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PP Ch 18

Study guide

Position that facilitates eye-to-eye contact between parent & newborn En face
Intense fascination between father & newborn Engrossment
Initial characteristic touch of mother with her newborn Fingertipping
Development of an emotional tie to the infant Bonding
LT development of affection between the infant & significant other Attachment
Movement of the newborn in rhythm with adult speech Entrainment
Describe the processes of bonding & attachment noting similarities & differences Bonding is inital attraction felt by parents toward infant. It is a 1-way process from parent to newborn. Attachment is LT, 2-way process, binds parent & infant with mutual affection. Facilitated by +feedback from infant & mutually satisfying experiences
Describe progression of maternal touch Fingertipping to palm touch to enfolding the infant & bringing him/her close to mom's body
Describe progression of maternal verbal behaviors Progresses from calling infant "it" to referring to infant as "he/she" to using given name
Describe maternal behaviors during PP period & how nurse can help meet needs in each phase Look over pgs 424-425
Describe PP blues & what is best response to the blues? A mild, temp depression that affects 70-80% of U.S. women. Begins in 1st wks & lasts no longer than 2 wks. Fatigue, insomina, tearfulness, mood instability & anxiety present, but can care for baby. Provide empathy & support; assure normal & self-limiting
How can the RN help the new father adapt to his role? Involve him in care, teaching & decisions. Fathers may not know what to expect form newborns & benefit from info about growth & development. Review of prenatal teachins is also helpful
Describe possible responses of toddlers to a new baby. How can parents help these toddlers? During pregnancy, toddler may not understand new baby is coming. Jealousy may be shown by negative/hostile behaviors. Seep problems & regression may occur. Parents need to show love & help to understand he/she will not be displaced by new baby
How should RN respond to parents who are disappointed w/ sex of newborn? Help parents acknowledge & talk about feelings to help cope w/ their disappointment & to faciliate their attachment w/ child
What RN measures can help the mother of twins attach to her babies? Provide oppurtunities for frequent contact w/ each infant to help parents interact with each twin individually rathe than interacting w/ them as a "package". It is essential to point out unique qualities & characteristics of each infant individually
What does "mothering the mother" entail? Provide physical & psychosocial care for new mom during early period after birth. RN should meet physicla needs, listento mom's concerns & provide teaching. When mom's needs are met, she can meet the infant's needs more easily.
New parents may not recognize signals from infant who has had enough stimulation & needs to rest. What should the RN teach parents to recognize? Signs of overstimulation include looking away, splaying fingers, arching back & fussiness. These are clues that infant needs ome quiet time.
Created by: L.moore