A nurse is teaching a first-time postpartum mom about newborn feeding cues. Which of the following should she include in her teaching? (Select All that Apply.)
licking/smacking lips
putting hand to mouth
sleeping
sucking on fingers
smiling
Correct Answer : A,B,D
A. Licking or smacking lips is an early sign of hunger.
B. Hand-to-mouth movements indicate readiness to feed.
C. Sleeping is not a feeding cue; babies may need to be woken for feedings.
D. Sucking on fingers is an early hunger sign.
E. Smiling is not associated with feeding readiness.
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Related Questions
Correct Answer is B
Explanation
A. Asking questions about infant care is part of the taking-hold phase, which follows the initial postpartum phase.
B. In the taking-in phase (initial maternal phase), the mother is focused on herself, reliving and talking about the birth experience. This helps her process the labor and delivery before shifting focus to the newborn.
C. Baby blues can occur in the postpartum period but are not a defining characteristic of the initial maternal phase.
D. Responding to the infant’s needs occurs in the taking-hold and letting-go phases, which happen later in postpartum adjustment.
Correct Answer is A
Explanation
A. Pulmonary embolism (PE): PE is a life-threatening condition that occurs when a blood clot travels to the lungs, often originating from a deep vein thrombosis (DVT). Postpartum clients are at increased risk due to hypercoagulability. Symptoms include sudden-onset dyspnea, chest pain, tachypnea, tachycardia, and hypoxia despite clear lung sounds. This warrants immediate intervention.
B. Mitral valve collapse: This is not a common postpartum complication and does not explain the client’s acute symptoms.
C. Upper respiratory infection: URIs present with cough, congestion, fever, and abnormal lung sounds, which this client does not have.
D. Thrombophlebitis: This refers to localized inflammation of a superficial vein, which may cause leg pain and swelling but does not typically result in respiratory distress.
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