The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?

Correct Answer: B

Rationale: The correct answer is B: full bladder. A full bladder can cause the fundus to be boggy, elevated, and deviated to one side due to impeding the uterus from contracting properly. This can lead to postpartum hemorrhage. Uterine rupture (A) would present with severe abdominal pain and signs of shock. Perineal laceration (C) would not cause these fundus changes. Hematoma (D) would present with localized swelling and pain, not fundal changes.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Instructing the person to call the nurse to warm up food or drink is the best way to support the cultural tradition of consuming warm drinks and food. This option respects the individual's cultural preferences and provides a practical solution to meet their needs without imposing personal opinions. By offering assistance in warming up the food or drink, the nurse acknowledges and honors the person's cultural background, promoting a culturally sensitive and patient-centered approach. Summary of Incorrect Choices: A: Explaining that nurses do not have control over the food dismisses the person's request and does not address the cultural tradition. B: Telling the person that cold fluids are better for recovery disregards the cultural preference for warm drinks and food. D: Educating the person on culture in the United States is not relevant to supporting their specific cultural tradition of consuming warm drinks and food.

Correct Answer: A

Rationale: The correct answer is A: Maternal Role Attainment. Mercer's theory emphasizes the process through which a woman acquires the maternal role, including changes in behavior, attitudes, and values. Choice B, Postpartum Adapting, is vague and doesn't specifically address the process of becoming a mother. Choice C, Postpartum Maternal Change, is too general and lacks the focus on role attainment. Choice D, Maternal Encouragement, is not a theory developed by Ramona Mercer and does not capture the essence of the maternal role attainment process.

Correct Answer: C

Rationale: The correct answer is C: lack of attachment. Ineffective parenting practices can lead to difficulties in forming a secure attachment bond with the newborn, which is crucial for their emotional and social development. This can result in long-term negative outcomes such as behavioral issues and emotional instability. Incorrect choices: A: Sleeplessness is a common issue for newborns but is not directly caused by ineffective parenting practices. B: Reflux can occur in newborns due to various reasons, not necessarily related to parenting practices. D: NICU admission may be necessary for certain medical conditions unrelated to parenting practices.

Correct Answer: C

Rationale: The correct answer is C because parent-infant attachment involves emotional bonding and responsiveness. If a parent is disinterested, it may indicate a lack of bonding and potential attachment issues. Choice A is not concerning as sleepiness is common postpartum. Choice B is positive as both parents caring for the infant contributes to attachment. Choice D is also positive as family involvement can support attachment.