A nurse is providing discharge instructions to a patient who had a cesarean delivery.

Which of the following statements by the patient indicates an understanding of the teaching?

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.

The correct answer is choice B. Mothers may be at increased risk for poor bonding with the newborn.This is because cesarean delivery can interfere with the natural hormonal and physiological processes that facilitate maternal-infant attachment, such as skin-to-skin contact, breastfeeding initiation, and oxytocin release.Cesarean delivery can also cause more pain, stress, and anxiety for the mother, which can affect her emotional availability and responsiveness to the newborn.

Choice A is wrong because mothers do not necessarily have more problems with parenting skills after cesarean delivery.

Parenting skills depend on many factors, such as education, support, personality, and motivation.

Cesarean delivery may pose some challenges for postpartum recovery and care, but it does not imply that mothers are less competent or capable of parenting.

Choice C is wrong because mothers can breastfeed right away after cesarean delivery, unless there are medical contraindications or complications.

Breastfeeding is beneficial for both the mother and the newborn, as it provides nutrition, immunity, comfort, and bonding.However, breastfeeding after cesarean delivery may require more assistance and support from health care providers and family members, as well as alternative positions and techniques to avoid pain and discomfort.

Choice D is wrong because mothers do not necessarily resent the health care team member for keeping the newborn in the nursery.

Mothers may appreciate the help and care that the health care team member provides for them and their newborns.

However, keeping the newborn in the nursery may delay or reduce the opportunities for maternal-infant interaction and bonding.

Therefore, it is recommended to promote early and frequent contact between the mother and the newborn after cesarean delivery, as long as it is safe