Parent-Newborn Attachment
Name the first three steps in the attachment process
Planning, Confirming, Accepting the Pregnancy?
List three primary responsibilities of the NICU nurse
Support families, communicate effectively, advocate for patients
Define Family Centered Care (FCC)
A philosophy of care that creates partnership between families and healthcare team
Define anticipatory grief
Grief experienced before an expected loss
Exercise, peer support, counseling, taking breaks, mindfulness
At what gestational age are fetal movements typically first felt?
What is 16-32 weeks postmenstrual age (PMA)
What percentage of NICU nurses experience secondary traumatic stress?
13-49%
Name two ways to support nontraditional families in the NICU
Using inclusive language, acknowledging both parents equally, respecting cultural practices
What percentage of postpartum people develop PTSD after NICU admission
Approximately 3%
What is the purpose of debriefing after difficult cases
Process emotions, learn from experiences, receive support, prevent burnout
What is the "golden hour" and why is it important?
What is the first hour after birth when newborn is typically alert and ready for interaction?
what is "moral distress" in NICU nursing?
When nurses must provide care they feel is unconscionable but is insisted upon by parents
How should nurses handle sibling visits?
Support open visitation, prepare siblings appropriately, provide age-appropriate explanation
Name three signs of postpartum depression in NICU mothers
Sleep issues, appetite changes, withdrawal, anxiety, crying spells
What resources should be available to support staff after perinatal loss
Counseling services, peer support, chaplain services, employee assistance programs
Name two ways nurses can facilitate attachment in the NICU
What are Skin-to-skin contact, involving parents in care, encouraging touch/interaction, providing privacy for bonding
Name two elements of trauma-informed care in the NICU
Recognizing trauma impact, promoting safety, enabling collaboration, empowering families
What are the key elements of discharge preparation?
Education, care practice, resource identification, follow-up planning
List three appropriate interventions for families experiencing crisis
Active listening, providing resources, maintaining consistency, offering emotional support
How can nurses maintain professional boundaries while showing empathy?
Set clear limits, maintain consistency, share appropriately, seek support when needed
What is the impact of prolonged separation on attachment?
Can lead to decreased bonding, poor outcomes, developmental delays, and attachment concerns
What are the key components of facilitative nursing?
Assisting in education, providing caregiving opportunities, offering positive feedback, acknowledging relationships
Describe three ways to support parents during end-of-life care
Memory making, cultural support, emotional support, involving family in decisions
Describe the components of trauma-informed developmental neuroprotective care (TIDNC)
Including parents at admission, encouraging skin-to-skin, assisting with care, supporting human milk
Describe a comprehensive self-care plan for NICU nurses
Physical activity, emotional support, professional development, stress management, work-life balance