Maternity ATI Capstone Practice Questions & Answers

a nurse concludes that the father of an infant is not showing positive signs of parent‐infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following actions should the nurse use to promote father‐infant bonding? a. Hand the father the infant, and suggest that he change the diaper. B. ask the father why he is so anxious and nervous. C. Tell the father that he will grow accustomed to the infant. d. Provide education about infant care when the father is present. - ANSWERSd. CORRECT: nursing interventions to promote paternal bonding include providing education about infant care and encouraging the father to take a hands‐on approach. a client in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessments. Which of the following action should the nurse take? a. Come back later when the client is more cooperative. B. Give the client time to express her feelings. C. Tell the client she needs to be quiet so the assessment can be completed. d. redirect the client's focus so that she will become quiet. - ANSWERSB. CORRECT: The nurse should recognize that the client in is the taking‐in phase, which begins immediately following birth and lasts a few hours to a couple of days. a nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and mother‐infant bonding. Which of the following behaviors by the client indicates a need for the nurse to intervene? (Select all that apply.) a. demonstrates apathy when the infant cries B. Touches the infant and maintains close physical proximity C. Views the infant's behavior as uncooperative during diaper changing d. identifies and relates infant's characteristics to those of family members e. interprets the infant's behavior as meaningful and a way of expressing needs - ANSWERSC. CORRECT: a client's view of her infant as being uncooperative during diaper changing is a sign of impaired maternal‐infant bonding. a nurse is caring for a client who is 2 days postpartum. The client states, "My 4‐year old son was toilet trained and now he is frequently wetting himself." Which of the following statements should the nurse provide to the client? a. "your son was probably not ready for toilet training and should wear training pants." B. "your son is showing an adverse sibling response." C."your son may need counseling." d."you should try sending your son to preschool to resolve the behavior." - ANSWERSB. CORRECT: adverse responses by a sibling to a new infant can include regression in toileting habits. a nurse in the delivery room is planning to promote maternal‐infant bonding for a client who just delivered. Which of the following is the priority action by the nurse? a. encourage the parents to touch and explore the neonate's features. B. limit noise and interruption in the delivery room. C. Place the neonate at the client's breast. d. Position the neonate skin‐to‐skin on the client's chest. - ANSWERSd. CORRECT: Placing the neonate in the en face position on the client's chest immediately after birth is the priority nursing intervention to promote maternal‐infant bonding. a nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for development of a postpartum infection? a. a client who experienced a precipitous labor less than 3 hr in duration B. a client who had premature rupture of membranes and prolonged labor c. a client who delivered a large for gestational age infa