What physiologic postpartum change occurs because the uterus shrinks in size, resulting in an increase in blood flow?

Correct Answer: B

Rationale: The correct answer is B: Cardiac output increases. As the uterus shrinks in size postpartum, it stimulates an increase in blood flow to the area, leading to an increase in cardiac output to meet the demands. This is a normal physiologic response that helps to prevent excessive bleeding and promote healing. Edema increasing (A) is not directly related to the shrinking uterus. Temperature rising (C) is not a typical postpartum change due to uterine involution. Lochia increasing (D) is not a direct result of uterine shrinkage, but rather a normal discharge after childbirth.

Correct Answer: C

Rationale: The correct answer is C: postpartum depression. Screening for risk factors such as a baby in the NICU, difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support are all associated with an increased risk for postpartum depression. Postpartum depression is a common complication that affects many new mothers and can have significant impacts on both the mother and the baby's well-being. It is important for healthcare providers to be vigilant in screening for these risk factors to identify and support mothers at risk for postpartum depression. Summary: A: maladaptive parenting - Not directly related to the risk factors listed. B: psychosis - Not typically associated with the listed risk factors. D: bipolar disorder - While bipolar disorder can occur postpartum, the listed risk factors are more specifically linked to postpartum depression.

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.