OB Exam 4 (Ch. 22-25, 35, 37)
vn vn vn vn vn vn
1.vnAftervngivingvnbirthvntovnavnhealthyvninfantvnboy,vnavnprimiparousvnclient,vn16vnyearsvn
ofvnage,vnisvnadmittedvntovnthevnpostpartumvnunit.vnAnvnappropriatevnnursingvndiagnosisv
nforvnhervnatvnthisvntimevnisvn"Deficientvnknowledgevnofvninfantvncare."vnWhatvnshouldvnth
evnnursevnbevncertainvntovnincludevninvnthevnplanvnofvncarevnasvnhevnorvnshevnpreparesvnthevn
clientvnforvndischarge?
a.vnTeachvnthevnclientvnhowvntovnfeedvnandvnbathevnhervninfant.
b.vnGivevnthevnclientvnwrittenvninformationvnonvnbathingvnhervninfant.
c.vnAdvisevnthevnclientvnthatvnallvnmothersvninstinctivelyvnknowvnhowvntovncarevnforvnthei
rvninfants.
d.vnProvidevntimevnforvnthevnclientvntovnbathevnhervninfantvnaftervnshevnviewsvnavndemonst
rationvnofvninfantvnbathing.vn-vncorrectvnanswer✔ ✔ D
Havingvnthevnmothervndemonstratevninfantvncarevnisvnavnvaluablevnmethodvnofvnassessin
gvnthevnclient'svnunderstandingvnofvnhervnnewlyvnacquiredvnknowledge,vnespeciallyvninvnt
hisvnagevngroup,vnbecausevnshevnmayvninadvertentlyvnneglectvnhervnchild.vnAlthoughvnve
rbalizingvnhowvntovncarevnforvnthevninfantvnisvnavnformvnofvnclientvneducationvnorvnprovidi
ngvnwrittenvninformationvnmightvnbevnuseful,vnneithervnisvnthevnmostvndevelopmentallyvn
appropriatevnteachingvnmethodvnforvnavnteenagevnmother.vnAdvisingvnthevnyoungvnwom
anvnthatvnallvnmothersvninstinctivelyvnknowvnhowvntovncarevnforvntheirvninfantsvnisvninapp
ropriate;vnitvnisvnbelittlingvnandvnfalse.
DIF:vnCognitivevnLevel:vnApplyvnREF:vnp.vn520vnTOP:vnNursingvnProcess:vnPlanning
2.vnAvn30-year-
oldvnmultiparousvnwomanvnhasvnavnboyvnwhovnisvnyearsvnoldvnandvnhasvnrecentlyvndeliver
edvnanvninfantvngirl.vnShevntellsvnthevnnurse,vn"Ivndon'tvnknowvnhowvnI'llvnevervnmanagevnb
othvnchildrenvnwhenvnIvngetvnhome."vnWhichvnsuggestionvnwouldvnassistvnthisvnnewvnmo
thervninvnalleviatingvnsiblingvnrivalry?
,a.vnTellvnthevnoldervnchildvnthatvnhevnisvnavnbigvnboyvnnowvnandvnshouldvnlovevnhisvnnewvns
ister.
b.vnLetvnthevnoldervnchildvnstayvnwithvnhisvngrandparentsvnforvnthevnfirstvn6vnweeksvntovnall
owvnhimvntovnadjustvntovnthevnnewborn.
c.vnAskvnfriendsvnandvnrelativesvnnotvntovnbringvngiftsvntovnthevnoldervnsiblingvnbecausevny
ouvndovnnotvnwantvntovnspoilvnhim.
d.vnRealizevnthatvnthevnregressionvninvnhabitsvnandvnbehaviorsvninvnthevnoldervnchildvnisvna
vntypicalvnreactionvnandvnthatvnhevnneedsvnextravnlovevnandvnattentionvnatvnthisvntime.vn-
vncorrectvnanswer✔ ✔ D
Thevnoldervnchildvnmayvnregressvninvnhabitsvnorvnbehaviorsvn(e.g.,vntoileting,vnsleepvnhab
its)vnasvnavnmethodvnofvnseekingvnattention.vnParentsvnneedvntovndistributevntheirvnattentio
nvninvnanvnequitablevnmanner.vnTellingvnthevnoldervnchildvnthatvnhevnshouldvnlovevnhisvnne
wvnsistervnisvnavnnegativevnapproachvntovnfacilitatingvnsiblingvnacceptancevnofvnthevnnewv
ninfant.vnReactionsvnofvnsiblingsvnmayvnresultvnfromvntemporaryvnseparationvnfromvnthev
nmother.vnRemovingvnthevnoldervnchildvnfromvnthevnhomevnwhenvnthevnnewvninfantvnarri
vesvnmayvnenhancevnnegativevnbehaviorsvnfromvnthevnoldervnchildvncausedvnbyvnavnsepar
ationvnfromvnthevnmother.vnProvidingvnsmallvngiftsvnfromvnthevninfantvntovnthevnoldervnchi
ldvnisvnavnstrategyvnforvnfacilitatingvnsiblingvnacceptancevnofvnthevnnewvninfant.
