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