Family Functions
Family consumerism, money management, housing, insurance, retirement and savings.
Economic.
Rationale: Definition
This happens when a baby is older and lifts arms to parents and asks to be held.
Infant Behaviors that Promote Parental Attachment.
Rationale: Infant communicating needs to parent and requesting that they hold them.
First 24 hours post delivery.
Taking-in phase.
Taking-in phase occurs 1-2 days after delivery.
Mother requested to hold newborn skin to skin during newborn blood sugar checks.
Parental Behaviors that Promote Infant Attachment.
Rationale: Promote infant attachment as mother is wanting to provide infant comfort during a painful procedure.
Including this family member in newborn care can help with attachment.
Siblings.
Rationale: Research shows that it is best to include the older sibling as much as possible. They can help get the room ready, tour the hospital unit, practice baby care on a doll.
Survival of society is linked to this family function.
Reproductive.
Rationale: Definition
Happens when a baby is experiencing feeding difficulties.
Infant Behaviors that Inhibit Parental Attachment.
Rationale: An infant with feeding difficulties may add stress and make bonding more difficult.
Phase after delivery that a mother would be most likely to experience the “baby blues.”
Taking hold phase.
Rationale: Second or third day, can last 10 days to several weeks.
Mother continues to text on her cell phone, even though newborn is crying in bassinet.
Parental Behaviors that Inhibit Infant Attachment.
Rationale: Mother is ignoring late infant hunger cues which is inhibiting bonding with infant. Nurse could offer education on early vs. late hunger cues. If in the first 24 hours post delivery, the mother is still in the selfish "taking in" phase.
This family member may experience guilt and helplessness during delivery after watching the mother in pain.
Partner.
Rationale: Partner that is present for delivery and the postpartum period may feel guilt or helplessness at seeing their partner in so much pain.
How families disseminate their culture, including religion/spirituality.
Socialization.
Rationale: Definition
Infant in NICU.
Infant Behaviors that Inhibit Parental Attachment.
Rationale: Separation of mother and infant, even though it is for a medical reason, can inhibit bonding. Nursing consideration would be to encourage mother to visit newborn and if baby is stable, encourage skin to skin.
Time period after delivery where intimacy with partner returns.
Letting-go phase.
Rationale: Phase following taking-hold and is the reassertion of relationship with partner.
Claims infant as a family member.
Parental Behaviors that Promote Infant Attachment.
Rationale: Parent is acknowledging infant as a member of the family unit, indicating a healthy bonding.
The process by which a parent comes to love and accept a child and a child comes to love and accept a parent.
Attachment and bonding.
Rationale: Important in discussing role transition for new parents. Healthcare providers can start before birth in encouraging bonding and attachment.
How we learn about intimate reciprocal caring relationships, dependency and how to nurture future generations.
Affective.
Rationale: Definition
Infant vocalizing that they are hungry or wet.
Infant Behaviors that Promote Parental Attachment.
Rationale: Infant is communicating needs to parent and parent recognizes what baby is trying to communicate.
Mother is relying on partner to order her dinner after delivery.
Taking-in phase.
Rationale: In the taking-in phase mother is relying on others to meet her needs.
Mother seems upset that newborn resembles the father of the baby, who she is no longer in a relationship with.
Parental Behaviors that Inhibit Infant Attachment.
Rationale: Mother has negative association with newborn resembling someone. Nursing consideration is that not all families look the same. Newborn could be the result of a sexual assault and need to follow mom's cues when referencing newborn's appearance.
You notice a new mom is having difficulty navigating her time caring for her newborn and her aging parents. She would identify as being a member of?
The sandwich generation.
Rationale: Individuals caring for their parents and their own children may experience care giver role strain. They may exhibit physical symptoms such as fatigue, HTN, GI upset, altered sleep, weight changes, labile emotions. Nursing consideration would be to acknowledge the strain and provider resources such as respite care.
Family members provide caregiving to ill family members and are a source of support.
Healthcare.
Rationale: Definition
Parent frustrated that newborn is not on a “schedule.”
Infant Behaviors that Inhibit Parental Attachment.
Rationale: Newborns wake frequently and can be unpredictable with feeding times. If parents are frustrated it can inhibit attachment.
The nurse finds that the mother is eager to share every detail of her delivery.
Taking-in phase.
Rationale: In the taking-in phase mother is excited and talkative and desires to review the birth experience.
Mother describes newborn as manipulative, using crying to get their way.
Parental Behaviors that Inhibit Infant Attachment
Rationale: Newborn uses crying to communicate. If mother sees crying as a manipulative behavior it could inhibit infant attachment.
The terms “birth parent” and “making an adoption plan” are examples of what?
Positive adoption language.
Rationale: Birth parents instead of "real parents," referring to adoptive parents as just "parents."