DIF:vnCognitivevnLevel:vnAnalyzevnREF:vnp.vn517vnTOP:vnNursingvnProcess:vnPlanning
3.vnThevnnursevnobservesvnthatvnavnfirst-
timevnmothervnappearsvntovnignorevnhervnnewborn.vnWhichvnstrategyvnshouldvnthevnnurse
vnusevntovnfacilitatevnmother-infantvnattachment?
a.vnTellvnthevnmothervnshevnmustvnpayvnattentionvntovnhervninfant.
b.vnShowvnthevnmothervnhowvnthevninfantvninitiatesvninteractionvnandvnattendsvntovnher.
c.vnDemonstratevnforvnthevnmothervndifferentvnpositionsvnforvnholdingvnhervninfantvnwhil
evnfeeding.
,d.vnArrangevnforvnthevnmothervntovnwatchvnavnvideovnonvnparent-infantvninteraction.vn-
vncorrectvnanswer✔ ✔ B
Pointingvnoutvnthevnresponsivenessvnofvnthevninfantvnisvnavnpositivevnstrategyvnforvnfacilit
atingvnparent-
infantvnattachment.vnTellingvnthevnmothervnthatvnshevnmustvnpayvnattentionvntovnhervninfa
ntvnmayvnbevnperceivedvnasvnderogatoryvnandvnisvnnotvnappropriate.vnEducatingvnthevnyo
ungvnmothervninvninfantvncarevnisvnimportant,vnbutvnpointingvnoutvnthevnresponsivenessvn
ofvnhervnbabyvnisvnavnbettervntoolvnforvnfacilitatingvnmother-
infantvnattachment.vnVideosvnarevnanvneducationalvntoolvnthatvncanvndemonstratevnparent
-
infantvnattachment,vnbutvnencouragingvnthevnmothervntovnrecognizevnthevninfant'svnrespo
nsivenessvnisvnmorevnappropriate.
DIF:vnCognitivevnLevel:vnApplyvnREF:vnp.vn502
TOP:vnNursingvnProcess:vnImplementation
4.vnAvnnursevnhearsvnavnprimiparousvnwomanvntalkingvntovnhervnsonvnandvntellingvnhimvnt
hatvnhisvnchinvnisvnjustvnlikevnhisvndad's.vnThisvnstatementvnismostvndescriptivevnofvnwhic
hvnprocess?
a.vnMutuality
b.vnSynchrony
c.vnClaiming
d.vnReciprocityvn-vncorrectvnanswer✔ ✔ C
Claimingvnrefersvntovnthevnprocessvnbyvnwhichvnthevnchildvnisvnidentifiedvninvntermsvnofvnl
ikenessvntovnothervnfamilyvnmembers.vnMutualityoccursvnwhenvnthevninfant'svnbehavior
svnandvncharacteristicsvncallvnforthvnavncorrespondingvnsetvnofvnmaternalvnbehaviorsvnand
vncharacteristics.vnSynchronyvnrefersvntovnthevn"fit"vnbetweenvnthevninfant'svncuesvnandvnt
hevnparent'svnresponses.vnReciprocityvnisvnavntypevnofvnbodyvnmovementvnorvnbehaviorvnt
hatvnprovidesvnthevnobservervnwithvncues.
