You know that _________ promotes bonding, helps infant maintain their temperature and promotes involution.

Skin to Skin contact

Swaddling the infant

Allowing family members to hold infant

None of the above

Answer and Explanation

The Correct Answer is A

A) Skin to Skin contact:
Skin-to-skin contact, also known as "kangaroo care," is a highly beneficial practice for both the mother and the infant in the immediate postpartum period. It promotes bonding by enhancing emotional connections, helps the infant maintain their body temperature through the transfer of warmth from the mother’s chest, and supports the initiation of breastfeeding, which is essential for the infant's nourishment. Additionally, skin-to-skin contact stimulates the release of oxytocin, which can aid in uterine contractions and promote involution of the uterus.

B) Swaddling the infant:
While swaddling the infant can provide comfort and a sense of security, it does not directly promote bonding or help with temperature regulation as effectively as skin-to-skin contact does. Swaddling can help the infant feel secure and prevent the startle reflex but does not have the same physiological benefits in terms of promoting involution or maintaining body temperature.

C) Allowing family members to hold the infant:
While allowing family members to hold the infant can help with bonding, it does not offer the same immediate physical benefits as skin-to-skin contact between the mother and infant. Skin-to-skin contact is particularly beneficial in terms of temperature regulation and promoting the early stages of breastfeeding, which can help with the involution of the uterus.

D) None of the above:
This option is incorrect because skin-to-skin contact has been shown to promote bonding, help regulate the infant's temperature, and support postpartum recovery processes, including uterine involution.

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Correct Answer is A

Explanation

A. Mother Rh-, baby Rh+:
Rh immune globulin (RhoGAM) is given to Rh-negative mothers after childbirth if the baby is Rh-positive. This is to prevent the mother from developing antibodies against Rh-positive blood cells, which could affect future pregnancies. If the mother’s immune system recognizes Rh-positive cells as foreign, it may start producing antibodies that can cross the placenta and harm future Rh-positive fetuses, potentially leading to hemolytic disease of the newborn. Administering RhoGAM prevents this sensitization from occurring.

B. Mother Rh-, baby Rh-:
If the mother is Rh-negative and the baby is also Rh-negative, there is no risk of Rh incompatibility. Since there is no Rh-positive blood in the mix, the mother will not develop antibodies against Rh-positive cells. Therefore, Rh immune globulin is not needed in this situation.

C. Mother Rh+, baby Rh+:
If the mother is Rh-positive, there is no risk of Rh incompatibility regardless of the baby’s Rh status. Rh-positive mothers do not produce antibodies against Rh-positive blood cells, so RhoGAM is unnecessary in this scenario.

D. Mother Rh+, baby Rh-:
Again, since the mother is Rh-positive, there is no risk of sensitization, even if the baby is Rh-negative. In this situation, the mother's immune system will not generate antibodies against Rh-negative blood cells, and RhoGAM is not needed.

A. Prolactin B. Estrogen C. Progesterone D. Human placental lactogen E. Relaxin

Correct Answer is A

Explanation

A) Prolactin:
Prolactin is the primary hormone responsible for stimulating milk production in the postpartum period. In breastfeeding mothers, prolactin levels remain elevated, especially during the first few weeks after delivery, to support lactation. This hormone is released in response to suckling and is essential for maintaining a steady milk supply. Elevated prolactin levels help establish and maintain breastfeeding during the early postpartum period, even as other pregnancy-related hormones begin to decline.

B) Estrogen:
Estrogen levels drop sharply after childbirth, as the placenta is no longer present to produce this hormone. The decline in estrogen is one of the factors that helps initiate lactation. While estrogen rises later during the postpartum period as the body returns to its non-pregnant state, it is not elevated during the immediate postpartum period in breastfeeding women.

C) Progesterone:
Similar to estrogen, progesterone levels fall quickly after delivery. Progesterone is involved in maintaining pregnancy, and its levels decrease significantly once the placenta is delivered. A reduction in progesterone is one of the hormonal changes that triggers the onset of lactation. It does not remain elevated in the immediate postpartum period.

D) Human placental lactogen (hPL):
hPL is produced by the placenta during pregnancy to support fetal growth and prepare the breasts for lactation. However, after delivery, hPL levels decline rapidly because the placenta is expelled. It is not elevated in the immediate postpartum period.

E) Relaxin:
Relaxin is a hormone that helps to soften the cervix and relax the ligaments in preparation for childbirth. Its levels are elevated during pregnancy and drop significantly after delivery. It does not remain elevated in the postpartum period, particularly in breastfeeding women.

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You know that _________ promotes bonding, helps infant maintain their temperature and promotes involution.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Rh, immune globulin will be ordered after birth if which situation occurs?

Correct Answer is A

Explanation

What hormone remains elevated in the immediate postpartum period in a breastfeeding patient?

Correct Answer is A

Explanation

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