A 16-year-old woman delivers a healthy, full-term male infant. The nurse notes the following behaviors 2 hours after the birth:

Question

Woman holds baby away from her body; woman refers to baby as "he"; woman verbalizes she wanted a baby girl; woman requests that baby be placed in the bassinet so she can eat her lunch. The most appropriate nursing diagnosis for this woman is:
a. At risk for impaired parenting related to disappointment with baby as evidenced by verbalizing she wanted a girl
b. At risk for impaired parenting related to nonnurturing behaviors as evidenced by holding baby away from body
c. At risk for impaired mother–infant attachment as evidenced by woman requesting baby being placed in bassinet
d. At risk for impaired mother–infant attachment related to disappointment as evidenced by calling baby "he"

Answer 1

ANS: a
Feedback
a. The potential is for impaired parenting related to disappointment in the gender of the baby.
b. Holding baby away from her body during the first few hours is part of the maternal touch process.
c. Focusing on eating during the first few hours is a behavior of taking-in and is anticipated during this phase.
d. Some parents have not selected a name for their baby and will refer to their baby as "he" or "she." There is concern if the woman calls her baby "it."