exam Flashcards
1.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?
Provide time for the client to bathe her infant after she views a demonstration of infant
bathing.
2.A 30-year-old multiparous woman has a boy who isyears old and has recently delivered
an infant girl. She tells the nurse, “I don’t know how I’ll ever manage both children when I get
home.” Which suggestion would assist this new mother in alleviating sibling rivalry?
Realize that the regression in habits and behaviors in the older child is a typical reaction and
that he needs extra love and attention at this time.
3.The nurse observes that a first-time mother appears to ignore her newborn. Which strategy
should the nurse use to facilitate mother-infant attachment?
Show the mother how the infant initiates interaction and attends to her.
4.A nurse hears a primiparous woman talking to her son and telling him that his chin is just like
his dad’s. This statement ismostdescriptive of which process?
Claiming
5.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?
Attachment, or bonding, is a process that occurs over time and does not require early
contact.
6.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?
Letting-go
7.Which statement by the nurse can assist a new father in his transition to parenthood?
Pointing out that the infant turned at the sound of his voice
8.A nurse notes that an Eskimo woman does not cuddle or interact with her newborn other than
to feed him, change his diapers or soiled clothes, and put him to bed. While evaluating this
client’s behavior with her infant, what realization does the nurse make?
What appears to be a lack of interest in the newborn is, in fact, the cultural way of
demonstrating intense love by attempting to ward off evil spirits.
9.Many first-time parents do not plan on having their parents’ help immediately after the
newborn arrives. Which statement by the nurse is themostappropriate when counseling new
parents regarding the involvement of grandparents?
“Grandparents can help you with parenting skills.”
10.In follow-up appointments or visits with parents and their new baby, it is useful if the nurse
can identify infant behaviors that can either facilitate or inhibit attachment. What is an inhibiting
behavior?
The infant seeks attention from any adult in the room.
11.In addition to eye contact, other early sensual contacts between the infant and mother involve
sound and smell. What other statement regarding the senses iscorrect?
Infants can learn to distinguish their mother’s voice from others soon after birth.
12.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?
Biorhythmicity
13.The postpartum nurse should be cognizant of what with regard to the adaptation of other family members (primarily siblings and grandparents) to the newborn?
Participation in preparation classes helps both siblings and grandparents.
14.While providing routine mother-baby care, which activities should the nurse encourage to
facilitate the parent-infant attachment?
An environment that fosters as much privacy as possible should be created.
- 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?
Provide time for the mother to reflect on the events of her labor and delivery.
16.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?
She seldom makes eye contact with her son.
17.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?
Mutuality
18.In follow-up appointments or visits with parents and their new baby, it may be useful if the
nurse can identify parental behaviors that can either facilitate or inhibit attachment. Which is a
facilitating behavior?
Parents hover around the infant, directing attention to and pointing at the infant.
19.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?
PPD can easily go undetected.
- The postpartum woman continually repeats the story of her labor, delivery, and recovery
experience. What is this new mother attempting to achieve with this behavior?
Making the birth experiencereal
21.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?
Realize that this is a normal family unit adjusting to a major family change.
22.During which phase of maternal adjustment will the mother relinquish the baby of her
fantasies and accept the real baby?
Letting go
23.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?
Allow her time to express her feelings.
- A new father states, “I know nothing about babies”; however, he seems to be interested in
learning. How would the nursebestrespond to this father?
Include him in teaching sessions.
1.Which concerns regarding parenthood are often expressed by visually impaired
mothers?
a. Infant safety
b. Transportation
d. Visually missing out
e. Needing extra time for parenting activities to accommodate the visual limitations
2.In the United States, the en faceposition is preferred immediately after birth. Which actions by
the nurse can facilitate this process?
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
3.Which societal factors have a strong influence on parental response to their infant?
An adolescent mother’s egocentricity and unmet developmental needs interfere with her
ability to parent effectively.
An adolescent mother is likely to use less verbal instruction, be less responsive, and interact
less positively than other mothers.
Mothers older than 35 years of age often deal with more stress related to work and career
issues, as well as decreasing libido.
4.The transition to parenting for same-sex couples can present unique challenges. How can the
nurse foster adjustment to parenting for these clients?
a. Use a supplemental feeding device to simulate breastfeeding.
b. Allow the partner to cut the cord.
d. Understand that strong social sanctions remain.
e. Provide information regarding support groups.