, DIF:vnCognitivevnLevel:vnUnderstandvnREF:vnpp.vn502,vn504vnTOP:vnNursingvnProcess:
vnEvaluation
:vnClientvnNeeds:vnPsychosocialvnIntegrity
5.vnNewvnparentsvnexpressvnconcernvnthatvnbecausevnofvnthevnmother'svnemergencyvncesa
reanvnbirthvnundervngeneralvnanesthesia,vntheyvndidvnnotvnhavevnthevnopportunityvntovnhol
dvnandvnbondvnwithvntheirvndaughtervnimmediatelyvnaftervnhervnbirth.vnWhichvninformati
onvnshouldvnthevnnurse'svnresponsevnconvey?
a.vnAttachment,vnorvnbonding,vnisvnavnprocessvnthatvnoccursvnovervntimevnandvndoesvnnotvn
requirevnearlyvncontact.
b.vnTimevnimmediatelyvnaftervnbirthvnisvnavncriticalvnperiodvnforvnhumans.
c.vnEarlyvncontactvnisvnessentialvnforvnoptimalvnparent-infantvnrelationships.
d.vnThesevnnewvnparentsvnshouldvnjustvnbevnhappyvnthatvnthevninfantvnisvnhealthy.vn-
vncorrectvnanswer✔ ✔ A
Attachmentvnoccursvnovervntimevnandvndoesvnnotvnrequirevnearlyvncontact.vnAlthoughvnav
ndelayvninvncontactvndoesvnnotvnnecessarilyvnmeanvnthatvnattachmentvnisvninhibited,vnaddi
tionalvnpsychologicvnenergyvnmayvnbevnnecessaryvntovnachievevnthevnsamevneffect.vnThev
nformerlyvnacceptedvndefinitionvnofvnbondingvnheldvnthatvnthevnperiodvnimmediatelyvnaft
ervnbirthvnwasvncriticalvnforvnbondingvntovnoccur.vnResearchvnsincevnhasvnindicatedvnthatvn
parent-
infantvnattachmentvnoccursvnovervntime.vnAvndelayvndoesvnnotvninhibitvnthevnprocess.vnPa
rent-
infantvnattachmentvninvolvesvnactivitiesvnsuchvnasvntouching,vnholding,vnandvngazing;vnit
vnisvnnotvnexclusivelyvneyevncontact.vnTellingvnthevnparentsvnthatvntheyvnshouldvnbevnhapp
yvnthatvnthevninfantvnisvnhealthyvnisvninappropriate;vnitvnmayvnbevnreceivedvnasvnderogator
yvnandvnbelittling.
DIF:vnCognitivevnLevel:vnApplyvnREF:vnp.vn505
TOP:vnNursingvnProcess:vnImplementation
vn vn vn vn vn vn
1.vnAftervngivingvnbirthvntovnavnhealthyvninfantvnboy,vnavnprimiparousvnclient,vn16vnyearsvn
ofvnage,vnisvnadmittedvntovnthevnpostpartumvnunit.vnAnvnappropriatevnnursingvndiagnosisv
nforvnhervnatvnthisvntimevnisvn"Deficientvnknowledgevnofvninfantvncare."vnWhatvnshouldvnth
evnnursevnbevncertainvntovnincludevninvnthevnplanvnofvncarevnasvnhevnorvnshevnpreparesvnthevn
clientvnforvndischarge?
a.vnTeachvnthevnclientvnhowvntovnfeedvnandvnbathevnhervninfant.
b.vnGivevnthevnclientvnwrittenvninformationvnonvnbathingvnhervninfant.
c.vnAdvisevnthevnclientvnthatvnallvnmothersvninstinctivelyvnknowvnhowvntovncarevnforvnthei
rvninfants.
d.vnProvidevntimevnforvnthevnclientvntovnbathevnhervninfantvnaftervnshevnviewsvnavndemonst
rationvnofvninfantvnbathing.vn-vncorrectvnanswer✔ ✔ D
Havingvnthevnmothervndemonstratevninfantvncarevnisvnavnvaluablevnmethodvnofvnassessin
gvnthevnclient'svnunderstandingvnofvnhervnnewlyvnacquiredvnknowledge,vnespeciallyvninvnt
hisvnagevngroup,vnbecausevnshevnmayvninadvertentlyvnneglectvnhervnchild.vnAlthoughvnve
rbalizingvnhowvntovncarevnforvnthevninfantvnisvnavnformvnofvnclientvneducationvnorvnprovidi
ngvnwrittenvninformationvnmightvnbevnuseful,vnneithervnisvnthevnmostvndevelopmentallyvn
appropriatevnteachingvnmethodvnforvnavnteenagevnmother.vnAdvisingvnthevnyoungvnwom
anvnthatvnallvnmothersvninstinctivelyvnknowvnhowvntovncarevnforvntheirvninfantsvnisvninapp
ropriate;vnitvnisvnbelittlingvnandvnfalse.
