What should a new mother do to accept the real baby?

Correct Answer: A

Rationale: Accepting the real infant and relinquishing the fantasy infant occurs during the letting-go phase of maternal adjustment. This phase is crucial for a mother to bond with her baby and establish a healthy relationship. Letting-go allows the mother to embrace the reality of her new role and the needs of her infant, leading to better maternal adjustment and overall well-being for both mother and baby.

Correct Answer: C

Rationale: Early and frequent feedings prevent milk stasis, engorgement, and mastitis by ensuring proper milk flow and emptying of the breast. Nursing for only 5 minutes may not fully empty the breast, leading to stasis. Tight bras can constrict milk flow, and ice packs before feeding can decrease milk production. Frequent feedings are key to preventing mastitis in breastfeeding patients.

Correct Answer: D

Rationale: The correct answer is D) on the second postpartum day. In the postpartum period, a late postpartum hemorrhage is defined as excessive bleeding occurring between 24 hours and up to 12 weeks post-delivery. In this scenario, since the patient delivered 3 days ago, the hemorrhage occurring on the second postpartum day aligns with this definition. Option A) on the first postpartum day is incorrect because a hemorrhage occurring on the first day would be considered an early postpartum hemorrhage, typically within the first 24 hours post-delivery. Option B) during the recovery phase of labor is incorrect as hemorrhage during labor recovery is not termed as postpartum hemorrhage. Option C) during the third stage of labor is also incorrect as this stage includes the delivery of the placenta, not the postpartum period. Educationally, understanding the timing and definitions of postpartum hemorrhage is crucial for nurses caring for postpartum patients. This knowledge is vital for early recognition, prompt intervention, and ensuring optimal outcomes for both the mother and baby. Nurses must be able to differentiate between early and late postpartum hemorrhage to provide appropriate care and prevent complications.

Correct Answer: B

Rationale: Instructing the patient to cleanse the perineum from front to back helps prevent infection of the reproductive tract by avoiding introduction of infection from the anal area. Changing the peripad once per shift and performing pericare twice in a shift are incorrect as hygiene measures should be done at every voiding or bowel elimination. Increasing fluid intake does not directly prevent infection of the reproductive tract.

Correct Answer: C

Rationale: Conjugation of bilirubin is the process of changing bilirubin from a fat-soluble to a water-soluble product. This process is important for the elimination of bilirubin from the body. The other choices, such as albumin binding, enterohepatic circuit, and deconjugation of bilirubin, do not describe the specific process of changing bilirubin's solubility.