To promote bonding and attachment immediately after delivery, what action by the nurse is most important?
Allow the mother quiet time with her infant.
Assist the mother in assuming an en face position with her newborn.
Teach the mother about the concepts of bonding and attachment.
Assist the mother in feeding her baby.
The Correct Answer is B
Choice A rationale
While quiet time is important for rest, allowing quiet time alone does not actively facilitate the mutual gaze and physical closeness that are critical for the initial, foundational stages of attachment. The most immediate and important action involves nurse-facilitated interaction that promotes specific bonding behaviors, which is a more direct path to attachment than passive rest.
Choice B rationale
The en face position, where the mother's face and the infant's face are approximately 30 cm apart and on the same vertical plane, is essential because it allows for direct, sustained eye contact. This mutual gaze is recognized as a fundamental element in promoting bonding and attachment by triggering reciprocal behavioral responses that are vital to the early parent-infant relationship formation.
Choice C rationale
Teaching concepts of bonding and attachment is an important nursing function, but it is an educational intervention that is secondary to the immediate, physical, and emotional facilitation of the actual bonding process. The most important action is to create the physical opportunity for bonding through direct sensory interaction immediately after delivery when the infant is in a quiet-alert state.
Choice D rationale
Assisting with breastfeeding is a crucial part of postpartum care and promotes bonding through skin-to-skin contact and physical closeness. However, the most universally important action immediately post-delivery is establishing eye contact and physical proximity (en face, skin-to-skin), as feeding may be delayed or not applicable to all mothers, making the en face position a broader, essential intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A child with a diagnosed latex sensitivity, especially one with a history of myelomeningocele which carries a high risk, should absolutely wear medical alert identification. This ensures that emergency medical personnel and others are immediately aware of the allergy to prevent exposure to potentially life-threatening latex products.
Choice B rationale
It is crucial to inform all caregivers, including school nurses, teachers, and daycare providers, about the child's latex allergy. This allows them to implement proper avoidance strategies in their respective environments and recognize early signs of a reaction, ensuring the child's safety outside the home.
Choice C rationale
The statement that a product's label always indicates whether it is latex-free is incorrect and indicates a need for further teaching. Many items contain "hidden" latex, and labeling may not be mandatory or always comprehensive, requiring parents to exercise extreme caution and directly inquire about product composition.
Choice D rationale
Complete avoidance of all contact with products containing natural rubber latex is the only definitive way to prevent an allergic reaction in a sensitized child. Exposure, even to airborne particles from latex-containing materials, can trigger reactions ranging from mild skin irritation to severe anaphylaxis.
Correct Answer is C
Explanation
Choice A rationale
Although finishing the entire course of antibiotics is crucial for preventing antibiotic resistance and ensuring the complete eradication of the bacteria, it is not the standard criterion for determining when a child can return to school. The infectious period is generally considered to end much sooner after initiating topical treatment.
Choice B rationale
The cessation of eye drainage, or purulent discharge, is a sign of improving infection but is not the sole, definitive indicator for returning to school. The child is generally considered non-infectious and can return to school after a specified period of effective topical antibiotic treatment has been completed.
Choice C rationale
Bacterial conjunctivitis is highly contagious, but contagiousness is rapidly reduced upon starting topical antibiotic treatment. Most school and public health guidelines permit a child to return to school 24 hours after the initiation of topical antibiotic therapy because the risk of transmission is significantly decreased within this timeframe.
Choice D rationale
Requiring a child to be symptom-free for 72 hours is an overly restrictive and generally unnecessary measure for bacterial conjunctivitis managed with topical antibiotics. The standard public health recommendation focuses on the duration of appropriate antibiotic treatment to minimize infectious risk, which is typically 24 hours.
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