DIF:vnCognitivevnLevel:vnApplyvnREF:vnp.vn520vnTOP:vnNursingvnProcess:vnPlanning
2.vnAvn30-year-
oldvnmultiparousvnwomanvnhasvnavnboyvnwhovnisvnyearsvnoldvnandvnhasvnrecentlyvndeliver
edvnanvninfantvngirl.vnShevntellsvnthevnnurse,vn"Ivndon'tvnknowvnhowvnI'llvnevervnmanagevnb
othvnchildrenvnwhenvnIvngetvnhome."vnWhichvnsuggestionvnwouldvnassistvnthisvnnewvnmo
thervninvnalleviatingvnsiblingvnrivalry?
,a.vnTellvnthevnoldervnchildvnthatvnhevnisvnavnbigvnboyvnnowvnandvnshouldvnlovevnhisvnnewvns
ister.
b.vnLetvnthevnoldervnchildvnstayvnwithvnhisvngrandparentsvnforvnthevnfirstvn6vnweeksvntovnall
owvnhimvntovnadjustvntovnthevnnewborn.
c.vnAskvnfriendsvnandvnrelativesvnnotvntovnbringvngiftsvntovnthevnoldervnsiblingvnbecausevny
ouvndovnnotvnwantvntovnspoilvnhim.
d.vnRealizevnthatvnthevnregressionvninvnhabitsvnandvnbehaviorsvninvnthevnoldervnchildvnisvna
vntypicalvnreactionvnandvnthatvnhevnneedsvnextravnlovevnandvnattentionvnatvnthisvntime.vn-
vncorrectvnanswer✔ ✔ D
Thevnoldervnchildvnmayvnregressvninvnhabitsvnorvnbehaviorsvn(e.g.,vntoileting,vnsleepvnhab
its)vnasvnavnmethodvnofvnseekingvnattention.vnParentsvnneedvntovndistributevntheirvnattentio
nvninvnanvnequitablevnmanner.vnTellingvnthevnoldervnchildvnthatvnhevnshouldvnlovevnhisvnne
wvnsistervnisvnavnnegativevnapproachvntovnfacilitatingvnsiblingvnacceptancevnofvnthevnnewv
ninfant.vnReactionsvnofvnsiblingsvnmayvnresultvnfromvntemporaryvnseparationvnfromvnthev
nmother.vnRemovingvnthevnoldervnchildvnfromvnthevnhomevnwhenvnthevnnewvninfantvnarri
vesvnmayvnenhancevnnegativevnbehaviorsvnfromvnthevnoldervnchildvncausedvnbyvnavnsepar
ationvnfromvnthevnmother.vnProvidingvnsmallvngiftsvnfromvnthevninfantvntovnthevnoldervnchi
ldvnisvnavnstrategyvnforvnfacilitatingvnsiblingvnacceptancevnofvnthevnnewvninfant.
DIF:vnCognitivevnLevel:vnAnalyzevnREF:vnp.vn517vnTOP:vnNursingvnProcess:vnPlanning
3.vnThevnnursevnobservesvnthatvnavnfirst-
timevnmothervnappearsvntovnignorevnhervnnewborn.vnWhichvnstrategyvnshouldvnthevnnurse
vnusevntovnfacilitatevnmother-infantvnattachment?
a.vnTellvnthevnmothervnshevnmustvnpayvnattentionvntovnhervninfant.
b.vnShowvnthevnmothervnhowvnthevninfantvninitiatesvninteractionvnandvnattendsvntovnher.
c.vnDemonstratevnforvnthevnmothervndifferentvnpositionsvnforvnholdingvnhervninfantvnwhil
evnfeeding.
,d.vnArrangevnforvnthevnmothervntovnwatchvnavnvideovnonvnparent-infantvninteraction.vn-
vncorrectvnanswer✔ ✔ B
Pointingvnoutvnthevnresponsivenessvnofvnthevninfantvnisvnavnpositivevnstrategyvnforvnfacilit
atingvnparent-
infantvnattachment.vnTellingvnthevnmothervnthatvnshevnmustvnpayvnattentionvntovnhervninfa
ntvnmayvnbevnperceivedvnasvnderogatoryvnandvnisvnnotvnappropriate.vnEducatingvnthevnyo
ungvnmothervninvninfantvncarevnisvnimportant,vnbutvnpointingvnoutvnthevnresponsivenessvn
ofvnhervnbabyvnisvnavnbettervntoolvnforvnfacilitatingvnmother-
infantvnattachment.vnVideosvnarevnanvneducationalvntoolvnthatvncanvndemonstratevnparent
-
infantvnattachment,vnbutvnencouragingvnthevnmothervntovnrecognizevnthevninfant'svnrespo
nsivenessvnisvnmorevnappropriate.
