NU 333 - OB Exam 3 Questions With Complete Solutions
attachment -correct answer Process by which a parent comes to love and accept a child and a child
comes to love and accept a parent.
bonding -correct answer The process of attachment.
mutuality -correct answer Infant behaviors and characteristics call forth a corresponding set of parental
behaviors and characteristics.
acquaintance -correct answer Process that occurs as parents interact with their newborn and maintain
close proximity as they identify the infant as an individual and claim him or her as a member of the
family.
signaling behaviors -correct answer Infant behaviors such as crying, smiling, and cooing that initiate
contact and bring the caregiver to the child.
executive behaviors -correct answer Infant behaviors such as rooting, grasping, and postural
adjustments that maintain contact.
claiming -correct answer Process in which parents identify the new baby, first in terms of likeness to
other family members, then in terms of differences, and finally in terms of uniqueness.
en face (face to face) -correct answer Position used for mutual gazing in which the parent's face and the
infant's face are approximately 30 cm apart and are on the same plane.
entrainment -correct answer Newborns move in time with the structure of adult speech by waving their
arms, lifting their heads, and kicking their legs, seemingly "dancing in time" to a parent's voice.
biorhythmicity -correct answer Personal biorhythm developed by the infant; parents facilitate this
process by giving consistent loving care and using their infant's alert state to develop responsive
behavior, and thereby increase social interaction and opportunities for learning.
reciprocity -correct answer Type of body movement or behavior that provides the observer with cues.
The observer or receiver interprets those cues and responds to them.
,NU 333 - OB Exam 3 Questions With Complete Solutions
synchrony -correct answer The "fit" between the infant's cues and the parents' response.
transition to parenthood -correct answer Period from the decision to conceive through the first months
of having a child.
dependent (taking-in) -correct answer Phase of maternal adjustment that occurs during the first 24
hours (range of 1 to 2 days) when the woman focuses on herself and meeting basic needs with a reliance
on others for comfort, rest, closeness, and nourishment. She is often talkative and desires to discuss her
childbirth experience.
dependent-independent (taking-hold) -correct answer Phase of maternal adjustment that begins on the
second or third day postpartum and lasts for about 10 days to several weeks, during which the woman
focuses on caring for her baby and becoming competent as a mother; she is eager to learn and to
practice and may experience baby blues.
interdependent (letting-go) -correct answer Phase of maternal adjustment during which the woman
reasserts her relationship with her partner and resumes sexual intimacy.
becoming a mother -correct answer Process of transformation and growth of the mother identity during
which the woman learns new skills and increases her confidence in herself as she meets new challenges
in caring for her child(ren).
maternal sensitivity -correct answer The quality of a mother's sensitive behaviors that are based on her
awareness, perception, and responsiveness to infant cues and behaviors.
"pink" period -correct answer Period surrounding the first day or two of birth, characterized by
heightened joy and feelings of well-being.
"blue" period -correct answer Period following birth that is characterized by emotional lability,
depression, a let-down feeling, restlessness, fatigue, insomnia, anxiety, sadness, and anger. Lability
peaks around the fifth day postpartum and subsides by the tenth day.
,NU 333 - OB Exam 3 Questions With Complete Solutions
engrossment -correct answer Father's absorption, preoccupation, and interest in his infant.
During the final phase of the claiming process of a newborn, a mother might say:
A. "She has her grandfather's nose."
B. "His ears lie nice and flat against his head, not like mine and his sister's, which stick out."
C. "She gave me nothing but trouble during pregnancy and now she is so stubborn she won't wake up to
breastfeed."
D. "He has such a sweet disposition and pleasant expression. I have never seen a baby quite like him
before." -correct answer D. "He has such a sweet disposition and pleasant expression. I have never seen
a baby quite like him before."
Approximately 50 to 80% of women experience postpartum blues; new parents should be reassured
that their skills as parents develop gradually and they should seek help to develop these skills;
postpartum blues that are self-limiting and short-lived do not require psychotropic medications; Choice
A reflects the first phase of identifying illnesses; choice B reflects the second phase of identifying
differences; choice C reflects a negative reaction of claiming the infant in terms of pain and discomfort;
choice D reflects the third or final stage of identifying uniqueness.
Which nursing action is least effective in facilitating parental attachment to the new infant?
A. Referring the couple to a lactation consultant to ensure continuing success with breastfeeding
B. Keeping the baby in the nursery as much as possible for the first 24 hours after birth so the mother
can rest
C. Extending visiting hours for the woman's partner or significant other as the couple desires
D. Providing guidance and support as the parents care for their baby's nutrition and hygiene needs -
correct answer B. Keeping the baby in the nursery as much as possible for the first 24 hours after birth
so the mother can rest
Early close contact is recommended to initiate and enhance the attachment process
Which behavior illustrates engrossment?
