Transition to parenthood 13 Flashcards

1
Q

It is common for new parents to experience:

A

● Increased stress related to learning the role of mother or father, childcare tasks, financial concerns, work-family conflict, and chronic fatigue.

● Decreased satisfaction within their couple relationship.

● Decrease in sexual and intimate activities.

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2
Q

Transition to parenthood is fostered or hampered by many factors, some of which include:

A
● Age of parents
● Previous life experiences
● How they were parented
● Length and strength of the relationship between partners
● Financial considerations
● Educational levels
● Support systems:
● Desire to be a parent
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3
Q

Expected findings of changing roles to parents

A

● Parents identify changing roles and are willing to make lifestyle changes to accommodate the changes.

● Parents identify with the parental roles.

● Parents discuss what the roles mean to them.

● Couples incorporate a third person, the infant, into their relationship.

● Couples support each other in mutual caregiving tasks.

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4
Q

The process of “becoming a mother” is influenced by:

A

● How the woman was parented.

● Her life experiences.

● Her unique characteristics.

● Her cultural beliefs.

● The pregnancy experience.

● The birth experience.

● Support from partner, family, and friends.

● The woman’s willingness to assume the role of mother.

● The infant’s characteristics such as appearance and temperament

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5
Q

Mercer describes four stages through which women progress in “becoming a mother”

A

● Commitment, attachment, and preparation for an infant during pregnancy

● Acquaintance with and increasing attachment to the infant, learning how to care for the infant, and physical restoration during the early weeks after birth

● Moving toward a new normal during the first 4 months

● Achievement of a maternal identity around 4 months

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6
Q

Factors that can affect the woman’s transition through the maternal phases are:

A

● Medications- makes mom tired
● Complications during pregnancy, labor and birth, and/or postpartum- shift focus
● Cesarean births- discomfort
● Pain causes a shift of maternal attention
● Preterm infants or infants who experience complications
● Mood disorders
● Lack of support
● Lack of financial resources
● Cultural beliefs, which can influence the woman’s behavior

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7
Q

TAKING-IN PHASE first 24-48 post birth

A
  • The woman is focused on her personal comfort and physical changes.
  • The woman relives and speaks of the birth experience.
  • The woman adjusts to psychological changes.
  • The woman is dependent on others for her and her infant’s immediate needs.
  • The woman has a decreased ability to make decisions.
  • The woman concentrates on personal physical healing
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8
Q

TAKING-HOLD PHASE

A

The focus moves from self to the infant.

  • The woman begins to be independent.
  • The woman has an increased ability to make decisions.
  • The woman is interested in the infant’s cues and needs.
  • The woman gives up the pregnancy role and initiates taking on the maternal role.
  • The woman is eager to learn; it is an excellent time to initiate postpartum teaching.
  • The woman begins to like the role of “mother.”
  • The woman may have feelings of inadequacy and being overwhelmed.
  • The woman needs verbal reassurance that she is meeting her infant’s needs.
  • The woman may show signs and symptoms of baby blues and fatigue.
  • The woman begins to let more of the outside world in
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9
Q

LETTING-GO PHASE

A
  • Grieving and letting go of old relationship behaviors in favor of new ones.
  • Incorporating the infant into her life whereby the baby becomes a separate entity from her.
  • Accepting the infant as he or she really is.
  • Giving up the fantasy of what it would/could have been.
  • Independence returns; may go back to work or school.
  • May have feelings of grief, guilt, or anxiety.
  • Reconnection/growth in relationship with partner
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10
Q

Factors that influence the man’s transition to fatherhood are:

A

● Developmental and emotional age.

● Cultural expectations.

● Relationship with his partner.

● Knowledge and understanding of fatherhood.

● Previous experiences as a father.

● The way he was fathered.

● Financial concerns.

● Support from partner, friends, and family.

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11
Q

adolescent parents

A

more likely to use harsher parenting practices such as yelling and screaming. The children of adolescent parents have more difficulty in acquiring cognitive and language skills and social and emotional skills

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12
Q

same sex parents

A

no difference between the children of same-sex parents and heterosexual parents.

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13
Q

factors that influence bonding and attachment behaviors are:

A

● The knowledge base of the couple.

● Past experience with children.

