Author Question: Which are nursing measures that can promote parent-infant bonding and attachment? (Select all that ... (Read 136 times)

erika · **on:** Jun 28, 2018

Which are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

a. Provide comfort and ample time for rest.
b. Keep the baby wrapped to avoid cold stress.
c. Position the infant face to face with the mother.
d. Point out the characteristics of the infant in a positive way.
e. Limit the amount of modeling so the mother doesn't feel insecure.

Question 2

The nurse is developing a plan of care for the patient's fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?

a. Encourage the patient to call the baby by his or her first name.
b. Stimulate the grasp reflex by placing the patient's finger in the infant's palm.
c. Ask the patient if she wants her baby placed on her chest immediately after birth.
d. Assess for familial characteristics and remark on the resemblance to the patient or the father.

ansleighelindsey · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D
Provide comfort and ample time for rest, because the mother must replenish her energy and be relatively free of discomfort before she can progress to initiating care of the infant. Position the infant in an en face position and discuss the infant's ability to see the parent's face. Face to face and eye to eye contact is a first step in establishing mutual interaction between the infant and parent. Point out the characteristics of the infant in a positive way: She has such pretty little hands and beautiful eyes. The baby should be kept warm, but parents should be assisted to unwrap the baby (keeping or rewrapping the body part not being inspected) to inspect the toes, fingers, and body. The nurse should model behaviors by holding the infant close, making eye contact with the infant, and speaking in high-pitched, soothing tones.

Answer to Question 2

ANS: C
Bonding refers to the rapid initial attraction felt by parents for their infant. It is unidirectional, from parent to child, and is enhanced when parents and infants are permitted to touch and interact during the first 30 to 60 minutes after birth. During this time, the infant is in a quiet, alert state and seems to gaze directly at the parents. Infants are often placed skin to skin on the mother's chest or abdomen for bonding time immediately after birth. Nurses frequently delay procedures such as measurements and medication administration that would interfere with this time, so that parents can focus on their newborn baby. Attachment follows a progressive or developmental course that changes over time. It is rarely instantaneous. Unlike bonding, attachment is reciprocalit occurs in both directions between parent and infant.