A. A father is sitting in a rocking chair, holding his new baby boy, touching his toes, and making eye
contact.
B. A mother tells her friends that her baby's eyes and nose are just like hers.
, NU 333 - OB Exam 3 Questions With Complete Solutions
C. A mother picks up and cuddles her baby girl when she begins to cry.
D. A grandmother gazes into her new grandson's face, which she holds about 8 inches away from her
own; she and the baby make eye-to-eye contact. -correct answer A. A father is sitting in a rocking chair,
holding his new baby boy, touching his toes, and making eye contact.
Engrossment refers to a father's absorption, preoccupation, and interest in his infant; choice B
represents the claiming process phase I, identifying likenesses; choice C represents reciprocity; choice D
represents en face or face-to-face position with mutual gazing.
A woman expresses a need to review her labor and birth experience with the nurse who cared for her
while in labor. This behavior is most characteristic of which phase of maternal postpartum adjustment?
A. Taking-hold (dependent-independent phase)
B. Taking-in (dependent phase)
C. Letting-go (interdependent)
D. Postpartum blues (baby blues) -correct answer B. Taking-in (dependent phase)
Taking-in occurs in the first 1 to 2 days of recovery following birth; other behaviors exhibited include
reliance on others to help her meet needs and being excited and talkative.
Before discharge, a postpartum woman and her partner ask the nurse about the baby blues. "Our friend
said she felt so let down after she had her baby and we have heard that some women actually become
very depressed. Is there anything we can do to prevent this from happening to us or at least to cope
with the blues if they occur?" The nurse could tell this couple:
A. "Postpartum blues usually happen in pregnancies that are high risk or unplanned, so there is no need
for you to worry."
B. "Try to become skillful in breastfeeding and caring for your baby as quickly as you can."
C. "Get as much rest as you can and sleep when the baby sleeps, because fatigue can precipitate the
blues or make them worse."
D. "I will call your doctor before you leave to get you a prescription for an antidepressant to prevent the
blues from happening." -correct answer C. "Get as much rest as you can and sleep when the baby
sleeps, because fatigue can precipitate the blues or make them worse."
attachment -correct answer Process by which a parent comes to love and accept a child and a child
comes to love and accept a parent.
bonding -correct answer The process of attachment.
mutuality -correct answer Infant behaviors and characteristics call forth a corresponding set of parental
behaviors and characteristics.
acquaintance -correct answer Process that occurs as parents interact with their newborn and maintain
close proximity as they identify the infant as an individual and claim him or her as a member of the
family.
signaling behaviors -correct answer Infant behaviors such as crying, smiling, and cooing that initiate
contact and bring the caregiver to the child.
executive behaviors -correct answer Infant behaviors such as rooting, grasping, and postural
adjustments that maintain contact.
claiming -correct answer Process in which parents identify the new baby, first in terms of likeness to
other family members, then in terms of differences, and finally in terms of uniqueness.
en face (face to face) -correct answer Position used for mutual gazing in which the parent's face and the
infant's face are approximately 30 cm apart and are on the same plane.
entrainment -correct answer Newborns move in time with the structure of adult speech by waving their
arms, lifting their heads, and kicking their legs, seemingly "dancing in time" to a parent's voice.
biorhythmicity -correct answer Personal biorhythm developed by the infant; parents facilitate this
process by giving consistent loving care and using their infant's alert state to develop responsive
behavior, and thereby increase social interaction and opportunities for learning.
reciprocity -correct answer Type of body movement or behavior that provides the observer with cues.
The observer or receiver interprets those cues and responds to them.
,NU 333 - OB Exam 3 Questions With Complete Solutions
synchrony -correct answer The "fit" between the infant's cues and the parents' response.
transition to parenthood -correct answer Period from the decision to conceive through the first months
of having a child.
dependent (taking-in) -correct answer Phase of maternal adjustment that occurs during the first 24
hours (range of 1 to 2 days) when the woman focuses on herself and meeting basic needs with a reliance
on others for comfort, rest, closeness, and nourishment. She is often talkative and desires to discuss her
childbirth experience.
dependent-independent (taking-hold) -correct answer Phase of maternal adjustment that begins on the
second or third day postpartum and lasts for about 10 days to several weeks, during which the woman
focuses on caring for her baby and becoming competent as a mother; she is eager to learn and to
practice and may experience baby blues.
interdependent (letting-go) -correct answer Phase of maternal adjustment during which the woman
reasserts her relationship with her partner and resumes sexual intimacy.
becoming a mother -correct answer Process of transformation and growth of the mother identity during
which the woman learns new skills and increases her confidence in herself as she meets new challenges
in caring for her child(ren).
maternal sensitivity -correct answer The quality of a mother's sensitive behaviors that are based on her
awareness, perception, and responsiveness to infant cues and behaviors.
