transition to parenthood

Question 1

what are the 2 types of parent-infant contact?

Answer 1

1) early contact
- facilitates attachment process
- early skin to skin contact

2) extended contact
- optimizes family centred care
- rooming-in
- family is encouraged to partcipate
- all assessments performed by the nurse on the baby happens at the bedside

Question 2

what is reciprocity and synchrony?

claiming and mutuality

Answer 2

1) reciprocity : type of body movement or behaviour that provides the observer with cues

2) synchronicity : refers to the fit between the infants’ cues and the parents response

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 maternalbehaviors 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.PTS: 1 DIF: Cognitive Level: Comprehension REF: 511OBJ: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity5. New parents express concern that, because of the mothers emergency cesarean birth under generalanesthesia, 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.Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017)322

Question 3

what are some assessment of parent-infant attachment relies on?

Answer 3

• skillful observation and intervening
• enhance parent-infant contact by increasing parent’s awareness of infant responses
• rooming in : meaning baby never leaves moms presnse . All assessment happens at the bedside for the baby

Question 4

what assessment do nursing use to observe these behaviours?

Answer 4

parent-infant assessment

Question 5

what are the 3 roles after childbirth parents need to do?

Answer 5

1) transition to parenthood

2) parental tasks and responsibilities
- coming into acceptance with the reality of the child and not what their imagination had planned

3) becoming a mother

Question 6

what are the 3 phases of maternal postpartum adjustment?

Answer 6

1) dependent: taking-in phase: first 24hrs. excited, talkative and reliance on others to meet needs for comfort, rest etc..
- they also have the desire to review birth experience

2) dependent-independent: taking-hold phase : starts 48-72hrs post birth and can last several weeks
- focus is care of baby and becoming a competent mother

3) interdependent: letting go phase
- focus is forward movement of family as a unit with interacting members
- resume relationship with partner
- resume sex
- resume individual roles

Question 7

what are the 4 phases of becoming a father?

Answer 7

1) expectations and intentions - desire for emotional involvement and deep connection with infant

2) confronting reality - dealing with unrealistic expectations, frustration

3) creating the role of involved father - altering expectations, learning to care for infant

4) reaping rewards - infant smiles, father feels sense of meaning

Question 8

in what 3 ways and infant-parent interactions facilitated?

Answer 8

1) rhythm - interactions with been in their alert state. (sleep/wake patterns) mostly occurs during feeding and play time. Parent tries to interact by either not talking while baby is breastfeeding so baby doesn’t get distracted, limb movement.

2) behavioural repertoires - infant gazing, vocalizing, facial expressions. Babys gestures become a part of infant’s early language. The parents reciprocate baby behaviour by looking at the infant, changing their voice to baby tone.

3) mutual responsively -
Contingent responses (responsivity) are those that occur within a specific time and are similar in form to a stimulus behaviour.