Exam (elaborations)
ATI Testbank Questions- OB Exam #2 Part IV Exam- Questions & Solutions
ATI Testbank Questions- OB Exam #2 Part IV Exam- Questions & Solutions
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ATI Testbank Questions- OB Exam #2Part IV Exam- Questions & Solutions
The term reciprocal attachment behavior refers to which of the following?
a. Behavior during the sensitive period when the infant is in the quiet alert
stage
b. Positive feedback an infant exhibits toward parents during the attachment
process
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 - -b. Positive feedback an infant exhibits
toward parents during the attachment process
In this definition, reciprocal refers to the feedback from the infant during the
attachment process. The quiet alert state is a good time for bonding but
does not define reciprocal attachment. Reciprocal attachment deals with
feedback behavior and is not unidirectional.
-The postpartum client who continually repeats the story of her labor, birth,
and recovery experiences is doing which?
a. Making the birth experience real
b. Accepting her response to labor and birth
c. Providing others with her knowledge of events
d. Taking hold of the events leading to her labor and birth - -a. Making the
birth experience real
Reliving the birth experience makes the event real and helps the mother
realize that the pregnancy is over and that the infant is born and is now a
separate individual. She is in the taking-in phase, trying to make the birth
experience seem real. This is to satisfy her needs, not the needs of others.
She is trying to make the event real and is trying to separate the infant from
herself.
-During which stage of role attainment do the parents become acquainted
with their baby and combine parenting activities with cues from the infant?
a. Formal
b. Informal
c. Personal
d. Anticipatory - -a. Formal
A major task of the formal stage of role attainment is getting acquainted with
the infant. The informal stage begins once the parents have learned
appropriate responses to their infants cues. The personal stage is attained
,when parents feel a sense of harmony in their role. The anticipatory stage
begins during the pregnancy when the parents choose a physician and
attend childbirth classes.
-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. Hand the baby to the woman.
b. Explain taking-in to the woman.
c. Offer to hand the baby to the woman.
d. No action, because this situation is perfectly acceptable. - -a. Hand the
baby to the woman.
During the taking-in phase of maternal adaptation, in which the mother may
be passive and dependent, the nurse should encourage bonding when the
infant is in the quiet alert stage. This is done best by simply giving the baby
to the mother. She learns best during the taking-hold phase. The woman is
dependent and passive at this stage and may have difficulty making a
decision. This is expected behavior during the taking-in phase. However,
interventions can facilitate infant bonding.
-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?
a. Report the incident to the social services department.
b. Advise the parents that the older son needs to be reprimanded.
c. No action; this is a normal family adjusting to family change.
d. Report to oncoming staff that the mother is probably not a good
disciplinarian. - -c. No action; this is a normal family adjusting to family
change.
The observed behaviors are normal variations of families adjusting to
change. There is no need to report this one incident. Giving advice at this
point would make the parents feel inadequate as parents. This is normal for
an adjusting family.
-During which phase of maternal adjustment will the mother relinquish the
baby of her fantasies and accept the real baby?
a. Letting-go
b. Taking-in
c. Taking-on
d. Taking-hold - -a. Letting-go
Accepting the real infant and relinquishing the fantasy infant occurs during
the letting-go phase of maternal adjustment. In the taking-in phase, the
,mother is primarily focused on her own needs. There is no taking-on phase of
maternal adjustment. During the taking-hold phase, the mother assumes
responsibility for her own care and shifts her attention to the infant.
-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?
a. Assess her for pain.
b. Allow her time to express her feelings.
c. Point out how lucky she is to have a healthy baby.
d. Explain that she is experiencing postpartum blues. - -b. Allow her time to
express her feelings.
Although many women experience transient postpartum blues, they need
assistance in expressing their feelings. Assessing her for pain assumes that
she is in pain. Pointing out how lucky she is to have a healthy baby is
blocking communication. She needs the opportunity to express her feelings
first. Later, client teaching can occur.
-A husband calls the nurses 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 nurses initial response?
a. Reassure him that this behavior is normal.
b. Advise him to get immediate psychological help for her.
c. Tell him to ignore the mood swings because they will go away.
d. Instruct him in the signs, symptoms, and duration of postpartum blues. - -
a. Reassure him that this behavior is normal.
Before providing further instructions, inform family members of the fact that
postpartum blues are a normal process to allay anxieties and increase
receptiveness to learning. Postpartum blues are a normal process that is
short-lived; no medical intervention is needed. Telling him to ignore the
moods blocks communication and may belittle the husbands concerns. Client
teaching is important; however, his anxieties need to be allayed before he
will be receptive to teaching.
-To promote bonding and attachment immediately after birth, which action
should the nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her newborn. - -d.
Assist the mother in assuming an en face position with her newborn.
Assisting the mother in assuming an en face position with her newborn will
support the bonding process. After birth is a good time to initiate
, breastfeeding, but first the mother needs time to explore the new infant and
begin the bonding process. The mother should be given as much privacy as
possible; however, nursing assessments must still be continued during this
critical time. The mother has just delivered and is more focused on the
infant; she will not be receptive to teaching at this time.
-While the nurse is demonstrating a baby bath, the client states, The other
nurse told me to do it a different way. Which response should the nurse
make?
a. Tell her to do the procedure whichever way works best for her.
b. Confront the other nurse about her knowledge of the procedure.
c. Reassure her that procedures are based on standard principles and may
vary.
d. Tell her that the other nurse does not have much experience in caring for
newborns. - -c. Reassure her that procedures are based on standard
principles and may vary.
Procedures may vary as long as basic principles are included. There is no
evidence that the other nurse gave incorrect information. Telling her
whichever way works best or the other nurse does not have much
experience do not answer her concerns.
-A new mother states, My mother-in-law will be here from out of town for a
few weeks. Im afraid she will take over the care of the baby. Which response
should the nurse make?
a. Tell the client that everything will be okay.
b. Tell the client how lucky she is to have someone to help her.
c. Encourage the client to allow her mother-in-law to take care of the
newborn.
d. Encourage the client to tell her mother-in-law that she (the new mother)
wants to care for her infant. - -d. Encourage the client to tell her mother-in-
law that she (the new mother) wants to care for her infant.
Before the mother-in-law has the opportunity to take over, the mother needs
to state her own desire to care for the infant. Telling the client everything will
be okay or she is lucky does not address the clients concern and are
dismissive. The new mother needs to believe that she can care for her baby
and should express this to the mother-in-law so she will not feel resentful in
the future.
-Which client is most likely to have the least stress adjusting to her role as a
mother?
a. A 26-year-old woman who is returning to work in 10 weeks
b. A 35-year-old anxious mother who has had no contact with babies or
children
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