"pink" period -correct answer Period surrounding the first day or two of birth, characterized by
heightened joy and feelings of well-being.
"blue" period -correct answer Period following birth that is characterized by emotional lability,
depression, a let-down feeling, restlessness, fatigue, insomnia, anxiety, sadness, and anger. Lability
peaks around the fifth day postpartum and subsides by the tenth day.
,NU 333 - OB Exam 3 Questions With Complete Solutions
engrossment -correct answer Father's absorption, preoccupation, and interest in his infant.
During the final phase of the claiming process of a newborn, a mother might say:
A. "She has her grandfather's nose."
B. "His ears lie nice and flat against his head, not like mine and his sister's, which stick out."
C. "She gave me nothing but trouble during pregnancy and now she is so stubborn she won't wake up to
breastfeed."
D. "He has such a sweet disposition and pleasant expression. I have never seen a baby quite like him
before." -correct answer D. "He has such a sweet disposition and pleasant expression. I have never seen
a baby quite like him before."
Approximately 50 to 80% of women experience postpartum blues; new parents should be reassured
that their skills as parents develop gradually and they should seek help to develop these skills;
postpartum blues that are self-limiting and short-lived do not require psychotropic medications; Choice
A reflects the first phase of identifying illnesses; choice B reflects the second phase of identifying
differences; choice C reflects a negative reaction of claiming the infant in terms of pain and discomfort;
choice D reflects the third or final stage of identifying uniqueness.
Which nursing action is least effective in facilitating parental attachment to the new infant?
A. Referring the couple to a lactation consultant to ensure continuing success with breastfeeding
B. Keeping the baby in the nursery as much as possible for the first 24 hours after birth so the mother
can rest
C. Extending visiting hours for the woman's partner or significant other as the couple desires
D. Providing guidance and support as the parents care for their baby's nutrition and hygiene needs -
correct answer B. Keeping the baby in the nursery as much as possible for the first 24 hours after birth
so the mother can rest
Early close contact is recommended to initiate and enhance the attachment process
Which behavior illustrates engrossment?
A. A father is sitting in a rocking chair, holding his new baby boy, touching his toes, and making eye
contact.
B. A mother tells her friends that her baby's eyes and nose are just like hers.
, NU 333 - OB Exam 3 Questions With Complete Solutions
C. A mother picks up and cuddles her baby girl when she begins to cry.
D. A grandmother gazes into her new grandson's face, which she holds about 8 inches away from her
own; she and the baby make eye-to-eye contact. -correct answer A. A father is sitting in a rocking chair,
holding his new baby boy, touching his toes, and making eye contact.
Engrossment refers to a father's absorption, preoccupation, and interest in his infant; choice B
represents the claiming process phase I, identifying likenesses; choice C represents reciprocity; choice D
represents en face or face-to-face position with mutual gazing.
A woman expresses a need to review her labor and birth experience with the nurse who cared for her
while in labor. This behavior is most characteristic of which phase of maternal postpartum adjustment?
A. Taking-hold (dependent-independent phase)
B. Taking-in (dependent phase)
C. Letting-go (interdependent)
D. Postpartum blues (baby blues) -correct answer B. Taking-in (dependent phase)
Taking-in occurs in the first 1 to 2 days of recovery following birth; other behaviors exhibited include
reliance on others to help her meet needs and being excited and talkative.
Before discharge, a postpartum woman and her partner ask the nurse about the baby blues. "Our friend
said she felt so let down after she had her baby and we have heard that some women actually become
very depressed. Is there anything we can do to prevent this from happening to us or at least to cope
with the blues if they occur?" The nurse could tell this couple:
A. "Postpartum blues usually happen in pregnancies that are high risk or unplanned, so there is no need
for you to worry."
B. "Try to become skillful in breastfeeding and caring for your baby as quickly as you can."
C. "Get as much rest as you can and sleep when the baby sleeps, because fatigue can precipitate the
blues or make them worse."
D. "I will call your doctor before you leave to get you a prescription for an antidepressant to prevent the
blues from happening." -correct answer C. "Get as much rest as you can and sleep when the baby
sleeps, because fatigue can precipitate the blues or make them worse."
