Chapter 22: Transition to Parenthood

Chapter 22: 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 client, 16 years of age, is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is “Deficient knowledge of infant care.” What should the nurse be certain to include in the plan of care as he or she prepares the client for discharge?

ANS:  D

Having the mother demonstrate infant care is a valuable method of assessing the client’s understanding of her newly acquired knowledge, especially in this age group, because she may inadvertently neglect her child. Although verbalizing how to care for the infant is a form of client education or providing written information might be useful, neither is the most developmentally appropriate teaching method for a teenage mother. Advising the young woman that all mothers instinctively know how to care for their infants is inappropriate; it is belittling and false.

DIF:    Cognitive Level: Apply                   REF:   p. 520             TOP:   Nursing Process: Planning

MSC:  Client Needs: Health Promotion and Maintenance

2. A 30-year-old multiparous woman has a boy who is  years old and has recently delivered 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 assist this new mother in alleviating sibling rivalry?

ANS:  D

The older child may regress in habits or behaviors (e.g., toileting, sleep habits) as a method of seeking attention. Parents need to distribute their attention in an equitable manner. Telling the older child that he should love his new sister is a negative approach to facilitating sibling acceptance of the new infant. Reactions of siblings may result from temporary separation from the mother. Removing the older child from the home when the new infant arrives may enhance negative behaviors from the older child caused by a separation from the mother. Providing small gifts from the infant to the older child is a strategy for facilitating sibling acceptance of the new infant.

DIF:    Cognitive Level: Analyze                REF:   p. 517             TOP:   Nursing Process: Planning

MSC:  Client Needs: Health Promotion and Maintenance

3. The nurse observes that a first-time mother appears to ignore her newborn. Which strategy should the nurse use to facilitate mother-infant attachment?

ANS:  B

Pointing out the responsiveness of the infant is a positive strategy for facilitating parent-infant attachment. Telling the mother that she must pay attention to her infant may be perceived as derogatory and is not appropriate. Educating the young mother in infant care is important, but pointing out the responsiveness of her baby is a better tool for facilitating mother-infant attachment. Videos are an educational tool that can demonstrate parent-infant attachment, but encouraging the mother to recognize the infant’s responsiveness is more appropriate.

DIF:    Cognitive Level: Apply                   REF:   p. 502

TOP:   Nursing Process: Implementation     MSC:  Client Needs: Health Promotion and Maintenance

4. A nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dad’s. This statement is most descriptive of which process?

ANS:  C

Claiming refers to the process by which the child is identified in terms of likeness to other family members. Mutuality occurs when the infant’s behaviors and characteristics call forth a corresponding set of maternal behaviors and characteristics. Synchrony refers to the “fit” between the infant’s cues and the parent’s responses. Reciprocity is a type of body movement or behavior that provides the observer with cues.

DIF:    Cognitive Level: Understand            REF:   pp. 502, 504   TOP:   Nursing Process: Evaluation

MSC:   Client Needs: Psychosocial Integrity