A nurse is caring for a client who experienced a vaginal birth 12 hr 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?
Lack of appetite
Eagerness to learn newborn care skills
Expressions of excitement
Focus on the family unit and its members
The Correct Answer is C
A) Lack of appetite: During the dependent, taking in phase of maternal postpartum adjustment, the client is primarily focused on her own needs, particularly physical recovery and rest. She may not have a significant appetite due to fatigue, discomfort, or hormonal changes. However, expressions of excitement are more characteristic of this phase.
B) Eagerness to learn newborn care skills: While learning newborn care skills is an essential part of the postpartum period, it is more characteristic of the independent, taking hold phase. In the dependent, taking in phase, the client is more focused on her own needs, relying on others for assistance and care.
C) Expressions of excitement: During the dependent, taking in phase, the client is excited about her newborn and the experience of motherhood. She may express enthusiasm and interest in bonding with the baby, even though she may also rely heavily on others for support and care.
D) Focus on the family unit and its members: While the family unit is important, during the dependent, taking in phase, the client's primary focus is on her own physical recovery and rest. She may not yet be fully engaged in family dynamics or focused on the needs of other family members.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Monitor vaginal bleeding: Placenta previa is characterized by painless vaginal bleeding. Monitoring vaginal bleeding is the priority to assess the extent of bleeding and the well-being of both the mother and the fetus.
B. Apply an external fetal monitor: While fetal monitoring is important, the priority in placenta previa is to assess and manage the vaginal bleeding. Once the bleeding is under control, continuous fetal monitoring can be initiated.
C. Insert an IV catheter: IV access is important in case the client requires fluid resuscitation or blood transfusion. However, assessing and managing the vaginal bleeding take precedence as the immediate priority.
D. Administer glucocorticoids: Glucocorticoids are administered to promote fetal lung maturation in cases of preterm labor, but they are not the priority in the management of placenta previa. The immediate concern is to assess and manage the vaginal bleeding to prevent maternal and fetal complications.
Correct Answer is C
Explanation
C. Observe for crowning: At 3+ station, the fetal head is descending into the birth canal and may be visible at the vaginal introitus during contractions, indicating crowning. Observing for crowning helps the nurse anticipate imminent delivery and provide appropriate assistance during the birth process.
A. Observe for the presence of a nuchal cord: While the presence of a nuchal cord (umbilical cord wrapped around the fetal neck) is important to assess during labor, it is not directly related to the fetal station and crowning.
B. Prepare to administer oxytocin: Oxytocin administration is typically indicated to augment labor or manage postpartum hemorrhage and is not directly related to fetal station assessment.
D. Apply fundal pressure: Fundal pressure is not recommended during the second stage of labor as it can increase the risk of maternal and fetal complications, such as uterine rupture or fetal distress. It is not indicated solely based on fetal station assessment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.