Module 7 (Exam 1) ****3****

Question 1

Bonding

Answer 1

• Initial, unidirectional attraction of parents to infant

Question 2

Attachment

Answer 2

• Enduring, reciprocal bond between parent and child
• Each benefits

Question 3

En Face

Answer 3

Position in which one looks at another face to face

Question 4

Taking-In

Answer 4

• Delivery-PP Day 1-2
• Passivity, dependence, focus on physical needs, reviewing the birth
• Provide direct physical care, encourage discussion of birth

Question 5

Taking-Hold

Answer 5

• Several days following Day 1-2
• Increasing independence, autonomy
• Support autonomy, focus on teaching, validate caregiving abilities

Question 6

Letting-Go

Answer 6

• Variable time frame
• Reliquishment of previous roles, realization of new family unit
• Generally happens after dischage, support integration

Question 7

Maternal Role Attainment: Anticipatory

Answer 7

1. Prenatal
2. Planning for birth and parenthood
3. Seeking out role models
4. Attending classes

Question 8

Maternal Role Attainment: Formal to Informal

Answer 8

1. Birth-4-6weeks
2. Becoming aquainted with babe
3. Responding to cues
4. Personalizing parenting style

Question 9

Maternal Role Attainment: Personal

Answer 9

1. Variable time frame
2. Harmony
3. Integration of the maternal role

Question 10

Sequential Touching Behaviors characteristic of a mother in becoming acquainted with her newborn

Answer 10

• Fingertip touch: mother touches baby with only fingertips to explore baby’s characteristics
• Palmar contact: mother uses whole palm to touch baby
• Enfolding/Holding: mother holds baby close to her

Question 11

Baby Blues

Answer 11

1. 60-70% incidence
2. Onset is early puerperium
3. Transient and self limiting
4. Sadness, tears, mood swings
5. Resolution within two weeks PP
6. May progress to PP depression

Question 12

Postpartum Depression

Answer 12

1. 10-15% incidence
2. Persistent blues
3. Difficulty in caring for self and/or infant

Question 13

Postpartum Psychosis

Answer 13

1. Major depressive disorder
2. Incidence 1-2 women per 1000

Question 14

Warning Signs: Maternal

Answer 14

1. Temp Elevation: greater than or equal to 38 degrees C
2. Excessive uterine bleeding
3. Localized breast pain, redness
4. Localized pain or redness in legs
5. Dysuria, frequency, urgency
6. Persistent baby blues

Question 15

Warning Signs: Neonatal

Answer 15

1. Temp Elevation: greater than or equal to 38 degrees C
2. Poor Feeding: BF less than 8-12 X a day or Formula feeding less than 6-8 X a day
3. Jaundice below umbilicus
4. Inadequate Output: less than 6 voids and/or less than 1-2 stoolsper day
5. Excessive fussiness or sleepiness

Question 16

Contraceptive Counsel

Answer 16

1. Consider cultural and religious convictions
2. Recommend barrier methods during puerperium (oral contraception can interefere with milk production)
3. Breastfeeding is not considered effective contraception
4. Progestin-only preparations during lactation - estrogen correlates with decreased milk production

Question 17

Sleep Habits to Encourage

Answer 17

• Room sharing
• Breastfeeding
• Back-to-sleep
• Firm sleep surface
• Consistent AP care
• Pacifier during sleep
• Infant immunizations
• Supervised tummy time

Question 18

Sleep Habits to Avoid

Answer 18

1. Bedsharing
2. Overheating
3. Home Monitors
4. Smoke Exposure
5. ETOH/illicit drugs
6. Commerical devices
7. Loose bedding/soft toys

Question 19

Witch hazel compress, analgesic spray, dibucaine hydrochloride

Answer 19

Used for comfort measures with pain, lacerations, and hemorroids in perineal area.

Question 20

Docusate Sodium

Answer 20

Colace. Given to mother after birth as a stool softener. Pain prevention.

Question 21

Ocycodone hydrochloride/Acetaminophen (Percocet)

Answer 21

Administered for pain. Fine with breastfeeding.

Question 22

Codeine/Acetaminophen (Tylenol with codeine)

Answer 22

Given for pain. Fine with breastfeeding.