A postpartum nurse is caring for a client and their newborn.

Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

The client desires privacy with their newborn.

The client takes charge of all mothering tasks.

The client puts their personal needs aside.

The client reviews their birth experience with others.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Desiring privacy with the newborn is not specific to the taking-in phase.
Choice B rationale:
Taking charge of all mothering tasks is more indicative of the taking-hold phase.
Choice C rationale:
Putting personal needs aside is not specific to the taking-in phase.
Choice D rationale:
Reviewing the birth experience with others is characteristic of the taking-in phase.

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Correct Answer is D

Explanation

Choice A rationale:
Giving oxytocin 20 units IV bolus is incorrect. Oxytocin is used to stimulate uterine contractions, not to stop bleeding.
Choice B rationale:
Performing a fundal massage is incorrect. This is done to stimulate uterine contractions, not to stop bleeding.
Choice C rationale:
Assessing for abdominal tenderness is incorrect. This is not a priority action when a client is exhibiting a large amount of vaginal bleeding.
Choice D rationale:
Obtaining serial hemoglobin and hematocrit is correct. These lab tests will help determine the extent of blood loss and guide treatment.

A. "You can bathe and dress your baby if you'd like to.”. B. "I'm sure you will be able to have another baby when you're ready.”. C. "If you don't hold the baby, it will make letting go much harder.”. D. "You should name the baby so she can have an identity.”.

Correct Answer is A

Explanation

Choice A rationale:
Offering the parents the opportunity to bathe and dress their baby can provide a sense of normalcy and closure.
Choice B rationale:
This statement assumes the client wants to have another baby and that they will be able to do so, which may not be the case.
Choice C rationale:
It’s important to allow the parents to grieve in their own way. Some may find holding the baby helpful, while others may not.
Choice D rationale:
While naming the baby can provide an identity, it should be the parents’ decision.

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A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A postpartum nurse is caring for a client and their newborn.

Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?