A nurse is evaluating the bonding between a client who had a cesarean delivery and her newborn.
Which of the following behaviors by the client indicates effective bonding? (Select all that apply.).
Holding the newborn close to her chest
Making eye contact with the newborn
Talking to the newborn in a soft voice
Handing the newborn to a family member when crying
Stroking the newborn’s hair and skin.
Correct Answer : B,C,E
The correct answer is choices A, B, C and E. These behaviors by the client indicate effective bonding because they show affection, attention, communication and comfort to the newborn.
Holding the newborn close to her chest promotes skin-to-skin contact and warmth.
Making eye contact with the newborn fosters visual recognition and attachment.
Talking to the newborn in a soft voice stimulates auditory development and soothes the newborn.
Stroking the newborn’s hair and skin enhances tactile stimulation and bonding.
Choice D is wrong because handing the newborn to a family member when crying does not indicate effective bonding.
It shows that the client is unable or unwilling to cope with the newborn’s needs and emotions.
It may also interfere with the establishment of breastfeeding and maternal-infant attachment.
The client should try to calm the newborn by holding, rocking, feeding or changing him or her.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Holding the baby close to her chest and stroking his hair indicates positive bonding between the mother and the newborn.This behavior shows that the mother is attentive, affectionate, and responsive to her baby’s needs.
Choice B is wrong because looking away from the baby and talking to the visitors suggests that the mother is not interested in or attached to her baby.She may be distracted, overwhelmed, or depressed.
Choice C is wrong because handing the baby to the nurse whenever he cries implies that the mother is not willing or able to comfort her baby.She may be avoiding contact or feeling helpless.
Choice D is wrong because feeding the baby with a bottle and avoiding eye contact indicates that the mother is not engaging with her baby.She may be missing an opportunity to bond through eye contact, touch, and voice.
Correct Answer is A
Explanation
The correct answer is choice D. All of the above interventions should be implemented in the immediate postoperative period after a cesarean delivery.
Choice A is correct because assessing the client’s fundus for firmness and position is important to prevent postpartum hemorrhage and monitor uterine involution.The fundus should be firm and at the level of the umbilicus one hour after delivery and descend into the pelvis at a rate of approximately 1 cm per day.
Choice B is correct because encouraging early ambulation can prevent thromboembolism, which is a potential complication of cesarean delivery.Early mobilization can also reduce pain, ileus, and urinary retention.
Choice C is correct because monitoring the client’s intake and output can help detect fluid imbalance, dehydration, or urinary tract infection.
Fluid intake should be adequate to maintain hydration and support lactation.Urinary output should be at least 30 mL per hour.
Therefore, choice D is correct because all of the above interventions are appropriate for postoperative care after a cesarean delivery.
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