A nurse is caring for a postpartum client who has decided not to breastfeed her infant and has chosen formula feeding instead.

The nurse should instruct the client that:

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.

The correct answer is choice D. Postpartum adaptation.

This is the process of adjusting to the physical, emotional, and social changes that occur after childbirth.The woman in the question shows signs of positive mood, confidence, and adequate support, which are indicators of successful postpartum adaptation.

Choice A is wrong because postpartum blues are characterized by mild depressive symptoms, such as mood swings, crying spells, irritability, and anxiety, that usually occur within the first few days after delivery and resolve within two weeks.

Choice B is wrong because postpartum depression is a more severe and persistent form of depression that affects 10-15% of women after childbirth.

It can cause symptoms such as sadness, hopelessness, guilt, loss of interest, insomnia, appetite changes, and suicidal thoughts.It usually requires treatment with psychotherapy and/or medication.

Choice C is wrong because postpartum psychosis is a rare but serious psychiatric emergency that affects 1-2 in every 1000 women after childbirth.

It can cause symptoms such as delusions, hallucinations, paranoia, confusion, agitation, and attempts to harm oneself or the baby.It usually requires hospitalization and treatment with mood stabilizers and antipsychotics.