A nurse is caring for a client who is in the informal stage of maternal role attainment.
Which of the following statements by the client indicates an understanding of this stage?
“I feel like I have finally bonded with my baby.”
“I am still struggling with breastfeeding.”
“I am starting to feel like I can handle being a mother.”
“I am not sure if I am doing everything right.”.
The Correct Answer is C
The correct answer is choice C. “I am starting to feel like I can handle being a mother.” This statement indicates that the client is in the informal stage of maternal role attainment, which is characterized by a sense of confidence and competence in the maternal role.
The client develops her own style of mothering and integrates feedback from others.
Choice A is wrong because it reflects the initial stage of maternal role attainment, which is marked by a strong emotional attachment to the newborn.
Choice B is wrong because it suggests that the client is in the formal stage of maternal role attainment, which involves learning the skills and behaviors of mothering from external sources such as healthcare providers and family members.
Choice D is wrong because it implies that the client is in the anticipatory stage of maternal role attainment, which occurs during
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Correct Answer is D
Explanation
The correct answer is choice D. “I will need to avoid contact with anyone who has rubella.” This statement indicates a need for further teaching because RhoGAM has nothing to do with rubella, which is a viral infection that can cause birth defects if contracted during pregnancy.
RhoGAM is given to prevent Rh incompatibility, which is a condition where the mother’s immune system attacks the baby’s blood cells if they have different Rh factors.
Choice A is wrong because the client will need another dose of RhoGAM only if she gets pregnant again with an Rh-positive baby.
Choice B is wrong because the client does not need to use contraception for at least three months after receiving RhoGAM.
Choice C is wrong because the client’s blood type does not change after receiving RhoGAM and does not need to be checked again.
Correct Answer is C
Explanation
The correct answer is C. Spraying warm water over the perineum after each voiding or bowel movement.This action would help prevent infection of the perineal area by keeping it clean and reducing the risk of bacterial contamination.
A is wrong because ice packs can only help reduce swelling and pain, but not prevent infection.
B is wrong because changing the pad from back to front can introduce bacteria from the rectum to the vagina and perineum, increasing the risk of infection. The correct way is to change the pad from front to back.
D is wrong because an inflatable ring or pillow can increase blood flow to the perineal area and delay healing, which can increase the risk of infection.
A firm surface is better for sitting after delivery.
Some other preventive measures for postpartum infections include washing hands before touching the perineal area, using only maxi pads and not tampons for postpartum bleeding, taking preventive antibiotics if prescribed, and contacting a doctor if symptoms of infection appear.
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