Review Nursing interventions

Phases of Maternal Role Attainment > Maternal & Newborn

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Nursing interventions

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Total Questions : 6

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Question 1:

A nurse is providing education to a postpartum client about infant care.

Which of the following statements by the client indicates a need for further teaching?

A. I should breastfeed my baby on demand or at least every 2 to 3 hours. B. I should place my baby on his back to sleep to prevent sudden infant death syndrome. C. I should wash my baby’s face with a mild soap and water every day. D. I should avoid using a pacifier until my baby is at least 6 months old.

Answer and Explanation

Choice A:

Breastfeeding on demand or at least every 2 to 3 hours helps to establish milk supply and prevent engorgement.

Choice B:

Placing the baby on his back to sleep reduces the risk of sudden infant death syndrome (SIDS).

Choice C:

Washing the baby’s face with mild soap and water every day helps to prevent skin infections and rashes.

Choice D:

I should avoid using a pacifier until my baby is at least 6 months old.This statement indicates a need for further teaching because there is no evidence that pacifier use in the newborn period interferes with breastfeeding.Pacifiers may have benefits for infant comfort, safe sleep, and maternal postpartum experience.However, pacifiers may also have risks for dental development and reliance if used for too long.

Therefore, postpartum patient counseling should include information on both the potential benefits and risks of pacifiers.

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Question 2:

A nurse is providing emotional support to a postpartum client who is experiencing stress and anxiety.

Which of the following actions should the nurse take? (Select all that apply.)

A. Encourage the client to express her feelings and concerns. B. Validate the client’s emotions and reassure her that they are normal. C. Suggest the client to join a support group or seek counseling if needed. D. Advise the client to rest as much as possible and avoid visitors. E. Help the client identify coping strategies and relaxation techniques.

Answer and Explanation

Choice A:

These actions demonstrate empathy and support for the client who is experiencing stress and anxiety.

Choice B:

These actions demonstrate empathy and support for the client who is experiencing stress and anxiety.

Choice C:

These actions demonstrate empathy and support for the client who is experiencing stress and anxiety.

Choice D:

Advising the client to rest as much as possible and avoid visitors may isolate the client and worsen her emotional state.

Choice E:

Helping the client identify coping strategies and relaxation techniques is not enough to address the underlying causes of stress and anxiety.

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Question 3:

A nurse is promoting early and frequent skin-to-skin contact and breastfeeding for a postpartum client and her newborn.

Which of the following benefits can the nurse explain to the client? (Select all that apply.)

A. It helps regulate the newborn’s body temperature and blood glucose levels. B. It stimulates the release of oxytocin and reduces postpartum bleeding. C. It enhances maternal-infant bonding and attachment. D. It increases the production of colostrum and milk supply. E. It reduces the risk of postpartum depression and anxiety.

Answer and Explanation

Choice A:

Skin-to-skin contact helps regulate the newborn’s body temperature and blood glucose levels by providing warmth and stimulating digestion.

Choice B:

Skin-to-skin contact stimulates the release of oxytocin and reduces postpartum bleeding by promoting uterine contractions and preventing hemorrhage.

Choice C:

Skin-to-skin contact enhances maternal-infant bonding and attachment by facilitating eye contact, touch, smell and vocalization.

Choice D:

Skin-to-skin contact increases the production of colostrum and milk supply by stimulating the baby’s interest in feeding and the mother’s hormonal

Choice E:

It reduces the risk of postpartum depression and anxiety.

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Question 4:

A nurse is encouraging maternal involvement in decision making and problem solving for a postpartum client who is feeling overwhelmed by her new role.

Which of the following interventions should the nurse implement?

A. Provide information and education about infant care and development. B. Ask open-ended questions and listen actively to the client’s responses. C. Offer practical suggestions and guidance based on evidence-based practice. D. Respect the client’s preferences and choices regarding her care and her baby’s care.

Answer and Explanation

Choice A:

Providing information and education about infant care and development does not necessarily encourage maternal involvement in decision making and problem solving.It may be helpful for increasing the client’s knowledge and confidence, but it does not address the client’s feelings of being overwhelmed by her new role.

Choice B:

Asking open-ended questions and listening actively to the client’s responses does not directly encourage maternal involvement in decision making and problem solving.It may be useful for establishing rapport and assessing the client’s needs, but it does not empower the client to make her own decisions or solve her own problems.

Choice C:

Offering practical suggestions and guidance based on evidence-based practice does not foster maternal involvement in decision making and problem solving.It may be beneficial for providing support and advice, but it does not respect the client’s preferences and choices or allow her to explore her own options.

Choice D:

Respect the client’s preferences and choices regarding her care and her baby’s care.This is because this intervention promotes maternal involvement in decision making and problem solving by honoring the client’s autonomy and individuality.

Some possible explanations for the other choices are:

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Question 5:

A nurse is facilitating social support networks and referrals to community resources for a postpartum client who is at risk for isolation and loneliness.

Which of the following actions should the nurse take?

A. Assess the client’s needs, interests, and goals for postpartum care. B. Provide a list of local agencies, organizations, and programs that offer services for postpartum women. C. Contact the client’s family, friends, or neighbors and ask them to visit or help with household chores. D. Follow up with the client after discharge and evaluate her satisfaction with the resources.

Answer and Explanation

Choice A:

Assess the client’s needs, interests, and goals for postpartum care.This is because the nurse should tailor the social support and referrals to the client’s individual preferences and needs, rather than imposing a generic list of resources or contacting others without the client’s consent.

Choice B:

Providing a list of local agencies, organizations, and programs that offer services for postpartum women is not enough to facilitate social support networks and referrals.The nurse should also assess the client’s needs, interests, and goals for postpartum care and help the client access and utilize the appropriate resources.

Choice C:

Contacting the client’s family, friends, or neighbors and asking them to visit or help with household chores is not appropriate without the client’s permission and involvement.The nurse should respect the client’s privacy and autonomy and collaborate with the client to identify potential sources of social support.

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Question 6:

A nurse is assessing a mother who has adopted a newborn infant.

Which statement by the mother indicates optimal maternal role attainment?

A. “I feel like I have known this baby forever.” B. “I hope I can be a good mother to this baby.” C. “I wonder what the birth mother is feeling right now.” D. “I need some time to get used to this baby.”.

Answer and Explanation

Choice A:

“I feel like I have known this baby forever.” This statement indicates optimal maternal role attainment, which is a developmentally, interactive, adaptive, and committed multi-dimensional process based on the discovery of pregnancy, characteristics of the mother, receiving social support, which leads to maternal identity, formation of maternal skills, resiliency, development of newborn, improvement of mother-newborn interactions and increased well-being of the mother.

Choice B:

It shows doubt and insecurity about the maternal role, which may hinder the attachment and bonding process with the infant.

Choice C:

It reflects a preoccupation with the birth mother, which may interfere with the development of a strong maternal identity and relationship with the adopted infant

Choice D:

Because it implies a lack of readiness and acceptance of the maternal role, which may delay the acquisition of competence and joy in mothering.

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Total Questions : 6

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Nursing interventions

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