The nurse assesses a mother's bonding with her new baby. Which action made by the mother does the nurse identify as the initial maternal phase/postpartum adjustment.
The mother asks questions about infant care.
The mother relives and speaks of the birthing experience.
The mother shows signs of baby blues.
The mother responds to and picks up the infant when she cries.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.
B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.
C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.
D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.
Correct Answer is D
Explanation
A. Coagulation disorders cause excessive bleeding but are not associated with foul-smelling lochia or fever.
B. Cervical lacerations cause continuous bright red bleeding rather than foul-smelling lochia.
C. A hypertonic uterus (overly contracted) is more associated with prolonged labor but does not cause foul-smelling discharge.
D. Correct. Endometritis is a postpartum infection of the uterine lining, often presenting with foul-smelling lochia, fever, uterine tenderness, and elevated white blood cell count.
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