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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Kernicterus: Unrelated to postpartum complications; it is a bilirubin-related condition in newborns.

B. Uterine atony: Correct. A large infant increases the risk of uterine overstretching, leading to poor uterine contraction and postpartum hemorrhage.

C. Gestational diabetes: This is diagnosed during pregnancy, not as a postpartum complication.

D. Retained placental fragments: A possible concern but less likely than uterine atony in a client with a macrosomic infant.

A. Administer pain reliever round-the-clock to promote extended rest periods B. Keep a bedside commode to prevent frequent trips to the bathroom C. Offer the woman assistance to ambulate around the unit D. Maintain strict bedrest until the woman has fully recovered

Correct Answer is C

Explanation

A. Prolonged bed rest increases the risk of thrombus formation. Pain management should not encourage inactivity.

B. While preventing excessive exertion is important, encouraging movement is essential for preventing thrombosis.

C. Correct. Early ambulation promotes circulation and reduces the risk of deep vein thrombosis (DVT).

D. Strict bed rest increases the risk of thromboembolism and is not recommended postpartum unless medically indicated.

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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.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

Correct Answer is B

Explanation

The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

Correct Answer is C

Explanation

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