Chapter 18: Postpartum Psychosocial Adaptations

Chapter 18: Postpartum Psychosocial Adaptations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

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

ANS:  B

In this definition, reciprocal refers to the feedback from the infant during the attachment process. The quiet alert state is a good time for bonding but does not define reciprocal attachment. Reciprocal attachment deals with feedback behavior and is not unidirectional.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   352

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

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

ANS:  A

Reliving the birth experience makes the event real and helps the mother realize that the pregnancy is over and that the infant is born and is now a separate individual. She is in the taking-in phase, trying to make the birth experience seem real. This is to satisfy her needs, not the needs of others. She is trying to make the event real and is trying to separate the infant from herself.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   353

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity

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

ANS:  A

A major task of the formal stage of role attainment is getting acquainted with the infant. The informal stage begins once the parents have learned appropriate responses to their infant’s cues. The personal stage is attained when parents feel a sense of harmony in their role. The anticipatory stage begins during the pregnancy when the parents choose a physician and attend childbirth classes.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   354

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity

4. 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?

ANS:  A

During the taking-in phase of maternal adaptation, in which the mother may be passive and dependent, the nurse should encourage bonding when the infant is in the quiet alert stage. This is done best by simply giving the baby to the mother. She learns best during the taking-hold phase. The woman is dependent and passive at this stage and may have difficulty making a decision. This is expected behavior during the taking-in phase. However, interventions can facilitate infant bonding.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   353

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Psychosocial Integrity

5. 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?

ANS:  C

The observed behaviors are normal variations of families adjusting to change. There is no need to report this one incident. Giving advice at this point would make the parents feel inadequate as parents. This is normal for an adjusting family.

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   366

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity