REVISION HANDBOOK 2026 OBSTETRIC AND
PEDIATRIC ASSESSMENT SKILLS
◉ 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: b. Seldom makes eye contact with her son
◉ 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: b. Show the mother how the infant initiates interaction and
pays attention to her.
◉ The nurse hears a primiparous woman talking to her son and
telling him that his chin is just like his dad's chin. This woman's
statement reflects:
a. Mutuality.
b. Synchrony.
c. Claiming.
d. Reciprocity.
Answer: c. Claiming.
◉ 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: a. Attachment, or bonding, is a process that occurs over
time and does not require early contact.
◉ During a phone 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! The nurse would
recognize that the woman is experiencing:
a. Taking-in.
b. Postpartum depression (PPD). c. Postpartum (PP) blues.
d. Attachment difficulty.
Answer: c. Postpartum depression (PPD).
◉ The nurse can help a father in his transition to parenthood by:
a. Pointing out that the infant turned at the sound of his voice.
b. Encouraging him to go home to get some sleep.
c. Telling him to tape the infants diaper a different way.
d. Suggesting that he let the infant sleep in the bassinet.
Answer: a. Pointing out that the infant turned at the sound of his
voice.
◉ The nurse notes that a Vietnamese woman does not cuddle or
interact with her newborn other than to feed