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.

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Correct Answer is C

Explanation

Choice A rationale

A WBC count of 35,000/mm² exceeds the normal newborn range of 9,000 to 30,000/mm². This elevated count typically indicates infection rather than cephalohematoma-related complications.

Choice B rationale

A glucose level of 35 mg/dL falls below the normal range of greater than 40 to 45 mg/dL. Hypoglycemia is not directly associated with cephalohematoma but may occur in stressed or premature neonates.

Choice C rationale

A bilirubin level of 14.0 mg/dL is above the newborn normal range of 1.0 to 12.0 mg/dL. This indicates hyperbilirubinemia, commonly seen due to red blood cell breakdown in cephalohematoma.

Choice D rationale

A platelet count of 350,000/mm³ is above the normal newborn range of 150,000 to 300,000/mm³. Elevated levels are less likely due to cephalohematoma and often suggest other hematologic conditions.

A. "You will receive a medication through an IV for this test.”. B. "You should expect the test to take about 30 minutes.”. C. "You should not eat or drink for 4 hours prior to the test.”. D. "This test will help determine if your baby's lungs are mature.”.

Correct Answer is B

Explanation

Choice A rationale

Intravenous medications are not administered for a nonstress test, which evaluates fetal heart rate response to movement using external monitoring. No pharmacological intervention is needed.

Choice B rationale

Nonstress tests typically last about 20–40 minutes, depending on fetal activity and reactivity. This duration allows sufficient time to observe fetal heart rate accelerations.

Choice C rationale

There are no dietary restrictions for a nonstress test, as the procedure involves non-invasive external monitoring and does not affect digestion or metabolic processes.

Choice D rationale

A nonstress test does not assess fetal lung maturity but evaluates fetal heart rate accelerations in response to fetal movement to ensure fetal well-being.

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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 reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma.Which of the following findings should the nurse expect as a result of this condition?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test.Which of the following statements should the nurse plan to make?

Correct Answer is B

Explanation

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A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy.Which of the following interventions should the nurse include?

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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?