Chapter 13 Transition to Parenthood

Chapter 13  Transition to Parenthood

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Response

1. The nurse is caring for a recently immigrated Chinese woman in the postpartum unit. Based on cultural beliefs and practices of the woman, the nurse would anticipate which of the following? (Select all that apply.)
a. The woman prefers cold water for drinking.
b. The woman prefers not to shower.
c. The woman prefers to have her female relatives care for her baby.
d. The woman prefers to have her family bring her food to eat.

ANS: b, c, d
In traditional Chinese beliefs and practices, the woman is to rest and female family members take care of the woman and her infant. During the first month, the woman is to avoid yin energy by eating specific foods and avoiding drinking or touching cold water.

KEY: Integrated Process: Caring | Cognitive Level: Application | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Moderate

2. The nurse is caring for a postpartum woman who gave birth to a healthy, full-term baby girl. She has a 2-year-old son. She voices concern about her older child’s adjustment to the new baby. Nursing actions that will facilitate the older son’s adjustment to having a new baby in the house would include which of the following? (Select all that apply.)
a. Explain to the mother that she can have her son lie in bed with her when he is visiting her in the hospital.
b. Teach her son how to change the baby’s diapers.
c. Assist her son in holding his new baby sister.
d. Recommend that she spend time reading to her older son while he sits in her lap.

ANS: a, c, d
Two-year-olds enjoy being close to their mothers, including lying next to their mothers or being held. Changing diapers is not viewed as a pleasurable experience and is not developmentally appropriate for a 2-year-old. Children enjoy being able to hold their sibling and feeling “grown up.”

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Easy

3. Which of the following nursing actions are directed at assisting men in their transition to fatherhood? (Select all that apply.)
a. Encourage the woman to take on the major responsibility for infant care.
b. Talk to the man, away from his partner, about his expectations of the fathering role.
c. Praise the father for his interactions with his infant.
d. Provide information on infant care and behavior to both parents.

ANS: c, d
It is important to first have the couple discuss with each other their expectations of the fathering role. Once this has occurred, then the woman and nurse need to support the man in his role of infant care. Both parents need to receive information about infant care and infant behaviors, and both parents need to be praised for their interactions with their baby.

KEY: Integrative Process: Teaching and Learning | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Psychological Integrity | Difficulty Level: Moderate

4. Which of the following nursing actions are directed at promoting bonding? (Select all that apply.)
a. Providing opportunity for parents to hold their newborn as soon as possible following the birth.
b. Providing opportunities for the couple to talk about their birth experience and about becoming parents.
c. Promoting rest and comfort by keeping the newborn in the nursery at night.
d. Providing positive comments to parents regarding their interactions with their newborn.

ANS: a, b, d
Parent bonding can be delayed by prolonged periods of separation from their child. The other three actions support parent bonding with their newborn.

KEY: Integrative Process: Caring | Cognitive Level: Application | Content Area: Maternity | Client Need: Psychological Integrity | Difficulty Level: Moderate

5. Which of the following factors place a new mother at risk for parenting? (Select all that apply.)
a. She is 17 years old.
b. Family income is below the average income.
c. Her parents live in the same city and are perceived as helpful.
d. She dropped out of school at age 13.

ANS: a, b, d
Adolescent parents may have a more difficult transition to parenthood because they have not made the transition to adulthood. Financial concerns can hamper the transition to parenthood because the focus of attention may be on where to get money to pay for daily living expenses versus on the care of their newborn. Decreased ability to read and comprehend information regarding child care may hamper the ability to gain knowledge about the care of their child.

KEY: Integrative Process: Safe and Effective Care Environment | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Psychological Integrity | Difficulty Level: Moderate