The nurse screens for risk factors such as an infant in the neonatal intensive care unit (NICU), difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support for what complication?

Correct Answer: C

Rationale: The correct answer is C) postpartum depression. Postpartum depression is a common complication that affects many new mothers and can have serious effects on both the mother and the baby. Screening for risk factors such as an infant in the NICU, difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support is crucial in identifying women who may be at risk for developing postpartum depression. Option A) maladaptive parenting is incorrect because it does not specifically address the mental health aspect of the situation. Option B) psychosis is also incorrect as it is a severe mental disorder characterized by a loss of contact with reality, which is not the primary concern in this scenario. Option D) bipolar disorder is incorrect as it is a mood disorder characterized by fluctuations between depressive and manic episodes, which is not the most likely complication based on the risk factors provided. In an educational context, understanding the risk factors and signs of postpartum depression is essential for healthcare professionals working with new mothers. By recognizing these factors early, nurses can provide appropriate support, referrals, and interventions to help prevent or manage postpartum depression, ultimately improving outcomes for both the mother and the baby.

Correct Answer: A

Rationale: In the context of postpartum care, understanding Rubin's attachment model is crucial for nurses to provide appropriate support to postpartum individuals. The correct answer is A) Taking In. This stage is characterized by the individual being focused on their own physical recovery and depending on others, such as the nurse or partner, for assistance with basic needs. This dependency and passivity are normal as the individual processes the birth experience and adjusts to their new role as a parent. Option B) Taking Hold is focused on gaining confidence and competence in caring for the newborn, which comes after the Taking In stage. Option C) Postpartum Maternal Change and Option D) Attainment of Change do not align with Rubin's stages of attachment and are not relevant to the scenario described. Educationally, understanding the stages of Rubin's attachment model can help nurses anticipate the needs and emotions of postpartum individuals, allowing for more effective and empathetic care. By recognizing which stage a person is in, nurses can tailor their support to provide the appropriate level of assistance and encouragement during this critical period of adjustment.

Correct Answer: B

Rationale: In the context of pharmacology and postpartum complications, the correct answer to the question is B) avoid holding the newborn. This behavior is often seen in postpartum individuals who lack attachment to their newborn due to various factors such as postpartum depression or anxiety. Avoiding holding the newborn may indicate a lack of bonding and emotional connection with the infant. Option A) intense eye contact is not typically indicative of a lack of attachment but rather can be a sign of engagement and bonding. Option C) cuddling is also a behavior associated with bonding and nurturing the newborn, which would not align with a lack of attachment. Option D) exploring the newborn may actually demonstrate an interest in getting to know the baby and does not necessarily imply a lack of attachment. Educationally, understanding these behaviors is crucial for healthcare professionals, especially those in pharmacology, as it can help identify potential postpartum complications early on. This knowledge can guide interventions and support for individuals experiencing difficulties in bonding with their newborns, leading to better outcomes for both the parent and the child.

Correct Answer: A

Rationale: In the context of pharmacology and postpartum care, the correct answer is A) increased risk for DVT (deep vein thrombosis) for a person with a cesarean birth. This is because individuals who undergo cesarean births are at higher risk for developing DVT due to factors such as decreased mobility post-surgery, venous stasis, and hypercoagulability associated with pregnancy itself. Option B) faster recovery is incorrect because cesarean births typically require a longer recovery time compared to vaginal births due to the surgical nature of the procedure. Option C) less use of pain medication is incorrect as cesarean births usually entail more pain and discomfort, thus necessitating the use of pain medication for adequate pain management. Option D) less risk for infection is also incorrect as cesarean births are associated with a higher risk of infection compared to vaginal births due to the surgical incision and the potential for bacterial exposure during the procedure. Understanding these distinctions is crucial for nurses caring for postpartum individuals to anticipate and address potential complications effectively, highlighting the importance of pharmacological interventions and monitoring for post-cesarean care.

Correct Answer: B

Rationale: In postpartum care, engorgement can cause discomfort for non-breastfeeding individuals due to the accumulation of milk in the breasts. The correct instruction to provide in this situation is to apply cold packs and cabbage leaves. This is because cold packs help reduce swelling and discomfort associated with engorgement, while cabbage leaves have been found to have anti-inflammatory properties that can provide relief. Option A, massaging the breasts to release milk, is not recommended as it can stimulate further milk production and exacerbate engorgement. Option C, standing in a warm shower to stimulate letdown, is also not appropriate as it can increase milk production and worsen engorgement. Option D, not wearing a bra, can lead to discomfort and lack of support for engorged breasts. Educationally, it is crucial for nurses to provide accurate and evidence-based instructions to individuals experiencing postpartum complications. Understanding the rationale behind each instruction helps individuals make informed decisions about their care and promotes better outcomes. By explaining the correct approach to managing engorgement, nurses empower patients to effectively address discomfort and promote their overall well-being during the postpartum period.