Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

  • A. Letting-go
  • B. Taking-in
  • C. Taking-on
  • D. Taking-hold
Correct Answer: A

Rationale: The correct answer is A: Letting-go. During this phase, the mother transitions from idealized fantasies about her baby to accepting the reality of the infant. She lets go of unrealistic expectations and embraces the actual characteristics of her child. Choice B, Taking-in, refers to the mother focusing on her own needs post-birth. Choice C, Taking-on, involves the mother identifying with her new role. Choice D, Taking-hold, pertains to the mother forming a strong bond with the baby. However, none of these phases specifically address the process of relinquishing idealized fantasies and accepting the real baby like the Letting-go phase does.

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A nurse is caring for a client, PP2, who is preparing to go home with her infant. The nurse notes that the client's blood type is O− (negative), the baby's type is A+ (positive), and the direct Coombs' test is negative. Which of the following actions by the nurse is appropriate?

  • A. Advise the client to keep her physician appointment at the end of the week to receive her RhoGAM injection.
  • B. Make sure that the client receives a RhoGAM injection before she is discharged from the hospital.
  • C. Notify the client that because her baby's Coombs' test was negative she will not receive an injection of RhoGAM.
  • D. Inform the client's physician that because the woman is being discharged on the second day, the RhoGAM could not be given.
Correct Answer: B

Rationale: RhoGAM is necessary to prevent sensitization.

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

  • A. Helps the new parents identify resources.
  • B. Recommends employing babysitters frequently.
  • C. Tells the parents about the realities of parenthoo
  • D. Offers a home phone number and tells parents to call if they have a question.
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.

The nurse is assessing a neonate in the newborn nursery. Which of the following findings in a newborn should be reported to the neonatologist?

  • A. The eyes cross and uncross when they are open.
  • B. The ears are positioned in alignment with the inner and outer canthus of the eyes.
  • C. Axillae and femoral folds of the baby are covered with a white cheesy substance.
  • D. The nostrils flare whenever the baby inhales.
Correct Answer: D

Rationale: Nostril flaring indicates respiratory distress.

A client has been receiving magnesium sulfate for severe preeclampsia for 12 hours. Her reflexes are 0 and her respiratory rate is 10. Which of the following situations could be a precipitating factor in these findings?

  • A. Apical heart rate 104 bpm.
  • B. Urinary output 240 mL/12 hr.
  • C. Blood pressure 160/120.
  • D. Temperature 100°F.
Correct Answer: B

Rationale: Decreased urinary output can lead to magnesium toxicity.

The physician declares after delivering the placenta of a client during a cesarean section that it appears that the client has a placenta accreta. Which of the following maternal complications would be consistent with this diagnosis?

  • A. Blood loss of 2,000 mL.
  • B. Blood pressure of 160/110.
  • C. Jaundiced skin color.
  • D. Shortened prothrombin time.
Correct Answer: A

Rationale: Placenta accreta causes significant blood loss.

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