The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?

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Postpartum Hormonal Changes Questions

Question 1 of 5

The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?

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.

Question 2 of 5

To promote bonding and attachment immediately after birth, which action should the nurse take?

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.

Question 3 of 5

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

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.

Question 4 of 5

Which should the nurse do to provide support to a patient who must return to full-time employment 6 weeks after a vaginal birth?

Correct Answer: A

Rationale: The correct answer is A because discussing child care arrangements with the patient is essential for addressing her concerns and ensuring a smooth transition back to full-time employment. By discussing child care options, the nurse can help the patient make informed decisions and feel more confident about returning to work. This step shows support and helps the patient plan ahead for her baby's care while she's at work. Choices B, C, and D are incorrect because they do not actively address the patient's needs or provide practical support. Allowing the patient to solve the problem on her own (B) may leave her feeling overwhelmed and unsupported. Reassuring her that she'll get used to leaving her baby (C) minimizes her feelings and does not offer concrete assistance. Allowing her to express feelings (D) is important but may not directly address the practical aspect of arranging child care, which is crucial for her successful return to work.

Question 5 of 5

An example of binding in during the postpartum period is a

Correct Answer: A

Rationale: The correct answer is A because it demonstrates the concept of binding, which refers to the process of forming a strong emotional attachment between a parent and their newborn. In this scenario, the new mother is sharing personal details about her labor and birth experience with her friends, showcasing her emotional connection and bonding with her baby. This act of sharing personal experiences and feelings with others reflects the deep emotional bond that the mother is forming with her child. Choices B, C, and D are incorrect because they do not directly demonstrate the concept of binding. Choice B focuses on the father's observation of the baby's physical resemblance to himself, which is not directly related to the emotional bonding process. Choice C discusses the mother's anxiety due to lack of support, which is a common issue during the postpartum period but does not specifically illustrate the concept of binding. Choice D mentions the mother's need for alone time to catch up on sleep, which is a practical aspect of postpartum care but does not address the

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