A nurse is assessing a postpartum mother who is in the taking-in phase of Rubin's stages of maternal role adaptation. Which of the following behaviors is most indicative of the taking-in phase?
The mother begins to take on a more independent role and discusses her expectations for future parenting.
The mother focuses on taking care of her baby and begins to establish a routine.
The mother starts to exhibit confidence in her ability to care for the baby and takes charge of household responsibilities.
The mother is primarily focused on her own recovery and needs.
The Correct Answer is D
A. The mother begins to take on a more independent role and discusses her expectations for future parenting is incorrect because this behavior is more characteristic of the letting-go phase, when the mother moves beyond self-focus and embraces her new parental role.
B. The mother focuses on taking care of her baby and begins to establish a routine is incorrect because this behavior aligns with the taking-hold phase, when the mother becomes more actively involved in infant care and develops confidence in her maternal role.
C. The mother starts to exhibit confidence in her ability to care for the baby and takes charge of household responsibilities is incorrect because this also reflects the taking-hold phase, where independence and competence in caregiving become evident.
D. The mother is primarily focused on her own recovery and needs is correct because the taking-in phase occurs during the first 24–48 hours postpartum. During this phase, the mother is passive, dependent, and preoccupied with her own physical comfort and recovery, often reflecting on the birth experience. She may be reluctant to make decisions about the infant, needing guidance and support from healthcare providers.
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Explanation
Pathologic jaundice (Select 1): The most critical factor here is that the jaundice appeared within the first 24 hours of life. Physiologic jaundice typically appears after 24 hours, peaks between days 3–5, and usually does not reach levels as high as 13 mg/dL so rapidly. A level of 13 mg/dL at only 12 hours old is significantly elevated and indicates a rapid rise, which is characteristic of pathologic conditions like Rh/ABO incompatibility or sepsis.
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Correct Answer is B
Explanation
A. Administering pain medications to relieve headache and muscle aches is important for comfort, but it is not the highest priority during the induction phase.
B. Monitoring for signs of infection due to neutropenia is correct because induction chemotherapy causes profound bone marrow suppression, leading to neutropenia. Neutropenia significantly increases the risk of infection, which can become life-threatening. Early detection of fever, chills, or other infection signs is critical for timely intervention, making infection prevention and monitoring the top priority during this phase.
C. Recommending home-schooling to minimize exposure to other children is supportive and helpful for infection prevention but is secondary to direct monitoring and management of neutropenia.
D. Encouraging a high-protein diet to promote growth is beneficial for overall health and recovery but is not the primary concern during the induction phase, when preventing infection is life-saving.
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