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After giving birth to a healthy infant boy, a primiparous woman, 16 years
old, is admitted to the after-birth 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 woman's 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 patient's 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 after birth 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
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, 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 infant's responsiveness is more appropriate.
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 ✔✔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 infant's
behaviors and characteristics call forth a corresponding set of maternal
behaviors and characteristics. Synchrony refers to the ―fit‖ between the
infant's cues and the parent's responses. Reciprocity is a type of body
movement or behavior that provides the observer with cues.
New parents express concern that, because of the mother's emergency
cesarean birth under general anesthesia, they did not have the