EXS (10)

C. promoting rooming-in D. encouraging infant contact immediately after birth Correct answer: B Reason: Factors that can affect attachment include separation of the infant and biological parentss for long time s during the day, s uch as if the infant w a s being cared for in a t h b i e rb . n c o u m r s / t e e s r t y throughout the day. Unlimited visiting hours, rooming-in, and infant contact immediately after birth promote bonding and attachment. #QSN Format:Multiple Choice #CHP 16: Nursing Management During the Postpartum Period Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care REF: Page.545 11. A NR is preparing a couple and their newborn for discharge. Which instructions would be most appropriate for the NR to include in discharge teaching? A. introducing solid foods immediately to increase sleep cycle B. demonstrating comfort measures to quiet a crying infant C. encouraging daily outings to the shopping mall with the newborn D. allo w ing the infant to cry for at lea s t an hour before picking h a i m b i r b o . c r o m h / e t e r s u t p Correct answer: B Reason: D i s charge teaching typically w ould focu s on s everal t e a b c i h r b n . c i o q m u / t e e s s t to comfort a crying newborn. The NR needs to emphasize the importance of responding to the newborn's cues, not allowing the infant to cry for an hour before being comforted. Information about solid foods is inappropriate for a ne w born becau s e s olid food s are not introduc a e b d irb a . t co t m h / i t s es t t ime. The mother and newborn need rest periods. Therefore, daily outings to a shopping mall would be inappropriate. Information about newborn sleep – wake cycles and measures for sensory enrichment and stimulation would be more appropriate. #QSN Format:Multiple Choice #CHP 16: Nursing Management During the Postpartum Period Cognitive Level: Apply Client Needs: Health Promotion and MaintenanceREF: Page.562 12. When developing the plan of care for the biological parentss of a newborn, the NR identifies intervention s to promote bonding and attachment ba s ed on the ra a t b i o i r b n . c a o l m e / t te h s a t t bonding and attachment are most supported by which measure? A. early biological parents – infant contact following birth B. expert medical care for the labor and birth C. good nutrition and prenatal care during pregnancy D. grandbiological parents involvement in infant care after birth Correct answer: A

Reason: Optimal bonding requires a period of close contact between the biological parentss and newborn within the first few minutes to a few hours after birth. Expert medical care, nutrition and prenatal care, and grandbiological parents involvement are not a ss ociated w ith the pr o a b m i r b o . c t o i o m n / t e o s t f bonding. #QSN Format:Multiple Choice #CHP 16: Nursing Management During the Postpartum Period Cognitive Level: Apply Client Needs: Health Promotion and MaintenanceREF: Page.545 13. Which method w ould be mo st effective in evaluating the par a e b n i r t b s . ' c o u m n / d t e e s r t s tanding about their newborn's care? A. Demonstrate all infant care procedures. B. Allow the biological parentss to state the steps of the care. C. Observe the biological parentss performing the procedures. D. Routinely assess the newborn for cleanliness. Correct answer: C Reason: The most effective means to evaluate the biological parentss' learning is to observe them performing the procedures. Biological parentsal roles develop and grow thro a u b g ir h b.c i o n m te /t r e a st ction with their newborn. The NR would involve both biological parentss in the newborn's care and praise them for their efforts. Demonstrating the procedures to the biological parentss and having the biological parentss state the steps are helpful but do not guarantee that the biological parentss understand them. Assessing the newborn for cleanliness would provide little information about biological parentsal learni a n b g irb . #QSN Format:Multiple Choice #CHP 16: Nursing Management During the Postpartum Period Cognitive Level: Analyze Client Needs: Health Promotion and MaintenanceREF: Page.562 14. A po s tpartum w oman is having difficulty voiding for the fir s t a b t i i r m b. c e o m a / f t t e e s t r giving birth. Which action would be least effective in helping to stimulate voiding? A. pouring warm water over her perineal area B. having her hear the sound of water running nearby C. placing her hand in a basin of cool water D. standing her in the shower with the warm water on Correct answer: C Reason: Helpful measures to stimulate voiding include placing her hand in a basin of warm w ater, pouring w arm w ater over her perineal area, hearing the s o a u b n i r d b. c o o f m r / t u e s n t ning w ater nearby, blowing bubbles through a straw, standing in the shower with the warm water turned on, and drinking fluids. #QSN Format:Multiple Choice #CHP 16: Nursing Management During the Postpartum Period