The postpartum nurse is observing a patient holding the baby she delivered less than 24 hours ago. The partner is watching his wife and asking questions about newborn care. The

Correct Answer: C

Rationale: Correct Answer: C - No action; this is a normal family adjusting to family change. Rationale: 1. It is normal for new parents to have questions and concerns about newborn care. 2. The parents are actively engaged with the newborn and seeking information, indicating a positive adjustment. 3. The mother's behavior with the newborn does not raise any immediate concerns for intervention. 4. Reporting to social services or assuming parenting styles based on limited observation is unwarranted. Summary: A: Reporting to social services is unnecessary as there are no signs of neglect or abuse. B: Reprimanding the older son is unrelated to the situation and inappropriate. D: Assuming the mother's parenting style based on limited observation is unjustified and unprofessional.

Correct Answer: A

Rationale: The correct answer is A because the 26-year-old woman who is returning to work in 10 weeks is more likely to have less stress adjusting to her role as a mother. This is because she is likely more established in her career, which can provide a sense of stability and financial security. Additionally, knowing she will return to work in 10 weeks can give her a sense of structure and purpose, reducing uncertainty and stress. Choice B is incorrect because the 35-year-old anxious mother who has had no contact with babies or children may struggle with feelings of inadequacy and anxiety due to lack of experience with children. Choice C is incorrect because the 16-year-old teenager living with strained relationship with her mother may face additional stressors from family dynamics and lack of maturity. Choice D is incorrect because the 25-year-old woman who knew early in her pregnancy and delivered twins by cesarean birth may face physical challenges and increased demands of caring for twins, leading to higher stress levels.

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.