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MATERNAL CHILD CH. 20 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MATERNAL CHILD CH. 20 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MATERNAL CHILD CH. 20 QUESTIONSAND ANSWERS WITH SOLUTIONS 2024
After giving birth to a healthy infant boy, a primiparous woman, 16 years old, is admitted to the
postpartum
unit. An appropriate nursing diagnosis for her at this time is Risk for impaired parenting related to
deficient
knowledge of newborn care. In planning for the womans discharge, what should the nurse be certain to
include
in the plan of care?
a. Instruct the patient how to feed and bathe her infant.
b. Give the patient written information on bathing her infant.
c. Advise the patient that all mothers instinctively know how to care for their infants.
d. Provide time for the patient to bathe her infant after she views an infant bath demonstration. -
ANSWER ANS: D
Having the mother demonstrate infant care is a valuable method of assessing the clients understanding
of her
newly acquired knowledge, especially in this age group, because she may inadvertently neglect her child.
Although verbalizing how to care for the infant is a form of patient education, it is not the most
developmentally appropriate teaching for a teenage mother. Advising the patient that all mothers
instinctively
know how to care for their infants is an inappropriate statement; it is belittling and false.
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?
a. Talks and coos to her son
b. Seldom makes eye contact with her son
c. Cuddles her son close to her
d. Tells visitors how well her son is feeding - ANSWER ANS: B
,The woman should be encouraged to hold her infant in the en face position and make eye contact with
the
infant. Normal infant-parent interactions include talking and cooing to her son, cuddling her son close to
her, and telling visitors how well her son is feeding
The nurse observes that a 15-year-old mother seems to ignore her newborn. A strategy that the nurse
can use
to facilitate mother-infant attachment in this mother is to:
a. Tell the mother she must pay attention to her infant.
b. Show the mother how the infant initiates interaction and pays attention 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. - ANSWER ANS: B
Pointing out the responsiveness of the infant is a positive strategy for facilitating parent-infant
attachment. Telling the mother that she must pay attention to her infant may be perceived as derogatory
and is not
appropriate. Educating the young mother in infant care is important; however, pointing out the
responsiveness
of her baby is a better tool for facilitating mother-infant attachment. Videos are an educational tool that
can
demonstrate parent-infant attachment, but encouraging the mother to recognize the infants
responsiveness is
more appropriate
The nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dads
chin. This womans statement reflects:
a. Mutuality. c. Claiming.
b. Synchrony. d. Reciprocity - ANSWER ANS: C
Claiming refers to the process by which the child is identified in terms of likeness to other family
members. Mutuality occurs when the infants behaviors and characteristics call forth a corresponding set
of maternal
behaviors and characteristics. Synchrony refers to the fit between the infants cues and the parents
responses. Reciprocity is a type of body movement or behavior that provides the observer with cues.
, New parents express concern that, because of the mothers emergency cesarean birth under general
anesthesia, they did not have the opportunity to hold and bond with their daughter immediately after
her birth. The nurses response should convey to the parents that:
a. Attachment, or bonding, is a process that occurs over time and does not require early contact.
b. The time immediately after birth is a critical period for people.
c. Early contact is essential for optimum parent-infant relationships.
d. They should just be happy that the infant is healthy - ANSWER ANS: A
Attachment, or bonding, is a process that occurs over time and does not require early contact. The
formerly
accepted definition of bonding held that the period immediately after birth was a critical time for
bonding to
occur. Research since has indicated that parent-infant attachment occurs over time. A delay does not
inhibit the
process. Parent-infant attachment involves activities such as touching, holding, and gazing; it is not
exclusively
eye contact. A response that conveys that the parents should just be happy that the infant is healthy is
inappropriate because it is derogatory and belittling
During a phone follow-up conversation with a woman who is 4 days postpartum, the woman tells the
nurse,
I dont know whats wrong. I love my son, but I feel so let down. I seem to cry for no reason! The nurse
would
recognize that the woman is experiencing:
a. Taking-in. c. Postpartum (PP) blues.
b. Postpartum depression (PPD). d. Attachment difficulty. - ANSWER ANS: C
During the PP blues women are emotionally labile, often crying easily and for no apparent reason. This
lability
seems to peak around the fifth PP day. The taking-in phase is the period after birth when the mother
focuses on
her own psychologic needs. Typically this period lasts 24 hours. PPD is an intense, pervasive sadness
marked
by severe, labile mood swings; it is more serious and persistent than the PP blues. Crying is not a
maladaptive
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