you with parenting skills and also help preserve family traditions."
C)   "Grandparent involvement can be very disruptive to the family."
D)   "They are getting old. You should let them be involved while they can."

Question 19

Other early sensual contacts between infant and mother involve sound and smell.Nurses should be aware that,despite what folk wisdom may say:

Accepted Answer

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 odor.

Question 20

During a phone follow-up conversation with a woman who is 4 days' after birth,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!" The nurse would recognize that the woman is experiencing:

Accepted Answer

A)   taking-in.
B)   postpartum depression (PP
D)  .
C)   postpartum (PP)  blues.
D)   attachment difficulty.

Exam 20: Transition to Parenthood