The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

Correct Answer: A

Rationale: The correct answer is A because the absence of swelling or edema to the perineal area indicates that the ice sitz baths have been effective in reducing inflammation and promoting healing. Swelling and edema are common postpartum, and the use of ice sitz baths can help reduce these symptoms. Choice B is incorrect because the patient complaining that the sitz bath is too cold does not provide information on the effectiveness of the treatment, only the patient's comfort level. Choice C is incorrect because the frequency of sitz baths does not necessarily indicate effectiveness. It is more important to assess the outcomes of the treatment rather than the number of baths taken. Choice D is incorrect because the approximation of perineal laceration edges may be influenced by other factors such as suturing technique, rather than the effectiveness of the ice sitz baths.

Correct Answer: B

Rationale: The correct answer is B: Explain "taking-in" to the woman. This action allows the nurse to educate the woman on the normal postpartum adjustment period. By explaining "taking-in," the nurse helps the woman understand her current need for rest and reflection without feeling guilty about not immediately attending to her newborn. This approach promotes bonding by reducing anxiety and enhancing the mother's confidence in her abilities. Summary of other choices: A: Hand the baby to the woman - This choice may not address the woman's emotional needs and understanding of her current state. C: Offer to hand the baby to the woman - While offering is a good gesture, it may not address the underlying need for education and reassurance. D: No action, because this situation is perfectly acceptable - Ignoring the opportunity to provide guidance and support may lead to confusion and insecurity for the woman.

Correct Answer: A

Rationale: The correct answer is A: Letting-go. During this phase, the mother transitions from idealized fantasies about her baby to accepting the reality of the infant. She lets go of unrealistic expectations and embraces the actual characteristics of her child. Choice B, Taking-in, refers to the mother focusing on her own needs post-birth. Choice C, Taking-on, involves the mother identifying with her new role. Choice D, Taking-hold, pertains to the mother forming a strong bond with the baby. However, none of these phases specifically address the process of relinquishing idealized fantasies and accepting the real baby like the Letting-go phase does.

Correct Answer: D

Rationale: The correct answer is D because assuming an en face position (face-to-face) with the newborn promotes bonding and attachment by facilitating eye contact, skin-to-skin contact, and mutual recognition between the mother and baby. This physical closeness immediately after birth helps establish a strong emotional connection. A: Assisting with feeding is important but does not specifically address bonding and attachment immediately after birth. B: Allowing quiet time is beneficial but may not actively promote bonding and attachment. C: Teaching about bonding and attachment is valuable but does not directly facilitate the immediate connection between mother and baby.

Correct Answer: A

Rationale: The correct answer is A because helping new parents identify resources promotes a smoother role transition by providing support and guidance. This action empowers parents to access necessary services and assistance. Choice B is incorrect as frequent babysitting does not address the parents' transition needs. Choice C is incorrect because focusing on the negatives may increase anxiety. Choice D is incorrect as it lacks proactive support and guidance.