A nurse manager has many at-risk mothers in the labor and birth ...

[maychende]

A nurse manager has many at-risk mothers in the labor and birth unit. What policy can the manager adapt that would best facilitate mother-baby bonding?
 
  A.
  Encourage attendance at a support group with other at-risk mothers.
  B.
  Limit separation of mother and baby to exceptional circumstances only.
  C.
  Offer the mother the services of a one-to-one mentor for 1 year.
  D.
  Teach breastfeeding and promote its use exclusively for 1 full year.

Question 2

A husband calls the perinatal clinic because he is worried about his wife's emotional state after giving birth 2 weeks ago. Which question by the nurse would be most helpful?
 
  A.
  Can you explain specifically what you are worried about?
  B.
  How is your wife's appetite? Is she eating enough?
  C.
  Is your wife still able to care for herself and the baby?
  D.
  When did all the symptoms start, before or after the birth?

[Natalie4ever]

Answer to Question 1

ANS: B
The most critical action a nurse can take to enhance bonding is to minimize the time the mother and her baby are separated while in the hospital. This policy would be most beneficial to promote bonding. The other ideas are good ones that might be helpful to some new mothers, but the critical action is to minimize separation.

Answer to Question 2

ANS: C
Emotional difficulties after birth include the baby blues, postpartum depression, and postpartum psychosis. The most important determinant rests with the knowledge that postpartum or baby blues do not interfere with the woman's ability to care for herself and her family. This question effectively triages the situation. Can you... is a yes-no question and is never a good type of question to use when assessing a situation. In both baby blues and depression, appetite may be diminished.

[maychende]

Gracias!

[bdobbins]

Thanks for the timely response, appreciate it