Question

A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup. The nurse should be concerned that psychosocial outcomes are not being met if the woman:

a. Discusses her labor and birth experience excessively.
b. Believes that her baby is more attractive and clever than any others.
c. Has not given the baby a name.
d. Has a partner or family members who react very positively about the baby.

Answer 1

Concern about psychosocial outcomes arises if the mother has not named the baby at the 6-week checkup, indicating possible bonding issues. In the context provided, pitocin is used to induce labor for a prolonged pregnancy not advancing naturally.

Step-by-step explanation:

The nurse should be concerned about psychosocial outcomes not being met if a recently delivered mother has not given the baby a name. This could be indicative of a disconnect or an issue in the bonding process between the mother and her child.

Concerns about psychosocial development often include establishing a nurturing environment, forming a strong emotional bond, and integrating the child into the family unit.

While discussing labor excessively or believing one's child is exceptional are more benign behaviors, not naming the child by the 6-week postpartum check-up might suggest that parental attachment is not forming as expected, which could potentially affect the child's development.

In relation to the context provided, the administration of pitocin is used to induce or augment labor when there are concerns about a prolonged pregnancy or labor that is not progressing as expected.

The reference to Janine's prolonged labor at 41 weeks with minimal cervical dilation justifies the clinical decision to start a pitocin infusion. Pitocin, a synthetic form of oxytocin, stimulates uterine contractions and can help progress labor, reducing the risk of complications associated with post-term pregnancy.