The nurse is assessing the client's transition to the taking-hold phase after an uncomplicated vaginal birth.
Which behavior by the mother best indicates this transition is occurring?
Focuses primarily on her own needs.
Is very excited and talkative about the birth experience.
Is interested in learning more about infant care.
Relies on nursing staff for assistance.
The Correct Answer is C
Choice A rationale
Focusing primarily on her own needs is characteristic of the taking-in phase, where the mother is more self-focused and recovering from the birth process.
Choice B rationale
Being very excited and talkative about the birth experience is also a trait of the taking-in phase, not the taking-hold phase.
Choice C rationale
Interest in learning about infant care indicates the taking-hold phase, where the mother becomes more focused on the baby's needs and her new role as a caregiver.
Choice D rationale
Relying on nursing staff for assistance is common in the taking-in phase, where the mother depends more on others for care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer is B
Explanation
Choice A rationale
Keeping the baby's bassinet away from fans is good practice to avoid drafts that could make the baby cold. Maintaining a stable environment is important for newborns to help regulate their body temperature effectively.
Choice B rationale
Checking the baby's temperature rectally every 3 hours is unnecessary and potentially harmful. Rectal temperature checks are invasive and not typically needed unless directed by a healthcare provider. Axillary temperature is safer and more commonly recommended.
Choice C rationale
Keeping the baby's head covered can help maintain body temperature, especially in cooler environments. Newborns can lose heat quickly through their heads, so this practice is beneficial to keep them warm.
Choice D rationale
Placing the baby on the stomach and covering with a warm blanket is not recommended for sleeping due to the risk of sudden infant death syndrome (SIDS). Babies should be placed on their backs to sleep to reduce this risk. .
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