Question 1

The nurse observes a client on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which appropriate action should the nurse take?

Accepted Answer

A)   Hand the baby to the woman.
B)   Explain "taking-in" to the woman.
C)   Offer to hand the baby to the woman.
D)   No action, because this situation is perfectly acceptable.E) A) and B)
F) B) and C)

Question 2

A husband calls the nurse's station stating that his wife, who delivered last week, is happy one minute and crying the next. He says, "She was never like this before the baby was born." Which should be the nurse's initial response?

Accepted Answer

A)   Reassure him that this behavior is normal.
B)   Advise him to get immediate psychological help for her.
C)   Tell him to ignore the mood swings because they will go away.
D)   Instruct him in the signs, symptoms, and duration of postpartum blues.E) A) and B)
F) A) and C)

Question 3

Which should the nurse do to provide support to a new client who must return to full-time employment 6 weeks after a vaginal birth?

Accepted Answer

A)   Discuss child care arrangements with her.
B)   Allow her to solve the problem on her own.
C)   Reassure her that she'll get used to leaving her baby.
D)   Allow her to express her positive and negative feelings freely.E) A) and D)
F) B) and C) D

Question 4

The term reciprocal attachment behavior refers to which of the following?

Accepted Answer

A)   Behavior during the sensitive period when the infant is in the quiet alert stage
B)   Positive feedback an infant exhibits toward parents during the attachment process
C)   Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
D)   Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parentsE) A) and B)
F) A) and C)

Question 5

Which client is most likely to have the least stress adjusting to her role as a mother?

Accepted Answer

A)   A 26-year-old woman who is returning to work in 10 weeks
B)   A 35-year-old anxious mother who has had no contact with babies or children
C)   A 16-year-old teenager who lives with her parents and has a strained relationship with her mother
D)   A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birthE) C) and D)
F) B) and D)

Question 6

Which strategies should the nurse suggest to a postpartum client to promote stress reduction during the first weeks at home? (Select all that apply.)

Accepted Answer

A)   Limiting coffee, tea, cola, and any caffeinated beverages
B)   Maintaining a rigid schedule
C)   Sleeping when the infant sleeps
D)   Inviting visitors and friends to stop by frequently
E)   Using learned breathing techniques from childbirth classes for relaxationF) B) and E)
G) A) and E) A, C, E

Question 7

The postpartum client who continually repeats the story of her labor, birth, and recovery experiences is doing which?

Accepted Answer

A)   Making the birth experience "real"
B)   Accepting her response to labor and birth
C)   Providing others with her knowledge of events
D)   Taking hold of the events leading to her labor and birthE) None of the above
F) B) and C)

Question 8

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

Accepted Answer

A)   Letting-go
B)   Taking-in
C)   Taking-on
D)   Taking-holdE) None of the above
F) B) and C)

Question 9

An example of binding in during the postpartum period is a:

Accepted Answer

A)   new mother telling her friends all about her labor and birth experience.
B)   father looking at his newborn and stating that he "looks like I did when I was a baby."
C)   mother reporting increasing anxiety during the postpartum period because she feels like she is all alone.
D)   mother wanting some time alone so that she can catch up on needed sleep.E) A) and B)
F) A) and C)

Question 10

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Accepted Answer

A)   Formal
B)   Informal
C)   Personal
D)   AnticipatoryE) None of the above
F) A) and B)

Question 11

A family is concerned about how their 2-year-old son is going to react to the new baby. What intervention would help facilitate sibling attachment?

Accepted Answer

A)   Have the mother and father spend individual time with their son to allay potential anxiety over the new baby coming in and displacing his position in the family as the only child.
B)   Make sure that their son is supervised at all times when the baby is brought home from the hospital and is in his presence.
C)   Include the son in helping to take care of the baby and reinforce the label of "big brother" as a special role.
D)   Observe the son's reaction to the baby and let him decide when he wants to be introduced to his new sibling.E) All of the above
F) A) and C) C

Question 12

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

Accepted Answer

A)   Helps the new parents identify resources
B)   Recommends employing babysitters frequently
C)   Tells the parents about the realities of parenthood
D)   Offers a home phone number and tells parents to call if they have a questionE) None of the above
F) A) and B)

Question 13

A 25-year-old gravida 1, para 1, who had an emergency cesarean birth 3 days ago is scheduled for discharge. As you prepare her for discharge, she begins to cry. Which should be your initial action?

