A nurse is assessing a client who gave birth 1 week ago.
The client states, "I don't know what's wrong.
I love my baby, but I feel so let down and I seem to cry for no reason.”. The nurse should identify that the client is experiencing which of the following emotional responses to birth?

Postpartum depression.

Taking-in phase.

Postpartum blues.

Taking-hold phase.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Postpartum depression involves persistent sadness and impaired functioning, typically lasting longer than two weeks. This client’s symptoms suggest a more transient condition.

Choice B rationale

The taking-in phase refers to the period immediately postpartum when the mother focuses on her own needs, not emotional instability as described.

Choice C rationale

Postpartum blues, characterized by mood swings, crying spells, and irritability, typically resolve within two weeks postpartum and are linked to hormonal changes.

Choice D rationale

The taking-hold phase involves active learning about infant care and maternal adjustment, not the emotional lability described in this scenario.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B"]

Explanation

Choice A rationale

Continuous monitoring of fetal heart rate provides early detection of distress in placenta previa cases, ensuring timely intervention to prevent complications such as fetal hypoxia or preterm birth.

Choice B rationale

Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome if preterm delivery occurs, which is crucial in placenta previa cases at 35 weeks of gestation.

Choice C rationale

Cervical checks in placenta previa cases increase the risk of bleeding and further complications due to disruption of placental attachment, contraindicating frequent dilation assessments.

Choice D rationale

Misoprostol is contraindicated in placenta previa due to its potential to induce uterine contractions, which can worsen bleeding and lead to placental separation or fetal harm.

A. The nurse should assess the client for signs of molar pregnancy. B. The nurse should evaluate the risk for hypovolemic shock due to blood loss. C. The nurse should ensure appropriate laboratory testing for the diagnosis of choriocarcinoma. D. The nurse should prioritize preparing the client for suction and curettage.

Correct Answer is A

Explanation

Choice A rationale

Molar pregnancy often manifests as intermittent dark brown vaginal discharge due to trophoblastic tissue expulsion. It warrants assessment as it correlates with hCG elevation and abnormal placental development.

Choice B rationale

Although significant blood loss could occur, dark brown discharge is not indicative of active hemorrhage. Hypovolemic shock typically results from acute red blood loss, not the chronic nature of this presentation.

Choice C rationale

Choriocarcinoma is a concern in cases following molar pregnancies, yet dark brown discharge alone does not confirm malignancy. Laboratory testing may be indicated, but it is not the immediate priority here.

Choice D rationale

Suction and curettage are treatment options for molar pregnancy but are contingent upon confirmed diagnosis. This intervention is premature without comprehensive assessment findings suggesting molar pregnancy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who gave birth 1 week ago.The client states, "I don't know what's wrong.I love my baby, but I feel so let down and I seem to cry for no reason.”. The nurse should identify that the client is experiencing which of the following emotional responses to birth?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa.Which of the following actions should the nurse plan to take?

Correct Answer is ["A","B"]

Explanation

A client reports an intermittent dark brown vaginal discharge for the past three days.

Correct Answer is A

Explanation

For each body system below, specify the potential complications that can occur. Match the body system with the potential complications.

A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping.Which of the following Questions should the nurse ask prior to administering the medication?

A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus B-hemolytic infection.Which of the following medications should the nurse plan to administer?

A nurse is caring for a client.Which of the following interventions should the nurse perform? (Click on the exhibit tabs for additional information about the client.There are three tabs that contain separate categories of data.)

A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin.Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who is breastfeeding and has mastitis.Which of the following interventions should the nurse include? (Select all that apply.)

A nurse in the labor and delivery triage unit reviews the electronic medical record (EMR) of a client reporting severe abdominal pain. Which of the following findings is most consistent with abruptio placenta?

For each body system below, specify the potential manifestations that the client may experience. Match each body system with the potential manifestation.

A nurse is assessing a client who gave birth 1 week ago.
The client states, "I don't know what's wrong.
I love my baby, but I feel so let down and I seem to cry for no reason.”. The nurse should identify that the client is experiencing which of the following emotional responses to birth?