Chapter 15: Transition to Parenthood

Chapter 15: Transition to Parenthood

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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