Maternal child Ch. 20 QUESTIONS AND ANSWERS 2023/2024

Maternal
child
Ch.
20
After
giving
birth
to
a
healthy
infant
boy,
a
primiparous
woman,
16
years
old,
is
admitted
to
the
postpartum
unit.
An
appropriate
nursing
diagnosis
for
her
at
this
time
is
Risk
for
impaired
parenting
related
to
deficient
knowledge
of
newborn
care.
In
planning
for
the
womans
discharge,
what
should
the
nurse
be
certain
to
include
in
the
plan
of
care?
a.
Instruct
the
patient
how
to
feed
and
bathe
her
infant.
b.
Give
the
patient
written
information
on
bathing
her
infant.
c.
Advise
the
patient
that
all
mothers
instinctively
know
how
to
care
for
their
infants.
d.
Provide
time
for
the
patient
to
bathe
her
infant
after
she
views
an
infant
bath
demonstration.
-
ANSWER
ANS:
D
Having
the
mother
demonstrate
infant
care
is
a
valuable
method
of
assessing
the
clients
understanding
of
her
newly
acquired
knowledge,
especially
in
this
age
group,
because
she
may
inadvertently
neglect
her
child.
Although
verbalizing
how
to
care
for
the
infant
is
a
form
of
patient
education,
it
is
not
the
most
developmentally
appropriate
teaching
for
a
teenage
mother.
Advising
the
patient
that
all
mothers
instinctively
know
how
to
care
for
their
infants
is
an
inappropriate
statement;
it
is
belittling
and
false.
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
ANS:
B
The
woman
should
be
encouraged
to
hold
her
infant
in
the
en
face
position
and
make
eye
contact
with
the
infant.
Normal
infant-parent
interactions
include
talking
and
cooing
to
her
son,
cuddling
her
son
close
to
her,
and
telling
visitors
how
well
her
son
is
feeding
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
ANS:
B
Pointing
out
the
responsiveness
of
the
infant
is
a
positive
strategy
for
facilitating
parent-infant
attachment.
Telling
the
mother
that
she
must
pay
attention
to
her
infant
may
be
perceived
as
derogatory
and
is
not
appropriate.
Educating
the
young
mother
in
infant
care
is
important;
however,
pointing
out
the
responsiveness
of
her
baby
is
a
better
tool
for
facilitating
mother-infant
attachment.
Videos
are
an
educational
tool
that
can
demonstrate
parent-infant
attachment,
but
encouraging
the
mother
to
recognize
the
infants
responsiveness
is
more
appropriate
The
nurse
hears
a
primiparous
woman
talking
to
her
son
and
telling
him
that
his
chin
is
just
like
his
dads
chin.
This
womans
statement
reflects:
a.
Mutuality.
c.
Claiming.
b.
Synchrony.
d.
Reciprocity
-
ANSWER
ANS:
C
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
maternal
behaviors
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.
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
ANS:
A
Attachment,
or
bonding,
is
a
process
that
occurs
over
time
and
does
not
require
early
contact.
The
formerly
accepted
definition
of
bonding
held
that
the
period
immediately
after
birth
was
a
critical
time
for
bonding
to
occur.
Research
since
has
indicated
that
parent-infant
attachment
occurs
over
time.
A
delay
does
not
inhibit
the
process.
Parent-infant
attachment
involves
activities
such
as
touching,
holding,
and
gazing;
it
is
not
exclusively
eye
contact.
A
response
that
conveys
that
the
parents
should
just
be
happy
that
the
infant
is
healthy
is
inappropriate
because
it
is
derogatory
and
belittling