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Postpartum persons who lack attachment with their newborn exhibit what behavior?
- A. intense eye contact
- B. avoid holding the newborn
- C. cuddling
- D. exploring the newborn
Correct Answer: B
Rationale: The correct answer is B because avoiding holding the newborn is a sign of lack of attachment in postpartum persons. This behavior indicates a lack of desire or ability to bond with the newborn, which is crucial for healthy emotional development. Intense eye contact (choice A) and cuddling (choice C) are typically associated with bonding behaviors. Exploring the newborn (choice D) can also be a positive behavior showing interest. However, the key indicator of attachment issues is the avoidance of holding the newborn, making choice B the correct answer.
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Which measure is optimal in order to prevent abdominal distention following a cesarean birth?
- A. Rectal suppositories
- B. Carbonated beverages
- C. Early and frequent ambulation
- D. Tightening and relaxing abdominal muscles
Correct Answer: C
Rationale: The correct answer is C: Early and frequent ambulation. This measure is optimal to prevent abdominal distention following a cesarean birth because it helps promote bowel motility and gas expulsion. Ambulation stimulates peristalsis, preventing gas accumulation and reducing the risk of distention. Rectal suppositories (A) may help with constipation but do not address the root cause of distention. Carbonated beverages (B) can exacerbate bloating and gas production. Tightening and relaxing abdominal muscles (D) may provide some relief but are not as effective as promoting ambulation for preventing abdominal distention.
The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?
- A. Hand the baby to the woman.
- B. Explain “taking-in” to the woman.
- C. Offer to hand the baby to the woman.
- D. No action, because this situation is perfectly acceptabl
Correct Answer: B
Rationale: The correct answer is B: Explain "taking-in" to the woman. This action allows the nurse to educate the woman on the normal postpartum adjustment period. By explaining "taking-in," the nurse helps the woman understand her current need for rest and reflection without feeling guilty about not immediately attending to her newborn. This approach promotes bonding by reducing anxiety and enhancing the mother's confidence in her abilities.
Summary of other choices:
A: Hand the baby to the woman - This choice may not address the woman's emotional needs and understanding of her current state.
C: Offer to hand the baby to the woman - While offering is a good gesture, it may not address the underlying need for education and reassurance.
D: No action, because this situation is perfectly acceptable - Ignoring the opportunity to provide guidance and support may lead to confusion and insecurity for the woman.
A client, 1 day postpartum (PP), is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?
- A. Urine output 200 mL for the past 8 hours.
- B. Weight decrease of 2 pounds since delivery.
- C. Drop in hematocrit of 2% since admission.
- D. Pulse rate of 68 beats per minute.
Correct Answer: A
Rationale: Reduced urine output indicates potential hypovolemia.
Which of the following is a priority nursing diagnosis for a woman, G10 P6226, who is PP1 from a spontaneous vaginal delivery with a significant postpartum hemorrhage?
- A. Alteration is comfort related to afterbirth pains.
- B. Risk for altered parenting related to grand multiparity.
- C. Fluid volume deficit related to blood loss.
- D. Risk for sleep deprivation related to mothering role.
Correct Answer: C
Rationale: Hemorrhage causes fluid loss.
Which maternal event is abnormal in the early postpartal period?
- A. Diuresis and diaphoresis
- B. Flatulence and constipatiNon R I G
- C. Extreme hunger and thirst
- D. Lochial color changes from rubra to alba
Correct Answer: D
Rationale: The correct answer is D because the normal progression of lochia after childbirth is from rubra (red) to serosa (pinkish-brown) to alba (yellow-white). This signifies the normal healing process of the uterus. Choices A, B, and C are all normal postpartum events. Diuresis and diaphoresis help eliminate excess fluid from pregnancy, flatulence and constipation can occur due to hormonal changes and decreased muscle tone, and extreme hunger and thirst are common as the body recovers from childbirth.