DIF:vnCognitivevnLevel:vnApplyvnREF:vnp.vn502
TOP:vnNursingvnProcess:vnImplementation
4.vnAvnnursevnhearsvnavnprimiparousvnwomanvntalkingvntovnhervnsonvnandvntellingvnhimvnt
hatvnhisvnchinvnisvnjustvnlikevnhisvndad's.vnThisvnstatementvnismostvndescriptivevnofvnwhic
hvnprocess?
a.vnMutuality
b.vnSynchrony
c.vnClaiming
d.vnReciprocityvn-vncorrectvnanswer✔ ✔ C
Claimingvnrefersvntovnthevnprocessvnbyvnwhichvnthevnchildvnisvnidentifiedvninvntermsvnofvnl
ikenessvntovnothervnfamilyvnmembers.vnMutualityoccursvnwhenvnthevninfant'svnbehavior
svnandvncharacteristicsvncallvnforthvnavncorrespondingvnsetvnofvnmaternalvnbehaviorsvnand
vncharacteristics.vnSynchronyvnrefersvntovnthevn"fit"vnbetweenvnthevninfant'svncuesvnandvnt
hevnparent'svnresponses.vnReciprocityvnisvnavntypevnofvnbodyvnmovementvnorvnbehaviorvnt
hatvnprovidesvnthevnobservervnwithvncues.
, DIF:vnCognitivevnLevel:vnUnderstandvnREF:vnpp.vn502,vn504vnTOP:vnNursingvnProcess:
vnEvaluation
:vnClientvnNeeds:vnPsychosocialvnIntegrity
5.vnNewvnparentsvnexpressvnconcernvnthatvnbecausevnofvnthevnmother'svnemergencyvncesa
reanvnbirthvnundervngeneralvnanesthesia,vntheyvndidvnnotvnhavevnthevnopportunityvntovnhol
dvnandvnbondvnwithvntheirvndaughtervnimmediatelyvnaftervnhervnbirth.vnWhichvninformati
onvnshouldvnthevnnurse'svnresponsevnconvey?
a.vnAttachment,vnorvnbonding,vnisvnavnprocessvnthatvnoccursvnovervntimevnandvndoesvnnotvn
requirevnearlyvncontact.
b.vnTimevnimmediatelyvnaftervnbirthvnisvnavncriticalvnperiodvnforvnhumans.
c.vnEarlyvncontactvnisvnessentialvnforvnoptimalvnparent-infantvnrelationships.
d.vnThesevnnewvnparentsvnshouldvnjustvnbevnhappyvnthatvnthevninfantvnisvnhealthy.vn-
vncorrectvnanswer✔ ✔ A
Attachmentvnoccursvnovervntimevnandvndoesvnnotvnrequirevnearlyvncontact.vnAlthoughvnav
ndelayvninvncontactvndoesvnnotvnnecessarilyvnmeanvnthatvnattachmentvnisvninhibited,vnaddi
tionalvnpsychologicvnenergyvnmayvnbevnnecessaryvntovnachievevnthevnsamevneffect.vnThev
nformerlyvnacceptedvndefinitionvnofvnbondingvnheldvnthatvnthevnperiodvnimmediatelyvnaft
ervnbirthvnwasvncriticalvnforvnbondingvntovnoccur.vnResearchvnsincevnhasvnindicatedvnthatvn
parent-
infantvnattachmentvnoccursvnovervntime.vnAvndelayvndoesvnnotvninhibitvnthevnprocess.vnPa
rent-
infantvnattachmentvninvolvesvnactivitiesvnsuchvnasvntouching,vnholding,vnandvngazing;vnit
vnisvnnotvnexclusivelyvneyevncontact.vnTellingvnthevnparentsvnthatvntheyvnshouldvnbevnhapp
yvnthatvnthevninfantvnisvnhealthyvnisvninappropriate;vnitvnmayvnbevnreceivedvnasvnderogator
yvnandvnbelittling.
DIF:vnCognitivevnLevel:vnApplyvnREF:vnp.vn505
TOP:vnNursingvnProcess:vnImplementation