● Maturity and educational levels of the couple.

● Type of extended support system.

● Maternal/paternal expectations of the pregnancy.

● Maternal/paternal expectations of the infant.

● Cultural expectations.

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14
Q

Risks for delayed bonding

A

● Maternal illness during pregnancy and/or the postpartum period that interferes with the woman’s ability to interact with her infant

● Neonatal illness such as prematurity that necessitates separation of the infant from the parents

● Prolonged or complicated labor and birth that leads to exhaustion for both the woman and her partner

● Fatigue during the postpartum period related to lack of rest and sleep

● Physical discomfort experienced by women postbirth

● Age and developmental age of the woman, such as adolescent or developmentally challenged

● Outside stressors not related to pregnancy or childbirth

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15
Q

PARENT–INFANT CONTACT

A

Early contact between the parents and their infant fosters the development of attachment and integration of the infant into the maternal and paternal relationship.

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16
Q

reciprocity

A

inherent rhythm that exists between the parents and infant and becomes stronger with each interaction and the passing of time.

17
Q

Initial stage

A

The woman touches her infant tentatively with her fingertips.

18
Q

Second stage

A

The woman, as she becomes more comfortable with herself as a mother, uses her hand to stroke her infant’s head or body.

19
Q

Final stage

A

The mother holds her infant in her arms and brings her infant close to her body.

20
Q

Rubin’s maternal touch

A

component of the acquaintance process through which mothers and infants transition

21
Q

Maladaptive findings

A

● Displays little or no interest in the infant

● Makes negative comments about or to the infant

● Ignores the infant’s needs and cues

● Displays sadness or anger to the partner or infant

● Does not spend time with the infant or is emotionally absent

● Experiences mood swings

● Has conflict between family members over the infant

22
Q

seven characteristics of engrossment- father

A

● A visual awareness of the infant: Seeing their infant as attractive

● A tactile awareness of the infant: Having a desire to touch the infant

● An awareness of and positive comments about their infant’s distinct features

● A perception that their infant is perfect

● A strong attraction to their infant

● A feeling of strong elation

● An increase of self-esteem

23
Q

cultural influence

A

● The degree of the father’s involvement in infant care.

● The role extended family members have in the care of the infant and new mother.

● The method of infant feeding.

● Foods that are eaten and foods that are avoided during the postpartum period.

● When a woman can bathe and wash her hair.

● When the baby is named and who names the baby.

24
Q

parent–infant interactions Expected findings:

A

● Parents gently touch their infant and hold the infant close to the body.

● Parents talk to or sing to their infant.

● Parents, when culturally acceptable, hold their infant en face.

● Parents respond to their infant’s cues for interaction and care.

● The infant responds to his or her parents’ touch and voice.

25
Q

concerns of multiparas

A

● Concerns for her other children

● Concerns about being able to love the new child

● Concerns for her ability to care for more than one child

● Concerns about her ability to get rest and sleep

● Concerns about having help at home to care for her and her expanding family

26
Q

Actions that can facilitate sibling adjustment

A

● Spending time during the prenatal period talking about the upcoming arrival of a new baby

● Providing opportunities for siblings to feel the baby move and hear the heartbeat during the pregnancy

● Providing opportunities for siblings to spend time with their new brother or sister during the hospital stay

● Encouraging siblings to lie in bed with their mother during hospital visits

● Giving siblings a present from their new brother or sister

● Understanding the importance of quality time with other children, such as sitting and reading books with them, playing games, and listening to them

● Taking siblings on a special outing while the infant stays at home with a babysitter

● Explaining why babies cry and how they communicate

27
Q

Assisting Parents With an Impairment

A

exploring, identifying, and implementing techniques, tools, and alternative ways to:

  • Facilitate bonding and attachment.
  • Teach parents about infant care.
  • Promote a safe environment for the infant.
  • Enhance the family dynamics.
28
Q

Possible causes of postpartum blues include:

A

● Changes in hormonal levels.

● Fatigue.

● Stress from taking on the new role of mother.

29
Q

Signs and symptoms of postpartum blues are:

A

● Anger.

● Anxiety.

● Mood swings.

● Sadness.

● Weeping.

● Difficulty sleeping.

● Difficulty eating.