The nurse is performing an assessment of early attachment. Which action indicates that the client is pleased with the baby's appearance and sex?

1. The mother enfolds the infant in her arms.
2. The mother feeds the infant every 2 to 3 hours as instructed.
3. The mother points out family traits she sees in the newborn.
4. The mother asks questions about how to properly bathe her infant.


3
Explanation:
1. This action can be used to assess if the mother is attracted to her newborn and is forming emotional attachments with the newborn.
2. This action can be used to assess the ability of the mother to care for the infant's needs as they arise.
3. This action will help determine if the mother is pleased with her baby's appearance. She may point out both positive and negative traits.
4. This action helps assess the mother's willingness to learn how to care for her infant.

Nursing

You might also like to view...

The nurse is caring for a postoperative patient who has just been diagnosed with a deep vein thrombosis (DVT) in the right leg. Which focused assessment question has the highest priority for this patient?

a. "Do you have a headache or any dizziness?" b. "Do you have any chest pain or shortness of breath?" c. "When did you first notice the swelling and redness in your leg?" d. "Do you have any cramping or muscle spasms in your leg?"

Nursing

A female patient diagnosed with chronic atrial flutter has been prescribed verapamil in conjunction with digoxin to control ventricular rate. To enhance the therapeutic effect of the drug, the nurse will instruct the patient to

A) take the medication with meals. B) avoid grapefruit and grapefruit juice. C) take an aspirin every day. D) avoid fresh fruit.

Nursing

An older adult is concerned that if her spouse, who recently suffered a stroke, is placed in a nursing home, "they will take everything in order to pay for his care." What response will the nurse make?

a. "A spouse is allowed to keep a percentage of the family income and cash as well as the family home, car, and personal prop-erty" b. "You should consider transferring the as-sets to your son so that your husband will qualify for Medicaid" c. "Have you considered caring for your husband at home since Medicare will cov-er custodial care at home?" d. "Are you aware that your children have a legal obligation to provide financial sup-port toward the care of disabled parents?"

Nursing

The nurse evaluating the head and neck of a client would assess the carotid arteries by

a. asking the client to bear down and hold the breath while observing the arteries. b. auscultating the arteries with the diaphragm of the stethoscope. c. instructing the client to lie down and examining the arteries with oblique lighting. d. palpating the arteries simultaneously, comparing amplitudes, rates, and rhythms.

Nursing