A visiting nurse is concerned that a mother has not properly ...

[biggirl4568]

A visiting nurse is concerned that a mother has not properly bonded with her infant. The nurse should assess for what factors that could impact this process? (Select all that apply.)
 
  A.
  Chaotic home life
  B.
  Disappointment in her birth experience
  C.
  Lack of family support
  D.
  Poverty
  E.
  Substance abuse

Question 2

A nurse is caring for a woman who just experienced a cesarean birth under epidural anesthesia. What interventions are important to include on this woman's care plan? (Select all that apply.)
 
  A.
  Apply compression stockings or sequential compression devices.
  B.
  Encourage ankle exercises while the woman remains in bed.
  C.
  Keep the woman NPO until she is allowed out of bed into a chair.
  D.
  Maintain bedrest until sensation returns to the woman's legs.
  E.
  Only allow the woman to hold her infant with supervision while in bed.

[kjo;oj]

Answer to Question 1

ANS: A, C, D, E
Many stressors can have a negative impact on the bonding process, including a chaotic home life, lack of family support, poverty, substance abuse, and concerns about child care if the mother must return to work. Disappointment in the birth experience may be an issue for some women with bonding difficulties, but it is not a typical cause of this problem.

Answer to Question 2

ANS: A, B, D
Because epidural or spinal anesthesia causes loss of sensation in the legs, women are kept on bedrest after cesarean birth until the sensation returns (unless they had general anesthesia). This increases the risk of deep vein thrombosis, so compression stockings or sequential compression devices and ankle exercises are important. The woman does not need to be kept NPO until she is allowed out of bed, nor does she need supervision to hold her infant while in bed.

[biggirl4568]

TYSM

[rachel]

Excellent