Accepted Answer

A)   Assess her for pain.
B)   Allow her time to express her feelings.
C)   Point out how lucky she is to have a healthy baby.
D)   Explain that she is experiencing postpartum blues.E) All of the above
F) B) and C)

Question 14

A new mother states, "My mother-in-law will be here from out of town for a few weeks. I'm afraid she will take over the care of the baby." Which response should the nurse make?

Accepted Answer

A)   Tell the client that everything will be okay.
B)   Tell the client how lucky she is to have someone to help her.
C)   Encourage the client to allow her mother-in-law to take care of the newborn.
D)   Encourage the client to tell her mother-in-law that she (the new mother)  wants to care for her infant.E) A) and B)
F) A) and C)

Question 15

Match each term with the correct definition of maternal adaptation stages.
-Letting-go

Accepted Answer

A)  Passive, dependent
B)  Begins to see self as a mother
C)  Autonomous, seeking informationD) All of the above
E) None of the above

Question 16

A postpartum client who is a gravida 4, para 4, comes to the office for her 6-week postpartum checkup. Her presentation is untidy and unkempt. The client states that she is not sleeping well and relates that she feels overwhelmed at times. According to the client, family members' responses have been nonsupportive. What recommendations would you advise to help the client at this time?

Accepted Answer

A)   Tell the client that this is a normal reaction to an increase in family size and that listening to music can help relieve anxiety.
B)   Tell the client to increase her exercise pattern because that will promote a sense of well-being.
C)   Make appropriate referrals for psychological intervention counseling because the client is exhibiting high-risk symptoms.
D)   Record the client's vital signs as part of the ongoing assessment and offer relaxation strategies as a method of support.E) C) and D)
F) B) and D)

Question 17

Match each term with the correct definition of maternal adaptation stages.
-Taking-hold

Accepted Answer

A)  Passive, dependent
B)  Begins to see self as a mother
C)  Autonomous, seeking informationD) A) and B)
E) A) and C)

Question 18

The nurse is teaching new parents about behavior cues that indicate their infant has had enough stimulation. Which cues should the nurse include in the teaching session?

Accepted Answer

A)   The infant kicks his legs.
B)   The infant is quiet and alert.
C)   The infant splays his fingers.
D)   The infant looks at their faces.E) B) and D)
F) All of the above

Question 19

Which are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Accepted Answer

A)   Provide comfort and ample time for rest.
B)   Keep the baby wrapped to avoid cold stress.
C)   Position the infant face to face with the mother.
D)   Point out the characteristics of the infant in a positive way.
E)   Limit the amount of modeling so the mother doesn't feel insecure.F) A) and E)
G) A) and B)

Question 20

A postpartum nurse is observing a client holding the baby she delivered less than 24 hours ago. Her husband is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back. Which action should the nurse should take?

Accepted Answer

A)   Report the incident to the social services department.
B)   Advise the parents that the older son needs to be reprimanded.
C)   No action; this is a normal family adjusting to family change.
D)   Report to oncoming staff that the mother is probably not a good disciplinarian.E) A) and B)
F) None of the above

Exam 18: Postpartum Psychosocial Adaptations

The nurse observes a client on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which appropriate action should the nurse take?

Correct Answer
verified

A husband calls the nurse's station stating that his wife, who delivered last week, is happy one minute and crying the next. He says, "She was never like this before the baby was born." Which should be the nurse's initial response?

Correct Answer
verified

Which should the nurse do to provide support to a new client who must return to full-time employment 6 weeks after a vaginal birth?

Correct Answer
verified
D

The term reciprocal attachment behavior refers to which of the following?

