New parents express concern that, because of the mother's ...

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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.

Question 2

After giving birth to a healthy infant boy, a primiparous woman, 16 years old, 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. Instruct the patient how to feed and bathe her infant.
  b. Give the patient written information on bathing her infant.
  c. Advise the patient that all mothers instinctively know how to care for their infants.
  d. Provide time for the patient to bathe her infant after she views an infant bath demonstration.

[missalyssa26]

Answer to Question 1

ANS: A
Attachment, or bonding, is a process that occurs over time and does not require early contact. 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. Parent-infant attachment involves activities such as touching, holding, and gazing; it is not exclusively eye contact. A response that conveys that the parents should just be happy that the infant is healthy is inappropriate because it is derogatory and belittling.

Answer to Question 2

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 patient education, it is not the most developmentally appropriate teaching for a teenage mother. Advising the patient that all mothers instinctively know how to care for their infants is an inappropriate statement; it is belittling and false.