Chapter 13 OB

Question 20. While in the room assessing an infant on the day of discharge, the nurse notes that the infant is awake and alert. The parents question why the infant is making cooing sounds. What is the appropriate nursing response?

"Cooing is one way the infant tries to communicate early on."

Question 1. The nurse is assessing the interaction between a newborn and his father. Which statement by the father shows progressed infant-father bonding? Select all that apply.

"I will stay awake with the baby while his mother sleeps." "Will you help me wrap him up?"

Question 4. The nurse is providing teaching to new parents regarding the levels of fatigue that may occur following childbirth. Which statement should the nurse include in the teaching?

"Mothers tend to be more fatigued than fathers following the birth of a new infant."

Question 3. The nurse walks into a postpartum room noting a screaming infant in a crib near the bedside. Both parents are asleep. Which statement by the mother shows the need for further assessment for ineffective bonding?

"Sorry, it won't stop crying, and we are so tired."

Question 17. During the initial prenatal visit with a newly pregnant lesbian couple following artificial insemination with donor sperm, the couple questions the legal parental rights for the infant. What is the best response by the nurse?

"You will likely need to legally adopt the child to establish parental rights as the non-birthing mother."

Question 9. Why is it important for nurses to understand cultural competence for parental phases?

1. Cultural beliefs can influence the woman's behaviors and the amount of time she spends in each phase. 2. Cultural beliefs influence the degree of the father\"s care for the infant. 3. Cultural beliefs can affect the role of extended family members. 4. Cultural beliefs can influence the infant\"s name.

The nurse is discussing the stages of "becoming a mother" with a patient. In what order will the nurse review the stages?

4,1,3,2

Question 6. The nurse is assessing a new mother who brought her 6-month-old infant for a well check. The mother is 16-years-old and her mother came with her to the visit. The infant's grandmother is holding the new baby and answering all of the questions. What part of the becoming a mother process does the nurse note to be lacking?

Achieving maternal identity

Question 18. A nurse assigned to care for a couple on the postpartum unit approaches the charge nurse with a concern. The nurse is unsure if the parents are forming an attachment with the infant due to lack of eye contact. How should the charge nurse respond to the concern?

Ask the nurse if there are any other positive indications for bonding.

Question 15. The nurse is preparing a class for first time expectant fathers and are all anticipating delivery in the next couple of months. What known themes for expectant fathers will the nurse include during the class? Select all that apply.

Fathering older children. Parenting support. Being there for the child.

Question 2. The nurse is caring for a primiparous woman who just delivered her child. Which action should the nurse take to adhere to the taking-in stage?

Give the patient time to reflect.

Question 7. The nurse understands that different factors influence role transitions for new parents. Which of these factors are included? Select all that apply.

How they were parented Length of the relationship between partners Education Finances

Question 12. The nurse is describing the transition to parenthood during a childbirth education course. During the class, the nurse mentions that most knowledge of parental expectations comes through observation of other parents. What term does the nurse use to describe this knowledge acquisition?

Incidental

Question 11. During an office visit at 2-weeks postpartum, the gravida 3, para 3 patient, she mentions an increase in stress level following delivery of this child. The nurse explains that the increase may be attributed to which considerations? Select all that apply

Increase in childcare tasks Financial concerns Increase in fatigue level

Question 14. The nurse is caring for a patient following the delivery of a 36-week infant due to maternal preeclampsia. The infant is stable and rooming-in with the mother. The nurse observes the mother demonstrating a slow response to the infant cues. What does nurse attribute this slow response to?

Magnesium sulfate infusion

Question 19. The nurse educator for the Neonatal Intensive Care Unit (NICU) is preparing a pamphlet for parents when the newborn is admitted to the NICU after delivery. Attachment is a common area of concern that new parents have in these situations. What suggestions can the nurse include in the pamphlet on enhancing attachment? Select all that apply.

Take pictures of the infant for the mother Take a wheelchair to visit the infant when possible Provide a breast pump so the new mother

Question 5. A nurse observes a 14-year-old and her new baby. The nurse notes the grandmother doing most of the holding and care of the infant. What is the appropriate nursing intervention?

Tell the patient how well she does when she does the care for the infant.

Question 16. The nurse is discharging a 14-year-old patient, who lives with her parents in a suburban neighborhood, following the delivery of a healthy female infant. During the nurse's discharge education, who is most likely to be included?

The grandparents of the infant

Question 8. The nurse assesses a mother's bonding with her new baby. Which action made by the mother does the nurse identify as the initial maternal phase?

The mother relives and speaks of the birthing experience

Question 10. The nurse is caring for a patient that speaks Spanish. When using an interpreter, it's inappropriate to use which phrase when talking to the patient?

\"Tell her it\"s okay and I will be here with her.\"