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A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.

"I understand your concern, but your baby will be okay."

"Milk normally comes in around the third day.

"You can bottle feed until your milk comes in."

"Your baby seems content, so you should not worry about him getting enough to eat."

Answer and Explanation

The Correct Answer is B

A. "I understand your concern, but your baby will be okay." This response does not provide education or reassurance.

B. "Milk normally comes in around the third day." Correct. This provides factual information to reassure the mother.

C. "You can bottle feed until your milk comes in." Incorrect. Supplementing may reduce breastfeeding success.

D. "Your baby seems content, so you should not worry about him getting enough to eat." This dismisses the mother's concern without providing information.

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Correct Answer is C

Explanation

A. This is expected immediately postpartum.

B. This is expected at 24 hours postpartum.

C. Immediately after birth, the fundus is at the level of the umbilicus. The uterus involutes (shrinks) approximately 1 cm (or 1 fingerbreadth) per day postpartum. 48 hours postpartum, the fundus should be 2 cm (or 2 fingerbreadths) below the umbilicus.

D. 3 cm below the umbilicus would be expected at 72 hours postpartum.

A. The mother asks questions about infant care. B. The mother relives and speaks of the birthing experience. C. The mother shows signs of baby blues. D. The mother responds to and picks up the infant when she cries.

Correct Answer is B

Explanation

A. Asking questions about infant care is part of the taking-hold phase, which follows the initial postpartum phase.

B. In the taking-in phase (initial maternal phase), the mother is focused on herself, reliving and talking about the birth experience. This helps her process the labor and delivery before shifting focus to the newborn.

C. Baby blues can occur in the postpartum period but are not a defining characteristic of the initial maternal phase.

D. Responding to the infant’s needs occurs in the taking-hold and letting-go phases, which happen later in postpartum adjustment.

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A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are assessing a patient who delivered vaginally 48 hours ago. At this time, where would you expect to feel her fundus?

Correct Answer is C

Explanation

The nurse assesses a mother's bonding with her new baby. Which action made by the mother does the nurse identify as the initial maternal phase/postpartum adjustment.

Correct Answer is B

Explanation

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)

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