The nurse screens for risk factors such as an infant in the neonatal intensive care unit (NICU), difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support for what complication?

Correct Answer: C

Rationale: The correct answer is C: postpartum depression. Screening for risk factors such as a baby in the NICU, difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support are all associated with an increased risk for postpartum depression. Postpartum depression is a common complication that affects many new mothers and can have significant impacts on both the mother and the baby's well-being. It is important for healthcare providers to be vigilant in screening for these risk factors to identify and support mothers at risk for postpartum depression. Summary: A: maladaptive parenting - Not directly related to the risk factors listed. B: psychosis - Not typically associated with the listed risk factors. D: bipolar disorder - While bipolar disorder can occur postpartum, the listed risk factors are more specifically linked to postpartum depression.

Correct Answer: A

Rationale: The correct answer is A: Maternal Role Attainment. Mercer's theory emphasizes the process through which a woman acquires the maternal role, including changes in behavior, attitudes, and values. Choice B, Postpartum Adapting, is vague and doesn't specifically address the process of becoming a mother. Choice C, Postpartum Maternal Change, is too general and lacks the focus on role attainment. Choice D, Maternal Encouragement, is not a theory developed by Ramona Mercer and does not capture the essence of the maternal role attainment process.

Correct Answer: C

Rationale: The correct answer is C: lack of attachment. Ineffective parenting practices can lead to difficulties in forming a secure attachment bond with the newborn, which is crucial for their emotional and social development. This can result in long-term negative outcomes such as behavioral issues and emotional instability. Incorrect choices: A: Sleeplessness is a common issue for newborns but is not directly caused by ineffective parenting practices. B: Reflux can occur in newborns due to various reasons, not necessarily related to parenting practices. D: NICU admission may be necessary for certain medical conditions unrelated to parenting practices.

Correct Answer: C

Rationale: The correct answer is C because parent-infant attachment involves emotional bonding and responsiveness. If a parent is disinterested, it may indicate a lack of bonding and potential attachment issues. Choice A is not concerning as sleepiness is common postpartum. Choice B is positive as both parents caring for the infant contributes to attachment. Choice D is also positive as family involvement can support attachment.

Correct Answer: B

Rationale: The correct answer is B: assessment of vaginal bleeding. During the first 8 hours postpartum, it is crucial to monitor vaginal bleeding to assess for any signs of excessive bleeding or hemorrhage, which are common postpartum complications. This assessment helps in early detection and prompt intervention if necessary. Other choices are incorrect: A: assessment of partner changing a diaper - While involving the partner in care is beneficial, it is not a priority assessment during this crucial postpartum period. C: assessment of social support - Important for overall well-being but not as critical as monitoring vaginal bleeding for immediate postpartum complications. D: assessment of family dynamics - While family dynamics play a role in postpartum care, it is not a priority assessment in the initial 8 hours.