Author Question: The mother of a preterm infant tells the nurse that she was not looking forward to having a baby and ... (Read 121 times)

bcretired · **on:** Jun 25, 2018

The mother of a preterm infant tells the nurse that she was not looking forward to having a baby and now that the baby is sick, she feels worse. Which nursing diagnosis is appropriate based on this data?

A) Parental Role Conflict
B) Impaired Parenting
C) Dysfunctional Family Processes
D) Ineffective Family Coping

Question 2

After giving birth to a preterm infant who is being cared for in the neonatal intensive care unit (NICU), an adolescent client says, My baby doesn't seem real because she's in the hospital and I'm at home. What can the nurse do to promote pare

A) Limit visits to the intensive care unit so as not to disrupt care of the baby needs.
B) Explain that once the baby is discharged to home, she will have evidence that the baby is real.
C) Have the mother visit when the baby is asleep or resting.
D) Provide a picture of the infant including a footprint and current weight and length.

princessflame2016 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

Ineffective Family Coping is the nursing diagnosis most appropriate for this situation at this time because the mother is expressing anger and guilt at having given birth to a premature baby. Parental role conflict is seen if the role of parent is in conflict with other expectations. Impaired parenting is seen if the mother is unable to fulfill the role of mother to the baby. Dysfunctional family process is seen if the addition of a baby leads to the family's inability to function as a family.

Answer to Question 2

Answer: D

Nurses need to take measures to promote positive parental feelings toward the preterm infant. One way to do this would be to provide the mother with a picture of the infant including a footprint and current weight and length. This promotes bonding. The mother needs to begin bonding with the infant now, not wait until the baby is discharged to home. Visits to the intensive care unit should be encouraged and supported. The mother should try to visit with the infant when the baby is awake to encourage interaction.