The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones. On the basis of this observation, the nurse should
a. Document this evidence of normal early maternal-infant attachment behavior.
b. Observe for other signs that the mother may not be accepting of the infant.
c. Request a social service consult for psychosocial support.
d. Determine whether the mother is too fatigued to interact normally with her infant.
A
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A Normal early maternal-infant behaviors are tentative and include fingertip touch,
eye contact, and using a high-pitched voice when talking to the infant.
B These are signs of normal attachment behavior; no other assessment is necessary
at this point.
C There is no indication at this point that social service consult is necessary. The
signs are of normal attachment behavior.
D The mother may be fatigued but is interacting with the infant in an expected
manner.
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