Question 1

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?

Accepted Answer

A)   Report the incident to the social services department.
B)   Advise the parents that the toddler needs to be reprimanded.
C)   Report to oncoming staff that the mother is probably not a good disciplinarian.
D)   Realize that this is a normal family unit adjusting to a major family change. D

Question 2

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?

Accepted Answer

A)   Attachment, or bonding, is a process that occurs over time and does not require early contact.
B)   Time immediately after birth is a critical period for humans.
C)   Early contact is essential for optimal parent-infant relationships.
D)   These new parents should just be happy that the infant is healthy. A

Question 3

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

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)   Since 1990, the number of grandparents providing permanent care to their grandchildren has been declining. B

Question 4

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

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

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 6

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).

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
E)   Placing the infant in the grandmother's arms

Question 7

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?

Accepted Answer

A)   Mutuality
B)   Synchrony
C)   Claiming
D)   Reciprocity

Question 8

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?

Accepted Answer

A)   Foster an active role in the baby's care.
B)   Provide time for the mother to reflect on the events of her labor and delivery.
C)   Recognize the woman's limited attention span by giving her written materials to read when she gets home rather than doing a teaching session while she is in the hospital.
D)   Promote maternal independence by encouraging her to meet her own hygiene and comfort needs.

Question 9

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?

Accepted Answer

A)   Assess her for pain.
B)   Point out how lucky she is to have a healthy baby.
C)   Explain that she is experiencing postpartum blues.
D)   Allow her time to express her feelings.

Question 10

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?

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)   Mother's breast milk has no distinctive odor.

Question 11

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?

Accepted Answer

A)   "You should tell your parents to leave you alone."
B)   "Grandparents can help you with parenting skills."
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 12

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?

Accepted Answer

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

Question 13

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?

Accepted Answer

A)   Letting-go
B)   Postpartum depression (PP
D)  
C)   Postpartum blues
D)   Attachment difficulty

Question 14

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

Accepted Answer

A)   Tell the mother she must pay attention to her infant.
B)   Show the mother how the infant initiates interaction and attends 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 15

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?

Accepted Answer

A)   Mutuality
B)   Bonding
C)   Claiming
D)   Acquaintance

Question 16

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?

Accepted Answer

A)   Entrainment
B)   Reciprocity
C)   Synchrony
D)   Biorhythmicity

Question 17

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

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 years of age often deal with more stress related to work and career issues, as well as decreasing libido.
E)   Relationships between adolescent mothers and fathers are more stable than older adults.

Question 18

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?

Accepted Answer

A)   PPD symptoms are consistently severe.
B)   This syndrome affects only new mothers.
C)   PPD can easily go undetected.
D)   Only mental health professionals should teach new parents about this condition.

Question 19

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?

Accepted Answer

A)   The postpartum woman talks and coos to her son.
B)   She seldom makes eye contact with her son.
C)   The mother cuddles her son close to her.
D)   She tells visitors how well her son is feeding.

Question 20

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

Accepted Answer

A)   Infant safety
B)   Transportation
C)   Ability to care for the infant
D)   Visually missing out
E)   Needing extra time for parenting activities to accommodate the visual limitations

Exam 22: Transition to Parenthood