Deck 22: Transition to Parenthood

Question 1

Many first-time parents do not plan on their parents' help immediately after the newborn arrives.What statement by the nurse is the most appropriate when counseling new parents about the involvement of grandparents?

A)"You should tell your parents to leave you alone."
B)"Grandparents can help you with parenting skills and also help preserve family traditions."
C)"Grandparent involvement can be very disruptive to the family."
D)"They are getting old.You should let them be involved while they can."

Answer 1

"Grandparents can help you with parenting skills and also help preserve family traditions."

Question 2

With regard to the adaptation of other family members (mainly siblings and grandparents)to the newborn,nurses should be aware that:

A)Sibling rivalry cannot be dismissed as overblown psychobabble;negative feelings and behaviors can take a long time to blow over
B)Participation in preparation classes helps both siblings and grandparents
C)In the United States,paternal and maternal grandparents consider themselves of equal importance and status
D)Since 1990,the number of grandparents providing permanent care to their grandchildren has been declining

Answer 2

Participation in preparation classes helps both siblings and grandparents

Question 3

A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth.Recognizing the needs of women during this stage,the nurse should:

A)Foster an active role in the baby's care
B)Provide time for the mother to reflect on the events of her labor and delivery
C)Recognize the woman's limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now
D)Promote maternal independence by encouraging her to meet her own hygiene and comfort needs

Answer 3

Provide time for the mother to reflect on the events of her labor and delivery

Question 4

____________________ is the process by which the parent and infant come to love and accept each other.

Question 5

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 humans
C)Early contact is essential for optimum parent-infant relationships
D)They should just be happy that the infant is healthy

Question 6

A nurse observes that a 15-year-old new mother appears to ignore her newborn.A strategy that the nurse can use to facilitate mother-infant attachment in this mother is:

A)Tell the mother she must pay attention to her infant
B)Show the mother how the infant initiates interaction and attends 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

Question 7

Of the many factors that influence parental responses,nurses should be aware that all of these statements regarding age are true except:

A)An adolescent mother's egocentricity and unmet developmental needs interfere with her ability to parent effectively
B)An adolescent mother is likely to use less verbal instruction,be less responsive,and interact less positively than other mothers
C)Adolescent mothers have a higher documented incidence of child abuse
D)Mothers older than 35 often deal with more stress related to work and career issues,as well as decreasing libido

Question 8

A nurse can assist 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

Question 9

In the United States,the en face position is preferred immediately after birth.Nurses can facilitate this process by all of these actions except:

A)Washing both the infant's face and the mother's face
B)Placing the infant on the mother's abdomen or breast with their heads on the same plane
C)Dimming the lights
D)Delaying the instillation of prophylactic antibiotic ointment in the infant's eyes

Question 10

What concerns about parenthood are often expressed by visually impaired mothers? Choose all that apply.

A)Infant safety
B)Transportation
C)The ability to care for the infant
D)Missing out visually
E)Needing extra time for parenting activities to accommodate the visual limitations

Question 11

During a phone follow-up conversation with a woman who is 4 days postpartum,the woman tells the nurse,"I don't know what's wrong.I love my son,but I feel so let down.I seem to cry for no reason!" The nurse recognizes that the woman is experiencing:

A)Letting-go
B)Postpartum depression (PPD)
C)Postpartum blues
D)Attachment difficulty

Question 12

A nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dad's.This woman's statement reflects:

A)Mutuality
B)Synchrony
C)Claiming
D)Reciprocity

Question 13

After birth,a crying infant may be soothed by being held in a position in which the newborn can hear the mother's heartbeat.This phenomenon is known as:

A)Entrainment
B)Reciprocity
C)Synchrony
D)Biorhythmicity

Question 14

After giving birth to a healthy infant boy,a primiparous woman,age 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 should 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.

Question 15

With regard to parents' early and extended contact with their infant and the relationships built,nurses should be aware that:

A)Immediate contact is essential for the parent-child relationship
B)Skin-to-skin contact is preferable to contact with the body totally wrapped in a blanket
C)Extended contact is especially important for adolescents and low-income women because they are at risk for parenting inadequacies
D)Mothers need to take precedence over their partners and other family matters

Question 16

In follow-up appointments or visits with parents and their new baby,it is useful if the nurse can identify infant behaviors that can either facilitate or inhibit attachment.What is an inhibiting behavior?

A)The infant cries only when hungry or wet.
B)The infant's activity is somewhat predictable.
C)The infant clings to the parents.
D)The infant seeks attention from any adult in the room.

Question 17

A 30-year-old multiparous woman has a boy who is 2 1/2 years old and now an infant girl.She tells the nurse,"I don't know how I'll ever manage both children when I get home." Which suggestion would best help this woman alleviate sibling rivalry?

A)Tell the older child that he is a big boy now and should love his new sister.
B)Let the older child stay with his grandparents for the first 6 weeks to allow him to adjust to the newborn.
C)Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him.
D)Realize that the regression in habits and behaviors in the older child is a typical reaction and that he needs extra love and attention at this time.

Question 18

A 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

Question 19

In addition to eye contact other early sensual contacts between infant and mother involve sound and smell.Nurses should be aware that despite what folk wisdom might say:

A)High-pitched voices irritate newborns
B)Infants can learn to distinguish their mother's voice from others soon after birth
C)All babies in the hospital smell alike
D)A mother's breast milk has no distinctive odor

Question 20

Nursing activities that promote parent-infant attachment are many and varied.One activity that should not be overlooked is the management of the environment.While providing routine mother-baby care,the nurse should ensure that:

A)The baby is able to return to the nursery at night so that the new mother can sleep
B)Routine times for care are established to reassure the parents
C)The father should be encouraged to go home at night to prepare for mother-baby discharge
D)An environment that fosters as much privacy as possible should be created

Question 21

Hearing-impaired parents face many challenges related to caregiving and parenting,particularly if their deafness dates back to infancy or early childhood.In order to ensure that the learning needs of these families are met,legislation has been passed that directs hospitals to use various communication techniques and resources with their deaf clients.Is this statement true or false?