The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?

Correct Answer: A

Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.

Correct Answer: A

Rationale: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.

Correct Answer: B

Rationale: The correct answer is B: Apply cold packs and cabbage leaves. Engorgement causes breast swelling and discomfort due to increased blood and milk supply. Applying cold packs reduces inflammation and pain. Cabbage leaves have a cooling effect and can help reduce swelling. Massaging breasts can worsen engorgement by stimulating more milk production. Standing in a warm shower may provide temporary relief but does not address the root cause. Not wearing a bra may lead to discomfort and does not alleviate engorgement.

Correct Answer: A

Rationale: The correct answer is A: involvement of the partner during the prenatal period. This intervention increases the involvement of the adolescent partner postpartum by fostering a sense of responsibility, connection, and support early on in the pregnancy. By actively engaging the partner in prenatal care and decision-making processes, they are more likely to feel invested in the pregnancy and the well-being of the newborn. This involvement also promotes better communication and shared responsibilities between the partners, leading to a smoother transition into parenthood. Summary of why other choices are incorrect: B: Involvement of parents in decision making may be beneficial but does not directly address the involvement of the adolescent partner postpartum. C: Restricting people in the labor room does not promote partner involvement postpartum and may hinder support networks. D: Providing newborn care in the nursery may be helpful for short-term respite but does not enhance the involvement of the partner postpartum.

Correct Answer: D

Rationale: The correct answer is D because asking about the patient's expectations for newborn photos or video shows empathy and support for the mother's emotional needs during this difficult time. It allows the nurse to provide personalized care and helps the mother create lasting memories. A: Using phrases like "giving away your child" is insensitive and can be hurtful to the mother. B: Discouraging the mother from holding the baby can be emotionally damaging and is not supportive. C: Asking why she is giving up her baby can be intrusive and may not be helpful at this moment.