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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Breast milk typically "comes in" within 3 to 5 days postpartum due to hormonal changes, particularly the increase in prolactin and decrease in progesterone.

Choice B rationale

Breast milk usually does not come in within 2 days postpartum because the hormonal changes required take a bit more time to occur.

Choice C rationale

Breast milk coming in around 10 days postpartum is later than usual and may indicate a delay or complication in lactation.

Choice D rationale

Breast milk coming in 6 to 8 days postpartum is somewhat later than the typical 3 to 5 day range, potentially indicating a minor delay in lactation.

A. This method may delay pregnancy for up to 9 months after stopping. B. She can use Depo-Provera as a birth control method until she is 40. C. Aerobic (cardio) exercises will help prevent bone loss. D. She will continue to have menstrual bleeding while using Depo-Provera.

Correct Answer is ["A","C"]

Explanation

Choice A rationale

Depo-Provera may delay the return of fertility for up to 9 months after discontinuation due to its effect on the menstrual cycle.

Choice C rationale

Aerobic exercises are recommended to help prevent bone loss, which can be a side effect of long-term Depo-Provera use.

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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?

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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?