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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) The posterior fontanel is palpable:
This statement is not directly related to station. The fontanelles are soft spots on the fetal skull used to assess fetal head position, but they are not specifically related to station.

B) The lowermost portion of the fetus is at the level of the ischial spines:
In obstetrics, station refers to the relationship between the presenting part of the fetus and the maternal ischial spines. When the presenting part is at 0 station, it means that the lowest part of the fetus (usually the head) is at the level of the maternal ischial spines. This is a significant landmark indicating the progress of labor. As labor progresses, the fetus descends further into the pelvis, with stations progressing from -3 to +3.

C) The fetal head is in the left occiput posterior position:
The station does not provide information about the fetal head position. Left occiput posterior position refers to the position of the fetal head in relation to the maternal pelvis, which is determined separately through pelvic examinations.

D) The largest fetal diameter has passed through the pelvic outlet:
While 0 station indicates engagement of the fetal head in the pelvis, it does not necessarily mean that the largest fetal diameter has passed through the pelvic outlet. Labor continues until the entire fetus is delivered through the birth canal, which occurs as labor progresses through the different stages.

A. Enhanced production of fetal lung surfactant B. Weakened uterine contractions C. Maternal blood glucose 63 mg/dL D. Fetal heart rate 100/min

Correct Answer is B

Explanation

B) Weakened uterine contractions:
Terbutaline is a beta-adrenergic agonist that is commonly used to suppress preterm labor by relaxing uterine smooth muscle. Therefore, the nurse should expect weakened uterine contractions as a result of terbutaline administration.

A) Enhanced production of fetal lung surfactant:
Terbutaline does not directly enhance the production of fetal lung surfactant. Its primary action is to relax uterine smooth muscle, not influence fetal lung development.

C) Maternal blood glucose 63 mg/dL:
While terbutaline may cause side effects such as hyperglycemia, hypoglycemia (maternal blood glucose 63 mg/dL) is not typically associated with its use.

D) Fetal heart rate 100/min:
Terbutaline does not typically cause a decrease in fetal heart rate. Fetal heart rate is usually within the normal range unless other complications are present.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct Interpretation of this clinical finding?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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