Exam 22: 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.How should the nurse react to this situation?

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?

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

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

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

In the United States,the en face position is preferred immediately after birth.Which actions by the nurse can facilitate this process? (Select all that apply).

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?

A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment after childbirth.Recognizing the needs of women during this stage,how should the nurse respond?

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?

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?

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?

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 at this time is "Deficient knowledge 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?

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?

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

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?

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?

Which societal factors have a strong influence on parental response to their infant? (Select all that apply).

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,approximately 500,000 women in America experience a more severe syndrome known as PPD.Which statement regarding PPD is essential for the nurse to be aware of when attempting to formulate a nursing diagnosis?

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?

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