Exam 18: Postpartum Psychosocial Adaptations

Which strategies should the nurse suggest to a postpartum client to promote stress reduction during the first weeks at home? (Select all that apply.)

Which should the nurse do to provide support to a new client who must return to full-time employment 6 weeks after a vaginal birth?

A family is concerned about how their 2-year-old son is going to react to the new baby. What intervention would help facilitate sibling attachment?

Match each term with the correct definition of maternal adaptation stages. -Taking-hold

A husband calls the nurse's station stating that his wife, who delivered last week, is happy one minute and crying the next. He says, "She was never like this before the baby was born." Which should be the nurse's initial response?

A postpartum nurse is observing a client 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 big brother is punching his mother on the back. Which action should the nurse should take?

The postpartum client who continually repeats the story of her labor, birth, and recovery experiences is doing which?

Which client is most likely to have the least stress adjusting to her role as a mother?

The nurse observes a client on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which appropriate action should the nurse take?

A postpartum client who is a gravida 4, para 4, comes to the office for her 6-week postpartum checkup. Her presentation is untidy and unkempt. The client states that she is not sleeping well and relates that she feels overwhelmed at times. According to the client, family members' responses have been nonsupportive. What recommendations would you advise to help the client at this time?

An example of binding in during the postpartum period is a:

The nurse is teaching new parents about behavior cues that indicate their infant has had enough stimulation. Which cues should the nurse include in the teaching session?

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

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

The term reciprocal attachment behavior refers to which of the following?

A new mother states, "My mother-in-law will be here from out of town for a few weeks. I'm afraid she will take over the care of the baby." Which response should the nurse make?

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Which are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Match each term with the correct definition of maternal adaptation stages. -Letting-go

A 25-year-old gravida 1, para 1, who had an emergency cesarean birth 3 days ago is scheduled for discharge. As you prepare her for discharge, she begins to cry. Which should be your initial action?