During the first several months after birth, the mother and ...

[Arii_bell]

During the first several months after birth, the mother and infant begin to know each other. This relationship progresses through several phases. Which of the following actions are to be expected in the phase of mutual regulation?
 
  1. The infant grasps his or her mother's finger while nursing.
  2. The infant begins to seek out the mother over other individuals.
  3. The mother spends more time making eye-to-eye contact with the infant.
  4. The mother vocalizes feelings of frustration with her infant.

Question 2

During her interactions with a primipara mother, the nurse notices that the mother rarely interacts with the infant unless the infant begins to cry vigorously. She appears relieved when a nurse comes to check on the infant.
 
  What is the appropriate nursing intervention for this patient?
  1. Ask the mother if she has previous experience caring for babies, and then teach her how to interact appropriately with her infant.
  2. Contact Social Services with concerns of neglect.
  3. Provide the care the infant needs while continuing to evaluate the mother's actions.
  4. Take the infant to the nursery so it can receive more consistent care.

[IAPPLET]

Answer to Question 1

Correct Answer: 4
Rationale 1: Actions that make the infant more attractive to the mother, such as grasping a finger, usually occurs during the acquaintance phase.
Rationale 2: When the relationship between mother and infant reaches reciprocity, the infant will seek to interact with the mother more.
Rationale 3: Holding the infant in the en face position is likely to occur most often in the acquaintance phase.
Rationale 4: The mother is most likely to vocalize her negative maternal feelings during the phase of mutual regulation, when both the mother and infant are determining the amount of control each partner will have in the relationship.

Answer to Question 2

Correct Answer: 1
Rationale 1: Many primipara mothers will be hesitant to care for the infant because they feel inadequate. Taking time to talk to the mother and teach her how to care for her baby is the proper nursing intervention.
Rationale 2: The mother may only need some education on how to care for her infant. If the nurse consistently teaches the mother and encourages mother-infant interaction and the mother continues to ignore the child, then it may be appropriate to contact Social Services in extreme circumstances.
Rationale 3: While this action does provide for the needs of the child while he or she is in the hospital, it does not help the mother know how to care for her child once she returns home.
Rationale 4: Instead of encouraging mother-infant bonding, this action may emotionally distance the mother from her child even more. It may also confirm the mother's feelings of inadequacy.

[Arii_bell]

Thanks for the timely response, appreciate it

[frankwu0507]

Gracias!