A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.” How should the nurse best respond?

Correct Answer: A

Rationale: The correct answer is A. The nurse should reassure the father that his wife's behavior of mood swings is normal after childbirth due to hormonal changes and adjustment to new responsibilities. This response validates the father's concerns, provides education on common postpartum experiences, and offers support. Incorrect choices: B: Immediate psychological help is not warranted for typical postpartum mood swings. C: Ignoring the mood swings can lead to misunderstandings and lack of support for the mother. D: Instructing on postpartum blues is more clinical and may not address the father's immediate concerns.

Correct Answer: C

Rationale: The correct answer is C: Praise the mother’s early attempts at infant care. This choice focuses on positive reinforcement, which can boost the new mother's confidence and encourage her in her new role. By acknowledging and praising her efforts, the nurse can help build the mother's self-esteem and foster a supportive environment. Choices A and D do not directly provide support and encouragement to the new mother. Recounting how the nurse solved her own problems (Choice A) may come off as self-centered and not helpful to the new mother's situation. Explaining that everything will be fine (Choice D) may minimize the new mother's feelings and concerns. Choice B, correcting the new mother at every opportunity, is not supportive or encouraging. It can undermine the mother's confidence and create a negative dynamic. It is important for the nurse to focus on positive reinforcement and support to help the new mother navigate the challenges of postpartum care.

Correct Answer: A

Rationale: The correct answer is A: Special foods brought from home. Asian cultures often have specific dietary practices and beliefs related to postpartum care. Bringing special foods from home is a common practice to support recovery and promote health. This may include traditional dishes thought to have healing properties. B: Preference for fresh fruits is not specific to Asian cultures and may not necessarily be a common dietary practice postpartum. C: Preference for “cold” foods is not a general characteristic of Asian dietary practices and may not be specifically related to postpartum care. D: Request for ice water instead of hot water is not a general dietary practice in Asian cultures and is not directly related to postpartum care.

Correct Answer: C

Rationale: The correct answer is C because excessive fatigue post-childbirth can indicate a risk for impaired parenting due to the physical and emotional toll it takes on the mother's ability to care for her infant. This aligns with the defining characteristics of Risk for Impaired Parenting. A: En face behavior is a positive interaction between parent and infant, not indicative of impaired parenting. B: Feeling exhilarated post-birth is a normal emotional response and does not necessarily indicate impaired parenting. D: Finger tipping behavior towards infant is vague and does not specifically relate to impaired parenting.

Correct Answer: C

Rationale: Rationale: Choice C is correct because immediate skin-to-skin contact promotes bonding by facilitating the release of oxytocin, the bonding hormone. This close physical contact also helps regulate the baby's temperature and promotes breastfeeding initiation. Choices A, B, and D do not directly facilitate bonding as effectively as immediate skin-to-skin contact. Encouraging the baby's name or assessing for familial characteristics may be important but do not have the same immediate bonding impact as skin-to-skin contact. Placing the patient's finger in the infant's palm may stimulate reflexes but does not directly promote bonding as effectively as skin-to-skin contact.