Correct Answer
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Which client is most likely to have the least stress adjusting to her role as a mother?

Correct Answer
verified

Which strategies should the nurse suggest to a postpartum client to promote stress reduction during the first weeks at home? (Select all that apply.)

Correct Answer
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A, C, E

The postpartum client who continually repeats the story of her labor, birth, and recovery experiences is doing which?

Correct Answer
verified

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

Correct Answer
verified

An example of binding in during the postpartum period is a:

Correct Answer
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During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Correct Answer
verified

A family is concerned about how their 2-year-old son is going to react to the new baby. What intervention would help facilitate sibling attachment?

Correct Answer
verified
C

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

Correct Answer
verified

A 25-year-old gravida 1, para 1, who had an emergency cesarean birth 3 days ago is scheduled for discharge. As you prepare her for discharge, she begins to cry. Which should be your initial action?

Correct Answer
verified

A new mother states, "My mother-in-law will be here from out of town for a few weeks. I'm afraid she will take over the care of the baby." Which response should the nurse make?

Correct Answer
verified

Match each term with the correct definition of maternal adaptation stages. -Letting-go

Correct Answer
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Correct Answer
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Match each term with the correct definition of maternal adaptation stages. -Taking-hold

Correct Answer
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The nurse is teaching new parents about behavior cues that indicate their infant has had enough stimulation. Which cues should the nurse include in the teaching session?

Correct Answer
verified

Which are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Correct Answer
verified

A postpartum nurse is observing a client holding the baby she delivered less than 24 hours ago. Her husband is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back. Which action should the nurse should take?

Correct Answer
verified

Exam 18: Postpartum Psychosocial Adaptations

The nurse observes a client on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which appropriate action should the nurse take?

Correct AnswerverifiedShow Answer

A husband calls the nurse's station stating that his wife, who delivered last week, is happy one minute and crying the next. He says, "She was never like this before the baby was born." Which should be the nurse's initial response?

Correct AnswerverifiedShow Answer

Which should the nurse do to provide support to a new client who must return to full-time employment 6 weeks after a vaginal birth?

Correct AnswerverifiedD

The term reciprocal attachment behavior refers to which of the following?

Correct AnswerverifiedShow Answer

Which client is most likely to have the least stress adjusting to her role as a mother?

Correct AnswerverifiedShow Answer

Which strategies should the nurse suggest to a postpartum client to promote stress reduction during the first weeks at home? (Select all that apply.)

Correct AnswerverifiedA, C, E

The postpartum client who continually repeats the story of her labor, birth, and recovery experiences is doing which?

Correct AnswerverifiedShow Answer

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

Correct AnswerverifiedShow Answer

An example of binding in during the postpartum period is a:

Correct AnswerverifiedShow Answer

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Correct AnswerverifiedShow Answer

A family is concerned about how their 2-year-old son is going to react to the new baby. What intervention would help facilitate sibling attachment?

Correct AnswerverifiedC

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

Correct AnswerverifiedShow Answer

A 25-year-old gravida 1, para 1, who had an emergency cesarean birth 3 days ago is scheduled for discharge. As you prepare her for discharge, she begins to cry. Which should be your initial action?

Correct AnswerverifiedShow Answer

A new mother states, "My mother-in-law will be here from out of town for a few weeks. I'm afraid she will take over the care of the baby." Which response should the nurse make?

Correct AnswerverifiedShow Answer

Match each term with the correct definition of maternal adaptation stages. -Letting-go

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Match each term with the correct definition of maternal adaptation stages. -Taking-hold

Correct AnswerverifiedShow Answer

The nurse is teaching new parents about behavior cues that indicate their infant has had enough stimulation. Which cues should the nurse include in the teaching session?

Correct AnswerverifiedShow Answer

Which are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Correct AnswerverifiedShow Answer

A postpartum nurse is observing a client holding the baby she delivered less than 24 hours ago. Her husband is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back. Which action should the nurse should take?

Correct AnswerverifiedShow Answer

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D

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A, C, E

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C

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