A nurse is evaluating the bonding between a client who had a cesarean delivery and her newborn.

Which of the following behaviors by the client indicates effective bonding? (Select all that apply.).

The correct answer is choice D. All of the above interventions should be implemented in the immediate postoperative period after a cesarean delivery.

Choice A is correct because assessing the client’s fundus for firmness and position is important to prevent postpartum hemorrhage and monitor uterine involution.The fundus should be firm and at the level of the umbilicus one hour after delivery and descend into the pelvis at a rate of approximately 1 cm per day.

Choice B is correct because encouraging early ambulation can prevent thromboembolism, which is a potential complication of cesarean delivery.Early mobilization can also reduce pain, ileus, and urinary retention.

Choice C is correct because monitoring the client’s intake and output can help detect fluid imbalance, dehydration, or urinary tract infection.

Fluid intake should be adequate to maintain hydration and support lactation.Urinary output should be at least 30 mL per hour.

Therefore, choice D is correct because all of the above interventions are appropriate for postoperative care after a cesarean delivery.

A. "Holding the newborn close to her chest" indicates effective bonding. Physical closeness is important for establishing a connection between the mother and newborn. This promotes emotional attachment and comfort for the baby.

B. "Making eye contact with the newborn" is a key indicator of bonding. Eye contact fosters connection and attachment and is often an early behavior seen in positive bonding.

C. "Talking to the newborn in a soft voice" also reflects positive bonding behavior. Talking to the newborn helps with emotional connection, promotes early communication, and establishes comfort for the baby.

D. "Handing the newborn to a family member when crying" does not indicate effective bonding. While it may be appropriate to ask for help, consistent delegation of newborn care can suggest a lack of emotional connection or reluctance to care for the infant.

E. "Stroking the newborn’s hair and skin" is another indicator of effective bonding. Physical touch, such as stroking, is soothing and promotes attachment between the mother and her newborn.