Chapter 15 Transition to Parenthood

Chapter 15  Transition to Parenthood

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. After giving birth to a healthy infant boy, a primiparous woman, 16, is admitted to the postpartum 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.
Tell the woman how to feed and bathe her infant.
b.
Give the woman written information on bathing her infant.
c.
Advise the woman that all mothers instinctively know how to care for their infants.
d.
Provide time for the woman to bathe her infant after she views an infant bath demonstration.

ANS: D

Feedback
A
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.
B
Although providing written information is useful, it is not the most developmentally appropriate teaching for a teenage mother.
C
This statement is inappropriate; it is belittling and false.
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.

DIF: Cognitive Level: Application REF: 430
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Diagnosis, Planning

2. The nurse observes several interactions between a postpartum 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

ANS: B

Feedback
A
Talking and cooing to the baby are normal infant-parent interactions.
B
The woman should be encouraged to hold her infant in the en face position and make eye contact with the infant.
C
Cuddling is a normal infant-parent interaction.
D
Discussing the baby’s behavior in a positive manner is a normal infant-parent interaction.

DIF: Cognitive Level: Application REF: 422
OBJ: Client Needs: Psychosocial Integrity
TOP: Nursing Process: Assessment, Diagnosis

3. New parents express concern that, because of the mother’s emergency cesarean birth under general anesthesia, they did not have the opportunity to hold and bond with their daughter immediately after her birth. The nurse’s response should convey to the parents that:
a.
Attachment, or bonding, is a process that occurs over time and does not require early contact.
b.
The time immediately after birth is a critical period for people.
c.
Early contact is essential for optimum parent-infant relationships.
d.
They should just be happy that the infant is healthy.

ANS: A

Feedback
A
This statement is accurate.
B
The formerly accepted definition of bonding held that the period immediately after birth was a critical time for bonding to occur. Research since has indicated that parent-infant attachment occurs over time. A delay does not inhibit the process.
C
Parent-infant attachment involves activities such as touching, holding, and gazing; it is not exclusively eye contact.
D
This response is inappropriate because it is derogatory and belittling.

DIF: Cognitive Level: Application REF: 417
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Implementation

4. The nurse can help a father in his transition to parenthood by:
a.
Pointing out that the infant turned at the sound of his voice.
b.
Encouraging him to go home to get some sleep.
c.
Telling him to tape the infant’s diaper a different way.
d.
Suggesting that he let the infant sleep in the bassinet.

ANS: A

Feedback
A
Infants respond to the sound of voices. Because attachment involves a reciprocal interchange, observing the interaction between parent and infant is very important.
B
Separation of the parent and infant does not encourage parent-infant attachment.
C
Educating the parent in infant care techniques is important, but the manner in which a diaper is taped is not relevant and does not enhance parent-infant interactions.
D
Parent-infant attachment involves touching, holding, and cuddling. It is appropriate for a father to want to hold the infant as the baby sleeps.

DIF: Cognitive Level: Application REF: 422
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Implementation

5. The nurse notes that a Vietnamese woman does not cuddle or interact with her newborn other than to feed him, change his diapers or soiled clothes, and put him to bed. In evaluating the woman’s behavior with her infant, the nurse realizes that:
a.
What appears to be a lack of interest in the newborn is in fact the Vietnamese way of demonstrating intense love by attempting to ward off evil spirits.
b.
The woman is inexperienced in caring for newborns.
c.
The woman needs a referral to a social worker for further evaluation of her parenting behaviors once she goes home with the newborn.
d.
Extra time needs to be planned for assisting the woman in bonding with her newborn.

ANS: A

Feedback
A
The nurse may observe a Vietnamese woman who gives minimal care to her infant and refuses to cuddle or interact with her infant. The apparent lack of interest in the newborn is this cultural group’s attempt to ward off evil spirits and actually reflects an intense love and concern for the infant.
B
Cultural beliefs are important determinates of parenting behaviors. The woman’s “lack of interest” is a Vietnamese cultural behavior.
C
Cultural beliefs are important determinates of parenting behaviors. The woman’s “lack of interest” is a Vietnamese cultural behavior. The lack of infant interaction is not a form of infant neglect but rather a demonstration of love and concern for the infant.
D
The nurse may observe the woman and may be concerned by the apparent lack of interest in the newborn when, in fact, this is a cultural display of love and concern for the infant. It is important to educate the woman in infant care, but it is equally important to acknowledge her cultural beliefs and practices.

DIF: Cognitive Level: Comprehension REF: 432
OBJ: Client Needs: Psychosocial Integrity TOP: Nursing Process: Evaluation