Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
62. A client, who is gravida 1, para 0 at 35 weeks' gestation, delivered her infant 1 day ago by cesarean section for breech presentation. The infant was admitted to the nursery for unstable blood sugar. Which action by a nurse would be the most appropriate to promote the attachment process between mother and infant?
. Take pictures of the baby for the mother to see.
. Take the mother to the nursery and encourage her to participate in his care.
. Take the mother to the nursery window to see her baby.
. Tell the mother her baby is very cute and give her an update on his progress.
Test-Taking Tip
Facilitating attachment when an infant is in the nursery is an important part of caring for the mother and helping her to cope with an infant who is ill. Eliminate looking, seeing, and helping. Select direct contact with the baby.
Content Area: Maternity, Newborn; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Developmental Stages and Transitions
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because giving the mother pictures of her baby is appropriate only when an infant is too ill for physical contact or the mother is too ill to visit in the nursery. Answer 2 is correct because the combination of direct physical contact between mother and baby and participation in the infant's care helps the mother in recognizing her infant as a distinct individual who is yet a part of her. This process is the beginning of attachment. Answer 3 is incorrect because direct physical contact between mother and baby is most likely to promote attachment. Looking through the window doesn't replace touching and caring for her infant. Answer 4 is incorrect because descriptions of the infant do not replace physical contact between mother and baby.