Exam (elaborations)
ATI OB Book Ch 18 Baby-Friendly Care Questions & Detailed Answers
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ATI OB Book Ch 18 Baby-Friendly Care Questions & Detailed Answers
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ATI OB Book Ch 18 Baby-Friendly Care Questions& Detailed Answers
Family-centered care - ANS Focused on the fact that birthing is a family affair and
affects all family members. Keep mother and baby together as much as possible.
Include siblings in plan of care. Promote parent-infant attachment and family-
infant attachment.****
Promoting baby-friendly care - ANS Delay nursing procedures during first hour
after birth and through first attempt to breastfeed to allow immediate parent-
infant contact.
Things that can affect or delay bonding - ANS Mother's emotional and physical
condition: Unwanted pregnancy, adolescent pregnancy, history of depression,
difficult pregnancy and delivery.
Infant's condition: Prematurity, congenital anomalies.
Culture.
Age.
Socioeconomic factors.
When does bonding begin? - ANS During pregnancy and continuing through fourth
stage of labor through hospitalization.
Timeline for psychosocial adaptation by mother - ANS During pregnancy:
Commitment, attachment, and preparation for birth.
, First 2-6 weeks: Period of acquaintance with baby as well as physical restoration.
Maternal identity: Achieved by 4 months postpartum.
Phases of maternal role attainment and timing - ANS Dependent: Taking in phase.
First 24-48 hours.
Dependent-independent: Taking-hold phase. Begins day 2-3. Up to 10 days to
several weeks.
Independent: Letting-go phase. After 10 days to several weeks.****
Dependent phase of maternal role attainment - ANS Mother very concerned about
herself and is preoccupied with her own needs and is dependent. Concerned with
food, sleep and talking about her labor to achieve closure/resolution.****
Dependent-independent phase of maternal role attainment - ANS Ready to
assume control over her life and care for herself and her baby. Responsive to
teaching about herself and the baby. Focus on baby care and improving care-giving
competency. Wants to take charge but needs acceptance from others. Wants to
learn and practice. Still in taking in phase in hospital so teaching may be a
challenge. Give education in many forms including in writing.****
Interdependent phase of maternal role attainment - ANS Focus on family as unit.
Resumption of role as in intmate partner, individual.****
Challenges of becoming mother - ANS Finding time for herself.
Feelings of incompetence.
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