A 16-year-old woman delivers a healthy, full-term male infant. ...

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A 16-year-old woman delivers a healthy, full-term male infant. The nurse notes the following behaviors 2 hours after the birth:
 
  Woman holds baby away from her body; woman refers to baby as he; woman verbalizes she wanted a baby girl; woman requests that baby be placed in the bassinet so she can eat her lunch. The most appropriate nursing diagnosis for this woman is:
  a. At risk for impaired parenting related to disappointment with baby as evidenced by verbalizing she wanted a girl
  b. At risk for impaired parenting related to nonnurturing behaviors as evidenced by holding baby away from body
  c. At risk for impaired motherinfant attachment as evidenced by woman requesting baby being placed in bassinet
  d. At risk for impaired motherinfant attachment related to disappointment as evidenced by calling baby he

Question 2

Which of the following nursing actions can assist a man in his transition to fatherhood? (Select all that apply.)
 
  a. Ask the man to share his ideas of what it means to be a father.
  b. Demonstrate infant care such as diapering and feeding.
  c. Engage couple in a discussion regarding each other's expectations of the fathering role.
  d. Provide the man with information on infant care.

[mbcrismon]

Answer to Question 1

ANS: a
Feedback
a. The potential is for impaired parenting related to disappointment in the gender of the baby.
b. Holding baby away from her body during the first few hours is part of the maternal touch process.
c. Focusing on eating during the first few hours is a behavior of taking-in and is anticipated during this phase.
d. Some parents have not selected a name for their baby and will refer to their baby as he or she. There is concern if the woman calls her baby it.

Answer to Question 2

ANS: a, b, c, d
Each of these actions can assist the father in his transition. It is important for the man to be able to learn and practice infant care skills in a nonthreatening environment. It is also important for the man to be able to openly talk about his feelings regarding fatherhood and for the couple to identify mutual expectations of the fathering role.

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Thank you

[mbcrismon]

Happy to help you