Nokea
The nurse is observing a new mother interact with her infant. Which observation would indicate that bonding is occurring?
- A. The mother is making eye contact with the infant.
- B. The mother is sending the infant to the nursery for feedings.
- C. The mother is cuddling with the infant and napping.
- D. The mother is requesting that the mother-in-law change all diapers.
- E. The mother states that her favorite thing to do with her baby is to breastfeed.
Correct Answer: A,C,E
Rationale: Eye contact, cuddling, and enjoying infant feeding are all signs of positive parent-infant attachment (bonding). Sending the infant to the nursery for feedings and having someone else change all diapers could indicate difficulty with bonding.
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After delivery of a 9-lb baby the nurse assesses a perineal laceration extending through the muscles of the perineum. The nurse records this as a ___-degree laceration.
Correct Answer: second
Rationale: A second-degree laceration extends through the superficial tissues into the muscles of the perineum.
What is the first secretion produced by the breast?
- A. Prolactin
- B. Colostrum
- C. False milk
- D. Whey
Correct Answer: B
Rationale: The first secretion to be produced by the breast is colostrum.
Before initially feeding an infant what reflex should the nurse assess?
- A. Moro reflex
- B. Rooting reflex
- C. Babinski reflex
- D. Swallow reflex
Correct Answer: D
Rationale: The nurse should verify that the infant is able to swallow normally before feeding.
A new Native American mother tells the nurse that when she goes home her mother-in-law will be caring for the baby while she rests. The nurse has concerns. What should the nurse do?
- A. Explain the importance of ambulating to recover.
- B. Explain the importance of maternal-infant bonding.
- C. Explore ways to blend this with safe health teaching.
- D. Encourage this cultural behavior.
Correct Answer: C
Rationale: Follow principles that facilitate nursing practice within transcultural situations.
Following delivery of the newborn which nursing intervention should be carried out immediately?
- A. Weigh the infant.
- B. Warm the infant.
- C. Bathe the infant.
- D. Inoculate the infant.
Correct Answer: B
Rationale: Maintenance of body temperature is the primary concern when caring for the newborn. The infant will also be weighed, bathed, and inoculated, but those measures are not the primary concern.