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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale
Nevus flammeus is a capillary malformation, presenting as a flat, purple-red birthmark that does not cause swelling or cross suture lines, distinguishing it from caput succedaneum.
Choice B rationale
Caput succedaneum involves swelling of the scalp caused by pressure during delivery, often crossing suture lines due to subcutaneous fluid accumulation, a hallmark distinguishing it from other neonatal head conditions.
Choice C rationale
Cephalohematoma is a subperiosteal hemorrhage limited by suture lines, making it distinct from caput succedaneum, which crosses suture lines and involves diffuse subcutaneous swelling.
Choice D rationale
Erythema toxicum is a benign, blotchy skin condition in neonates that does not affect the scalp or cause swelling, further distinguishing it from conditions related to traumatic delivery.
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