A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge.

Which statement by the client indicates a need for further teaching?

The correct answer is choice A. Increased self-confidence levels.

This outcome would indicate that the expectant mothers have gained knowledge and skills to cope with the challenges of pregnancy and childbirth, and feel more confident in their abilities to perform the maternal role.

Antenatal education aims to prepare women for pregnancy, labor, delivery, and postnatal care, and to enhance their self-confidence and satisfaction.

Choice B is wrong because decreased childbirth attitudes would indicate that the expectant mothers have developed negative or fearful perceptions of childbirth, which could affect their coping and decision-making abilities.

Antenatal education should promote positive attitudes and expectations towards childbirth.

Choice C is wrong because increased maternal role strain would indicate that the expectant mothers are experiencing difficulties or conflicts in adapting to the maternal role, which could affect their well-being and bonding with the baby.

Antenatal education should help women to adjust to the changes and demands of motherhood.

Choice D is wrong because decreased social support would indicate that the expectant mothers have less access to or use of resources and assistance from their family, friends, or health professionals, which could affect their coping and satisfaction.

Antenatal education should encourage women to seek and utilize social support during pregnancy and postpartum.

The correct answer is choice B. Attachment.

Attachment is the process of developing a strong emotional bond between the mother and the infant.

It is influenced by factors such as maternal hormones, infant cues, and environmental support.

Attachment behaviors include holding, touching, talking, and gazing at the infant.

Choice A is wrong because bonding is the initial attraction felt by the parents for their infant.

It usually occurs within the first few minutes or hours after birth and is facilitated by skin-to-skin contact.

Choice C is wrong because engrossment is the term used to describe the father’s absorption, preoccupation, and interest in the infant.

It involves visual awareness, tactile awareness, perception of newborn as perfect, strong attraction, awareness of distinct features, extreme elation, and increased sense of self-esteem.

Choice D is wrong because entrainment is the term used to describe the infant’s movement in response to speech.

The infant synchronizes his or her movements with the rhythm and pitch of the adult’s voice.