A 17-year-old client gave birth 12 hours ago. She informs that she doesn't know how to care for her baby. To promote parent- infant attachment behaviors, which intervention should the nurse implement?

Explore the basis of fears with the client.

Ask if she has help to care for the baby at home.

Provide a video on newborn safety and care.

Encourage rooming-in while in the hospital.

Answer and Explanation

The Correct Answer is D

A. Explore the basis of fears with the client: While exploring the client’s fears may be important, it does not directly promote attachment behaviors. The focus should be on fostering the parent-infant bond and helping the client feel more confident in her caregiving abilities.
B. Ask if she has help to care for the baby at home: Asking about help at home is relevant to future support, but it does not promote attachment in the immediate postpartum period. The nurse should focus on encouraging attachment while the client is still in the hospital.
C. Provide a video on newborn safety and care: Although informational videos may be helpful, they do not actively promote the development of attachment. Hands-on interaction and bonding activities with the baby are more effective in fostering attachment.
D. Encourage rooming-in while in the hospital: Rooming-in, where the mother and baby stay in the same room, allows the mother to bond with her baby, learn caregiving skills, and feel more confident in her abilities. This intervention supports parent-infant attachment behaviors.

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Correct Answer is C

Explanation

A. Soft and not palpable: Immediately after delivery, the fundus should be firm and palpable. A soft, non-palpable fundus may indicate uterine atony, which is a serious condition that could lead to hemorrhage and requires immediate intervention.

B. Above the umbilicus: Immediately after delivery, the fundus is typically at or just below the umbilicus. If it is above the umbilicus, it could indicate uterine distension, a retained placenta, or excessive bleeding that needs to be addressed.

C. At or below the umbilicus: The fundus is expected to be firm and palpable at or just below the umbilicus immediately after delivery. This position reflects normal uterine contraction as the uterus begins to return to its pre-pregnancy size.

D. To the left or right of the umbilicus: The fundus should be midline after delivery. A deviation to the left or right may suggest a full bladder or uterine displacement, which can interfere with uterine contraction and increase the risk of bleeding.

A. Pump breastmilk and feed it to infant instead of nursing. B. Start infant on the unaffected side, so there is less pain when infant is the hungriest. C. Finish antibiotics even if symptoms improve. D. Wear an underwire bra around the clock. E. Apply warm compresses to affected area before feeding. F. Wash hands before handling the breast. G. Maintain activity due to the risk of blood clots with extra rest. H. Vary breastfeeding positions at each feeding. I. Pump breasts if feeding will be missed, due to absence from the infant.

Correct Answer is ["B","C","E","F","H","I"]

Explanation

A. Pump breastmilk and feed it to infant instead of nursing: Pumping doesn’t effectively empty the breast like direct nursing, which can worsen milk stasis. Direct breastfeeding helps clear the infection and encourages proper drainage.

B. Start infant on the unaffected side, so there is less pain when infant is the hungriest: Starting on the unaffected breast helps avoid pain when the breast is full and the infant is hungriest. It provides comfort while still allowing effective milk drainage from the affected side.

C. Finish antibiotics even if symptoms improve: Completing the antibiotic course is essential to fully eradicate the infection. Stopping early can lead to a relapse of mastitis or cause antibiotic resistance.

D. Wear an underwire bra around the clock: An underwire bra can restrict milk flow and cause further blockage, worsening mastitis. It's better to wear a non-restrictive, supportive bra for comfort and proper milk drainage.

E. Apply warm compresses to affected area before feeding: Warm compresses help relieve pain and soften the breast tissue, encouraging better milk flow and reducing the inflammation caused by mastitis.

F. Wash hands before handling the breast: Washing hands reduces the risk of introducing bacteria into the breast tissue, preventing further infections and ensuring better hygiene while managing mastitis.

G. Maintain activity due to the risk of blood clots with extra rest: While moderate activity is important, rest is crucial for healing from mastitis. Overexertion can delay recovery; adequate rest supports immune function and recovery from infection.

H. Vary breastfeeding positions at each feeding: Changing positions ensures thorough milk removal from all areas of the breast, reducing the risk of milk stasis and helping to relieve mastitis symptoms.

I. Pump breasts if feeding will be missed, due to absence from the infant: Pumping ensures the breast is emptied if feeding is missed, preventing milk stasis. This is important for reducing the risk of mastitis and maintaining milk flow.

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A 17-year-old client gave birth 12 hours ago. She informs that she doesn't know how to care for her baby. To promote parent- infant attachment behaviors, which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding should the nurse expect when palpating the fundus immediately after delivery?

Correct Answer is C

Explanation

Exhibits Which education by the nurse will help resolve the issue for the client? Select all that apply.

Correct Answer is ["B","C","E","F","H","I"]

Explanation

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