Chapter 18: Baby-Friendly Care

What phase of maternal role attainment occurs during the first 24-48 hours postpartum?

Taking-in phase

What maternal role attainment phase is considered dependent?

Taking-in phase

During the taking-in phase, what is the mother's primary focus?

Personal needs

During the taking-in phase, the mother relies on whom for assistance?

Others

What common behaviors occur during the taking-in phase?

Excited and talkative

What need is common during the taking-in phase?

Review birth experience

What phase of maternal role attainment begins on day 2 or 3 postpartum?

Taking-hold phase

What maternal role attainment phase is considered dependent-independent?

Taking-hold phase

How long does the taking-hold phase usually last?

10 days to several weeks

During the taking-hold phase, what is the mother's primary focus?

Baby care

What feeling is common during the taking-hold phase?

Baby blues

What phase of maternal role attainment focuses on family as a unit?

Letting-go phase

What maternal role attainment phase is considered interdependent?

Letting-go phase

When is maternal identity generally achieved?

4 months postpartum

What position promotes parent-newborn bonding through face-to-face contact?

En face position

What behavior indicates bonding when a parent gives meaning to a newborn's actions?

Assigns meaning to behavior

What behavior indicates bonding when a parent identifies the newborn's unique traits?

Recognition of characteristics

What behavior indicates bonding when a parent gives the newborn a name?

Naming the newborn

What behavior indicates bonding when a parent responds to crying?

Responds to cries

What behavior indicates bonding when a parent feeds and diapers the newborn?

Provides physical care

What behavior indicates bonding when a parent smiles, talks, or sings to the newborn?

Positive interaction

What behavior indicates impaired bonding when a parent ignores a crying newborn?

Apathy

What behavior indicates impaired bonding when a parent views newborn behavior negatively?

Perceives behavior as uncooperative

What behavior indicates impaired bonding when a parent avoids close contact?

Lack of proximity

What behavior indicates impaired bonding when a parent turns away from the newborn?

Turning away

What behavior indicates impaired bonding when a parent handles the newborn roughly?

Rough handling

What behavior indicates impaired bonding when a parent expresses disappointment?

Disappointment

What behavior indicates impaired bonding when a parent ignores the newborn?

Ignoring the newborn

What emotional manifestation may indicate difficulty adapting to motherhood?

Feelings of inadequacy

What emotional manifestation may indicate postpartum adjustment difficulties?

Anxiety

What emotional manifestation may indicate postpartum adjustment difficulties?

Emotional lability

What emotional manifestation may indicate postpartum adjustment difficulties?

Flat affect

What emotional manifestation may indicate postpartum adjustment difficulties?

Withdrawal

What emotional manifestation may indicate postpartum adjustment difficulties?

Feeling unable to care for newborn

What is the priority nursing intervention to promote bonding immediately after birth?

Skin-to-skin contact

What practice promotes bonding by keeping the newborn with the parents?

Rooming-in

What feeding method should be encouraged early to promote bonding?

Breastfeeding

What nursing action helps increase parental confidence with newborn care?

Education

What nursing intervention supports parental independence?

Praise and reassurance

What should parents be encouraged to express during the transition to parenthood?

Feelings and concerns

What bonding behavior is common in co-parent adaptation?

Skin-to-skin contact

What bonding behavior is common in co-parent adaptation?

Eye-to-eye contact

What bonding behavior is common in co-parent adaptation?

Holding the newborn

What bonding behavior is common in co-parent adaptation?

Talking to the newborn

What bonding behavior is common in co-parent adaptation?

Singing to the newborn

What bonding behavior is common in co-parent adaptation?

Reading to the newborn

What is the first phase of co-parent adaptation?

Expectations and intentions

What is the second phase of co-parent adaptation?

Confronting reality

What is the third phase of co-parent adaptation?

Creating the role of the involved co-parent

What is the final phase of co-parent adaptation?

Reaping rewards

During the confronting reality phase, what emotions are commonly experienced?

Sadness, frustration, jealousy

What is the goal of the creating the role of the involved co-parent phase?

Active involvement

What reward is commonly experienced during the reaping rewards phase?

Newborn smiles

What nursing action promotes co-parent adaptation?

Hands-on newborn care

What nursing action promotes co-parent adaptation?

Equal participation

What should co-parents be encouraged to verbalize?

Concerns and expectations

What positive sibling response indicates healthy adaptation?

Interest in newborn

What positive sibling response indicates healthy adaptation?

Increased independence

What negative sibling response may occur after the birth of a sibling?

Sibling rivalry

What negative sibling response may occur after the birth of a sibling?

Jealousy

What negative sibling response may occur after the birth of a sibling?

Regression

What negative sibling response may occur after the birth of a sibling?

Aggression

What negative sibling response may occur after the birth of a sibling?

Attention-seeking behavior

A previously toilet-trained child begins wetting themselves after a sibling is born. What does this indicate?

Regression

What hospital activity can help siblings adapt to a newborn?

Unit tour

What gift can help improve sibling adaptation?

Gift from newborn

How can parents help reduce sibling jealousy?

Individual time

What activity can help older siblings adapt to a newborn?

Assist with care

What item can help preschool siblings adapt to a newborn?

Doll

What communication skills should be emphasized to support family adaptation?

Verbal and nonverbal communication

What community resource can support new parents after discharge?

Social support networks

What nursing service can assist families struggling with newborn care at home?

Home visits

What type of intervention can prevent more serious parenting problems?

Community programs