NUR 678 Exam 2 Questions With Complete Solutions
Inhibitors of attachments-Maternal factors
Medications-narcotics, sedatives, and forms of anesthesia
Physical problems
Lack of experience caring for infant
Learned maternal behaviors
Negative self concept
Lack of positive support system
Grieving significant loss
Anticipatory grieving over imagined loss of infant resulting
from complicated pregnancy or postnatal problems
Psychological unpreparedness due to premature birth
Escape mechanisms (alcoholism and drugs)
Inhibitors of attachments-Infant factors
Neonatal complications in full term infants
Infant abnormalities
Immaturity resulting from premature birth
Multiple births
Feeding difficulties p614
Inhibitors of attachments-paternal factors
Difficulty adjusting to new dependent
Failure to relate to newborn
Escape mechanisms, such as alcohol and drugs
Separation from mother and child because of business or
military responsibilities p614
,Inhibitors of attachments-Hospital factors
Unnecessary separation of infant & mother immediately after
birth
Policies that discourage unwrapping or exploring infant
Restrictive visit policies
Hospital/ Intensive care environment
Parents of infants with malformations-stages of adjustment
-Shock, irrational behavior
-Denial
-Grief/anger/anxiety
-Equilibrium: lessen of anxiety and intense emotional reactions
-Reorganization p614
Parents of infants with malformations-Long term impact
-Financial cost for surgery
-Guilt over time spent with imperfect infant vs other children
-Social support from family and friends having adverse effects
on family relationships p614
family relationships/ secundigravida
the concerns of a woman experiencing her second pregnancy are
primarily for her other child and the expectation of caring for
two children p615
HIV and neonates
Neonatal antiretroviral prophylaxis should begin as soon as
possible after delivery, ideally within 6 to 12 hours.
All infants should have serial HIV-DNA PCR testing done at 48
,hours, 1 to 2 months, and 4 to 6 months and a positive results
should be confirmed w/ a 2nd test sample ASAP p616
Families w/ domestic violence
Child abuse often coexist or increases w/ spouse abuse
Child abuse occurs with intimate partner violence (IPV) between
30 and 60 % of the time p617
Homeless families-Health issues
-Social isolation
-Lack of access to healthcare
-Physical violence on the streets and in shelters
-Spouse abuse, child abuse, or both
-Substance abuse
-Chronic health problems
-Obesity
-Inadequate diet
-Parasites
-Infectious disease
-exposure to the elements p618
Perinatal loss
Involves miscarriage, ectopic pregnancy, perinatal mortality,
both stillbirth and neonatal death.
May also involve perceived loss, loss of expectation or giving
infant up for adoption, still brith or neonatal death (death within
28 days of birth) p619
Perinatal loss subjective data
, Pt may report hopelessness, sadness, loss of appetite, inability to
sleep, increased irritability or hostility towards others,
preoccupation with the lost infant, social isolation, inability to
return to normal activities, and somatic distress p620
Phases of mourning
-The shock and numbness stage
-Searching and yearning
-Bargaining
-Disorganization
-Resolution p621
Types of breastfeeding- unrestricted breastfeeding
Infant is put immediately put to the breast after delivery and
then on demand.
advantages- less illness occurs during the first year of life
disadvantages-unrestricted breastfeeding requires the mother's
dedication p622
Types of breastfeeding-Token breastfeeding
restrictions are placed on the duration of breastfeeding and the
length of each time at the breast; feeding are scheduled.
advantage-Other family members can participate
disadvantage-milk supply may decrease, infant is more
susceptible to illness. p622
Mamogenesis
Mammary duct-gland growth and development to their
functional stage p622
Inhibitors of attachments-Maternal factors
Medications-narcotics, sedatives, and forms of anesthesia
Physical problems
Lack of experience caring for infant
Learned maternal behaviors
Negative self concept
Lack of positive support system
Grieving significant loss
Anticipatory grieving over imagined loss of infant resulting
from complicated pregnancy or postnatal problems
Psychological unpreparedness due to premature birth
Escape mechanisms (alcoholism and drugs)
Inhibitors of attachments-Infant factors
Neonatal complications in full term infants
Infant abnormalities
Immaturity resulting from premature birth
Multiple births
Feeding difficulties p614
Inhibitors of attachments-paternal factors
Difficulty adjusting to new dependent
Failure to relate to newborn
Escape mechanisms, such as alcohol and drugs
Separation from mother and child because of business or
military responsibilities p614
,Inhibitors of attachments-Hospital factors
Unnecessary separation of infant & mother immediately after
birth
Policies that discourage unwrapping or exploring infant
Restrictive visit policies
Hospital/ Intensive care environment
Parents of infants with malformations-stages of adjustment
-Shock, irrational behavior
-Denial
-Grief/anger/anxiety
-Equilibrium: lessen of anxiety and intense emotional reactions
-Reorganization p614
Parents of infants with malformations-Long term impact
-Financial cost for surgery
-Guilt over time spent with imperfect infant vs other children
-Social support from family and friends having adverse effects
on family relationships p614
family relationships/ secundigravida
the concerns of a woman experiencing her second pregnancy are
primarily for her other child and the expectation of caring for
two children p615
HIV and neonates
Neonatal antiretroviral prophylaxis should begin as soon as
possible after delivery, ideally within 6 to 12 hours.
All infants should have serial HIV-DNA PCR testing done at 48
,hours, 1 to 2 months, and 4 to 6 months and a positive results
should be confirmed w/ a 2nd test sample ASAP p616
Families w/ domestic violence
Child abuse often coexist or increases w/ spouse abuse
Child abuse occurs with intimate partner violence (IPV) between
30 and 60 % of the time p617
Homeless families-Health issues
-Social isolation
-Lack of access to healthcare
-Physical violence on the streets and in shelters
-Spouse abuse, child abuse, or both
-Substance abuse
-Chronic health problems
-Obesity
-Inadequate diet
-Parasites
-Infectious disease
-exposure to the elements p618
Perinatal loss
Involves miscarriage, ectopic pregnancy, perinatal mortality,
both stillbirth and neonatal death.
May also involve perceived loss, loss of expectation or giving
infant up for adoption, still brith or neonatal death (death within
28 days of birth) p619
Perinatal loss subjective data
, Pt may report hopelessness, sadness, loss of appetite, inability to
sleep, increased irritability or hostility towards others,
preoccupation with the lost infant, social isolation, inability to
return to normal activities, and somatic distress p620
Phases of mourning
-The shock and numbness stage
-Searching and yearning
-Bargaining
-Disorganization
-Resolution p621
Types of breastfeeding- unrestricted breastfeeding
Infant is put immediately put to the breast after delivery and
then on demand.
advantages- less illness occurs during the first year of life
disadvantages-unrestricted breastfeeding requires the mother's
dedication p622
Types of breastfeeding-Token breastfeeding
restrictions are placed on the duration of breastfeeding and the
length of each time at the breast; feeding are scheduled.
advantage-Other family members can participate
disadvantage-milk supply may decrease, infant is more
susceptible to illness. p622
Mamogenesis
Mammary duct-gland growth and development to their
functional stage p622
