A nurse is teaching a new mother about breastfeeding. The nurse determines that the teaching was successful when the woman identifies which hormone as responsible for milk let-down?

progesterone

estrogen

prolactin

oxytocin

Answer and Explanation

The Correct Answer is D

A. Progesterone plays a significant role in maintaining pregnancy and preparing the breasts for lactation, but it is not responsible for the milk let-down reflex.
B. Estrogen helps with breast development and ductal growth during pregnancy, but it does not trigger the milk let-down reflex.
C. Prolactin is responsible for milk production (lactogenesis) but not for the actual release of milk from the breast.
D. Oxytocin is the hormone responsible for the milk let-down reflex, which causes milk to be released from the milk glands into the nipple when the baby suckles. It also promotes uterine contractions after childbirth.

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Correct Answer is A

Explanation

A. The client talks frequently about her labor and delivery is a characteristic behavior of the Taking In phase, which occurs during the first few days postpartum. During this phase, the mother is primarily focused on her own needs and recovering from childbirth. She may want to discuss her labor and delivery experience and may be more focused on rest and reflection rather than engaging with the baby.

B. The client hesitates to initiate contact with the baby is more characteristic of the Taking Hold phase, which comes after the Taking In phase. In the Taking Hold phase, the mother begins to take more responsibility for her baby’s care, though she may still seek guidance.

C. The client questions the nurse about the amount of formula for the baby indicates a more active engagement in learning about infant care, which is typical of the Taking Hold phase, where the mother starts to focus on baby care and becomes more involved.

D. The client requests between meals snacks is a sign of physical recovery and possibly an increased need for nourishment, but it does not specifically indicate being in the Taking In phase. This behavior may occur in any phase but is not a defining characteristic.

A. Requests time to talk on the phone B. Hesitate to initiate contact with the newborn C. Allows staff to perform most of the infant's care D. Questions the nurse about frequency of feeding for the newborn

Correct Answer is D

Explanation

A. Requests time to talk on the phone is more reflective of the "taking in" phase, where the mother is focused on herself and her own needs, such as resting and reflecting on the birth experience. This phase typically involves less engagement with the baby and more focus on recovery.

B. Hesitates to initiate contact with the newborn is characteristic of the "taking in" phase as well. During this phase, the mother may still be adjusting and may not yet feel confident in caring for her baby, often focusing more on her own recovery.

C. Allows staff to perform most of the infant's care is also more indicative of the "taking in" phase. During this phase, the mother is still learning and may feel less confident, often relying on others to care for the newborn.

D. Questions the nurse about frequency of feeding for the newborn is a behavior typically seen in the "taking hold" phase. During this phase, the mother becomes more active in caring for the baby, taking responsibility for its care, and showing interest in learning about the baby’s needs (such as feeding). This phase involves a shift toward becoming more independent and engaged in infant care.

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A nurse is teaching a new mother about breastfeeding. The nurse determines that the teaching was successful when the woman identifies which hormone as responsible for milk let-down?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a postpartum woman. Which of the following behavior by the client would indicate the client is in the Taking in phase?

Correct Answer is A

Explanation

Which observed behavior would indicate to the nurse that a post-partum client had progressed to the "taking hold" phase?

Correct Answer is D

Explanation

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