NUR114 CH15

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Author:
TomWruble
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183026
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NUR114 CH15
Updated:
2012-11-12 10:42:47
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nur114e2 Transition Parenthood
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Transition to Parenthood
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  1. The process by which the parent and infant come to love and accept each other is called ___.
    attachment
  2. Newborns move in time with the structure of adult speech. This phenomenon is called ___.
    entrainment
  3. The ___ starts with the decision to conceive and ends after the ___ of the baby’s life.
    • transition to parenthood
    • first months (maybe in this book!)
  4. Maternal postpartum adjustment over the first several weeks consists of three phases: ___, ___, and ___.
    • dependent behavior (taking in)
    • dependent-independent behavior (taking hold)
    • interdependent behavior (letting go)
  5. ___ percent of women experience postpartum blues, also called baby blues.
    Fifty to eighty

    It is a "let-down" feeling accompnaied by irritability and anxiety, which usually begins 2-3 days after birth and disappears within a week or two.
  6. Claiming process
    Parents identify their new baby in terms of likeness to other family members, differences and uniquness.
  7. Engrossment
    Absorption, preoccupation and interest - typiclly used to describe a new fathers intense involvement with his newborn.
  8. Reciprocity
    Type of body movement such as behavioral cues infants provide to parents and parents responses to those cues.
  9. dependent behavior (taking in)
    Periods after birth characterized by the woman's dependency; maternal needs are dominant; and talking about the birsth is an important task.
  10. When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

    A. Express a strong need to review events and her behavior during the process of labor and birth.
    B. Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
    C. Have reestablished her role as a spouse/partner.
    D. Exhibit a reduced attention span, limiting readiness to learn.
    B. Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.

    One week after birth, the woman should exhibit behaviors characteristic of the taking-hold stage. This stage lasts for as long as 4 to 5 weeks after birth.
    (this multiple choice question has been scrambled)
  11. dependent-independent behavior (taking hold)
    This is a vacillation between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn. One week after birth, the woman should exhibit behaviors characteristic of the taking-hold stage. This stage lasts for as long as 4 to 5 weeks after birth.
  12. T/F: When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically express a strong need to review events and her behavior during the process of labor and birth.
    F: Expressing a strong need to review events is characteristic of the taking-in stage, which lasts for the first few days after birth.
  13. T/F: When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically exhibit a reduced attention span, limiting readiness to learn.
    F: Exhibiting a reduced attention span is characteristic of the taking-in stage, which lasts for the first few days after birth.
  14. Reestablishing her role as spouse/partner reflects the letting-go stage, which indicates that psychosocial recovery is complete. This stage follows the ___ stage, which can last ___ after birth. 
    • Taking-Hold
    • as long as 4 to 5 weeks
  15. Parents can facilitate the adjustment of their other children to a new baby by:

    A. Having the children choose or make a gift to give to the new baby on its arrival home.
    B. Emphasizing activities that keep the new baby and other children together.
    C. Having the mother carry the new baby into the home so she can show him or her to the other children.
    D. Reducing stress on other children by limiting their involvement in the care of the new baby.
    A. Having the children choose or make a gift to give to the new baby on its arrival home.

    Having the sibling make or choose a gift for the new baby helps to make the child feel a part of the process, but is at odds with what Riley has promoted - a gift FOR the sibling.
    (this multiple choice question has been scrambled)
  16. T/F: Parents can facilitate the adjustment of their other children to a new baby by emphasizing activities that keep the new baby and other children together.
    F: Special time should be set aside just for the other children, time without interruption from the newborn.
  17. T/F: Parents can facilitate the adjustment of their other children to a new baby by having sSomeone other than the mother carry the baby into the home so she can give full attention to greeting her other children.
    True
  18. T/F: Parents can facilitate the adjustment of their other children to a new baby by reducing stress on other children by limiting their involvement in the care of the new baby.
    F: Children should be actively involved in the care of the baby according to their ability but without overwhelming them.
  19. 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. “They are getting old. You should let them be involved while they can.”
    B. “Grandparent involvement can be very disruptive to the family.”
    C. “You should tell your parents to leave you alone.”
    D. “Grandparents can help you with parenting skills and also help preserve family traditions.”
    D. “Grandparents can help you with parenting skills and also help preserve family traditions.”
    (this multiple choice question has been scrambled)
  20. The nurse observes that a 15-year-old mother seems to ignore her newborn. A strategy that the nurse can use to facilitate mother-infant attachment in this mother is to:

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

    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.
    (this multiple choice question has been scrambled)
  21. When the infant’s behaviors and characteristics call forth a corresponding set of maternal behaviors and characteristics, this is called:

    A. Claiming.
    B. Mutuality.
    C. Bonding.
    D. Acquaintance.
    B. Mutuality.

    Mutuality refers to a shared set of behaviors that is a part of the bonding process.
    (this multiple choice question has been scrambled)
  22. 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. Provide time for the mother to reflect on the events of and her behavior during childbirth.
    B. Promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
    C. Foster an active role in the baby's care.
    D. 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.
    A. Provide time for the mother to reflect on the events of and her behavior during childbirth.
    (this multiple choice question has been scrambled)
  23. T/F: 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 an environment that fosters as much privacy as possible should be created.
    T: Care providers need to knock before gaining entry. Nursing care activities should be grouped.
  24. 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 would recognize that the woman is experiencing:

    A. Postpartum (PP) blues.
    B. Taking-in.
    C. Postpartum depression (PPD).
    D. Attachment difficulty.
    A. Postpartum (PP) blues.

    This lability seems to peak around the fifth PP day.
    (this multiple choice question has been scrambled)
  25. ___ is an intense, pervasive sadness marked by severe, labile mood swings; it is more serious and persistent than the ___.
    • PPD
    • PP blues
  26. Crying is or is not a maladaptive attachment response.
    is not
  27. 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
    A, B, D, E

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