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parent/child: ch 20

QuestionAnswer
Attachment The process by which a parent comes to love & accept a child & a child comes to love & accept a parent
Bonding Refers to earlier processes through which the parent becomes acquainted with the infant, identifies the infant as an individual, & claims the infant as a member of the family
Mutuality The infant’s behaviors & characteristics elicit a corresponding set of parental behaviors & characteristics
Acquaintance Parents use eye contact, touching, talking, & exploring to become acquainted with their infant during the immediate postpartum period
Claiming process The child is first identified in terms of “likeness” to other family members
Early contact Skin-to-skin. This practice promotes early & effective breastfeeding & increases breastfeeding duration. It is also associated with less infant crying, improved thermoregulation, & improved cardiorespiratory stability in late preterm infants.
Extended contact Promotes family-centered care
How do mothers begin to touch their infants? Once the infant is close, the mother begins the exploration process with her fingertips, one of the most touch-sensitive areas of the body
What is the en face position? In this position, the parent’s face & the infant’s face are approximately 8 inches apart & on the same plane
Do infants know their mother’s voice? Infants respond to higher-pitched voices & can distinguish the mother’s voice from others soon after birth
Can infants smell? Yes, infants learn rapidly to distinguish the odor of their mother’s breast milk
Entrainment Newborns move in time with the structure of adult speech
Biorhythmicity The fetus is in tune with the mother’s natural rhythms such as her heartbeat
Reciprocity A type of body movement or behavior that provides the observer with cues
Synchrony Refers to the “fit” between the infant’s cues & the parent’s response
Baby blues vs. Postpartum depression BB: lasts less than 2 weeks PPD: lasts more than 2 weeks
Engrossment The term used for the father’s absorption, preoccupation, & interest in the infant
Lesbian couple Complications: may face positive or negative reactions from healthcare workers, couple may hide their relationship out of fear, or may not have support from their family. Interventions: integration of the nonchildbearing partner into care
Adolescent parents Complications: difficulties with development of the infant & mom & dad. Interventions: concrete & specific, continues support, & ensuring dad’s involvement
Parental age older than 35 Complications: social isolation, “sandwich generation,” losing their parents (grandparents), work & career issues, loss of control, not being physically fit, & older than other parents. Interventions: support from partner & family
Social support *Partner support; complications: overstepping/judgement from others
Culture Nurses must provide culturally sensitive care by following principles that facilitate nursing practice within transcultural situations
Socioeconomic conditions Often determine access to available resources
Personal aspirations Complication: unresolved resentment can affect caregiving activities & adjustment to parenting. Interventions: allow mom to express their feelings, discuss measures to permit personal growth, to learn about the care of their infant, & support groups
Sensory impairment Complication: skepticism. Interventions: assess the parent’s capabilities, devices, recordings, written material, & reading lips
Sibling rivalry Jealousy
Golden hour Infant is most awake during 1st hour of life
Signs of baby being hungry Early - sucking their mouth Late - crying
Created by: tatianalopez03
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