A nurse is planning care for a client in the postpartum unit.
What goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
The client will demonstrate proper bathing of the infant.
The client will verbalize appropriate car seat safety.
The client will have adequate nutritional intake.
The client will identify necessary family roles.
The Correct Answer is C
Choice A rationale
While demonstrating proper bathing of the infant is an important skill for new mothers, it is not typically a primary goal during the taking-in phase. This phase is characterized by the mother’s need to review her birth experience and begin to process her new role.
Choice B rationale
Verbalizing appropriate car seat safety is important, but it is not a primary goal during the taking-in phase. This phase is more focused on the mother’s internal processing of her birth experience.
Choice C rationale
This is the correct answer. Having adequate nutritional intake is a key goal during the taking-in phase. Good nutrition is essential for healing and recovery after childbirth, as well as for breastfeeding.
Choice D rationale
Identifying necessary family roles is an important part of adjusting to parenthood, but it is not a primary goal during the taking-in phase. This phase is more about the mother’s personal adjustment and recovery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Airborne precautions are used for diseases that are spread through tiny droplets in the air, such as tuberculosis or chickenpox. Clostridium difficile is not spread in this manner.
Choice B rationale
Droplet precautions are used for diseases that are spread through larger droplets, such as influenza or pertussis. Clostridium difficile is not spread in this manner.
Choice C rationale
This is the correct answer. Contact precautions are used for diseases that are spread through direct contact with the patient or their environment. Clostridium difficile is a bacterium that can be present in feces and can contaminate surfaces, so contact precautions are appropriate.
Choice D rationale
Protective environment precautions are used for patients who have a compromised immune system, such as those undergoing stem cell transplants. These precautions are not typically used for patients with Clostridium difficile.
Correct Answer is D
Explanation
Choice A rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The goal of phototherapy is to expose the newborn’s skin to light, and applying lotion could potentially interfere with the effectiveness of the treatment.
Choice B rationale
Providing the newborn with 15 mL glucose water after each feeding is not a standard part of phototherapy treatment. The newborn should continue to receive regular feedings, but additional glucose water is not typically necessary.
Choice C rationale
Turning the newborn every 4 hours is not sufficient during phototherapy. The newborn should be repositioned frequently, ideally every 2-3 hours, to expose all areas of the skin to the light.
Choice D rationale
It is important to protect the newborn’s eyes during phototherapy to prevent damage from the light. Therefore, the newborn’s eyes should be covered with special patches whenever the lights are on.
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