The nurse is developing a plan of care for the patient's fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?
a. Encourage the patient to call the baby by his or her first name.
b. Stimulate the grasp reflex by placing the patient's finger in the infant's palm.
c. Ask the patient if she wants her baby placed on her chest immediately after birth.
d. Assess for familial characteristics and remark on the resemblance to the patient or the father.
ANS: C
Bonding refers to the rapid initial attraction felt by parents for their infant. It is unidirectional, from parent to child, and is enhanced when parents and infants are permitted to touch and interact during the first 30 to 60 minutes after birth. During this time, the infant is in a quiet, alert state and seems to gaze directly at the parents. Infants are often placed skin to skin on the mother's chest or abdomen for bonding time immediately after birth. Nurses frequently delay procedures such as measurements and medication administration that would interfere with this time, so that parents can focus on their newborn baby. Attachment follows a progressive or developmental course that changes over time. It is rarely instantaneous. Unlike bonding, attachment is reciprocal—it occurs in both directions between parent and infant.
You might also like to view...
A two-month-old infant with a congenital heart defect has been admitted to the pediatric intensive care unit with congestive heart failure. Nursing care for this child should include which intervention?
1. Monitor respirations during active periods. 2. Give larger feedings less often to conserve energy. 3. Organize activities to allow for uninterrupted sleep. 4. Force fluids appropriate for age.
A patient has been suffering from senile dementia, Alzheimer's type, for over 5 years. Her family has kept her at home, and each member has participated in her care
The community health nurse has been supporting the family in this effort. Recently, the patient has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to: A. Say nothing; this is a family issue. B. Speak with the members individually and persuade them to do "what is best for their mother." C. Discuss the conflicting opinions with the physician. D. Persuade the family members to meet together to express their feelings to one another.
A 5 year-old boy with muscular dystrophy has a bowel obstruction. What kind of bowel obstruction would this boy most likely have?
A) A mechanical obstruction B) A twisting obstruction C) A telescoping obstruction D) A functional obstruction
Progesterone exerts a negative feedback against and causes a drop in ________ levels.
A. estradiol B. FSH and LH C. GnRH D. estriol