A nurse is assessing a postpartum woman.
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

She did her perineal care independently.

She is eager to talk about her birth experience.

She has not asked for anything for pain all day.

She sits and rocks her infant for long intervals.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. She did her perineal care independently.

Choice A rationale:

Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.

Choice B rationale:

Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.

Choice C rationale:

Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.

Choice D rationale:

Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Cervix dilation of 5 cm with 50% effacement is a sign of active phase of the first stage of labor, not the end of it.

Choice B rationale:

Rupturing of fetal membranes can occur at any time during labor, not specifically at the end of the first stage.

Choice C rationale:

Start of regular contractions is a sign of the onset of labor, not the end of the first stage.

Choice D rationale:

Cervix dilation of 10 cm with 100% effacement indicates the end of the first stage of labor and the beginning of the second stage.

A. "The most common manifestation of postpartum depression is harming the infant.”. . B. "Postpartum depression usually begins 48 hours after childbirth.”. . C. "It's common for clients who have postpartum depression to exhibit psychotic behavior.”. . D. "Postpartum depression is more likely to occur in women who have a history of depression.”. .

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

While some mothers with postpartum depression may have thoughts of harming their infant, it’s not the most common manifestation.

Choice B rationale:

Postpartum depression typically begins within the first few weeks after childbirth, not necessarily within 48 hours.

Choice C rationale:

Psychotic behavior is more commonly associated with postpartum psychosis, a rare and severe form of postpartum psychiatric illness, not postpartum depression.

Choice D rationale:

Women with a history of depression are indeed more likely to experience postpartum depression. This is the correct answer.

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A nurse is assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a pregnant client in labor in a health care facility.The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

Correct Answer is D

Explanation

A nurse is discussing postpartum depression with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of this condition?.

Correct Answer is D

Explanation

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A nurse is assessing a postpartum woman.
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?