A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?

Eagerness to learn newborn care skills

Lack of appetite

Expressions of excitement

Focus on the family unit and its members

Answer and Explanation

The Correct Answer is C

Choice A reason: During the taking-in phase, the mother is often passive and may not yet show eagerness to learn newborn care skills. This phase is more about recovery and processing the birth experience.

Choice B reason: Lack of appetite might be present immediately after birth due to the exertion and possible nausea, but it is not a defining characteristic of the taking-in phase. The mother's appetite usually returns as she begins to recover.

Choice C reason: Expressions of excitement are common as the mother relives the delivery experience and begins to bond with the baby. This emotional response is part of the taking-in phase, where the mother is focused on her own experience and the reality of becoming a parent.

Choice D reason: While the focus on the family unit is important, during the taking-in phase, the mother is primarily oriented to her own needs and recovery. The focus on family members and the broader family unit becomes more prominent in the subsequent taking-hold phase.

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Correct Answer is C

Explanation

Choice a reason:
A male condom is a barrier method of contraception that is typically easy to use and accessible. It has the added benefit of providing protection against sexually transmitted infections (STIs). However, its effectiveness can be compromised by improper use or breakage. With typical use, male condoms are about 85% effective.

Choice b reason:
A diaphragm with spermicide is another barrier method that can be used to prevent pregnancy. The diaphragm covers the cervix and the spermicide kills or immobilizes sperm. The effectiveness of a diaphragm with spermicide is generally lower than some other methods, with typical use effectiveness around 88%.

Choice c reason:
An intrauterine device (IUD) is a small device inserted into the uterus by a healthcare provider. IUDs come in two types: hormonal and copper. Both types are highly effective, with over 99% effectiveness. They are long-acting, reversible, and do not require daily attention, which contributes to their reliability.

Choice d reason:
An oral contraceptive, also known as the birth control pill, is a popular method of contraception that requires the user to take a pill at the same time every day. The effectiveness of the pill can be high, but because it relies on user adherence, its typical use effectiveness is around 91%.

A. There is an increased risk of introducing infection. B. This could initiate preterm labor. C. This could result in profound bleeding. D. There is an increased risk of rupture of the membranes.

Correct Answer is C

Explanation

Choice a reason:

While there is always a risk of introducing infection with an internal examination, this is not the primary concern with placenta previa. Infections are a risk with any invasive procedure, but the precautions taken during a typical internal examination minimize this risk.

Choice b reason:

Initiating preterm labor is a concern with any manipulation of the cervix or uterus during pregnancy. However, at 37 weeks, the pregnancy is considered early-term, and the risk of preterm labor is not the primary concern in the context of placenta previa.

Choice c reason:

The primary reason for avoiding an internal examination in a client with placenta previa is the risk of profound bleeding. With placenta previa, the placenta covers part or all of the cervix. An internal examination could disturb the placenta and lead to significant hemorrhage, which can be life-threatening for both the mother and the fetus.

Choice d reason:

While there is a risk of rupturing the membranes during an internal examination, this is not the primary concern with placenta previa. The main issue is the potential for causing significant bleeding due to the placenta's location over the cervix.

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A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being the most reliable?

Correct Answer is C

Explanation

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not perform an internal examination. Which of the following explanations of the primary reason should the nurse provide?

Correct Answer is C

Explanation

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