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The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful?
- A. Encourage the couple to identify mutual expectations of the fathering role.
- B. Critique the father's methods of providing physical care for the neonate.
- C. Provide written materials about the physical and emotional role of a father.
- D. Observe for a competitive attitude between the parents about providing baby care.
Correct Answer: A
Rationale: The correct answer is A because it promotes open communication and mutual understanding between the couple. By encouraging the couple to identify mutual expectations of the fathering role, the nurse helps establish a supportive environment for the father to understand his role with the neonate. This intervention fosters collaboration and shared responsibility, which are crucial for a healthy parent-child relationship.
Incorrect choices:
B: Critiquing the father's methods can be discouraging and may create tension between the parents.
C: Providing written materials is informative but may not address the unique dynamics of the couple's relationship.
D: Observing for a competitive attitude does not actively involve the nurse in facilitating the father's understanding of his role.
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The nurse is providing care for a new mother during a follow-up visit 6 weeks after a vaginal delivery. The mother begins to cry and reports difficulty with eating and sleeping. The nurse identifies postpartum blues and cites which reason as the most likely cause?
- A. Fatigue related to a 'fussy' baby
- B. Frustration over physical appearance
- C. Changes in hormonal levels
- D. Stress related to new mother role
Correct Answer: C
Rationale: The correct answer is C: Changes in hormonal levels. During the postpartum period, there is a significant drop in estrogen and progesterone levels, which can contribute to mood swings, emotional instability, and feelings of sadness. This is known as postpartum blues. The other choices are incorrect because fatigue related to a 'fussy' baby (A), frustration over physical appearance (B), and stress related to new mother role (D) are factors that can contribute to postpartum depression, not postpartum blues specifically.
The nurse is discussing contraception with a couple before discharge following the birth of a first child. The couple are uncertain about the method but are certain about avoiding pregnancy for at least 2 years. Which method does the nurse recommend?
- A. Emergency contraceptives
- B. Oral estrogen/progesterone pill
- C. Depo-Provera
- D. Natural family planning
Correct Answer: C
Rationale: The correct answer is C: Depo-Provera. The couple wants to avoid pregnancy for at least 2 years. Depo-Provera is a highly effective long-acting reversible contraceptive that only requires an injection every 3 months, providing reliable contraception for an extended period. It does not rely on daily adherence like the oral pill (B) or emergency contraceptives (A). Natural family planning (D) may not be the best choice for a couple wanting to avoid pregnancy with certainty for 2 years due to its reliance on tracking menstrual cycles and abstinence during fertile periods.
As a result of the previously mentioned research study, the nurses in a postpartum facility will implement which evidence-based change?
- A. Continue to assess the level of fatigue for the mother during postpartum period.
- B. Assist fathers in recognizing and managing stress and depressive symptoms.
- C. Encourage the father to go home and rest while the mother is hospitalized.
- D. Promote strategies to decrease fatigue during both prenatal and postnatal periods.
Correct Answer: D
Rationale: The correct answer is D because promoting strategies to decrease fatigue during both prenatal and postnatal periods aligns with the goal of improving maternal well-being and outcomes. This approach focuses on preventive measures to address fatigue before and after childbirth, which can positively impact the mother's recovery and overall health. Assessing fatigue (Option A) is important but addressing strategies to decrease it is more proactive. Assisting fathers (Option B) is valuable, but the primary focus should be on the mother's well-being in a postpartum facility. Encouraging the father to rest (Option C) may not address the mother's needs or promote her recovery effectively.
The nurse is educating the postpartum client on lactation suppression. Which instructions to the client regarding lactation suppression should be included? Select all that apply.
- A. "Take warm showers twice a day."
- B. "Pump each breast three times a day."
- C. "Apply a heating pad to each breast."
- D. "Wear a well-fitting bra for the first 5 to 6 days."
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
- Wearing a well-fitting bra provides support and pressure on the breasts, which can help decrease milk production and relieve discomfort during lactation suppression.
- Warm showers, pumping, and applying a heating pad can actually stimulate milk production rather than suppress it, so they are not appropriate instructions for lactation suppression.
- Therefore, option D is the correct choice as it promotes effective lactation suppression by providing proper breast support.
The nurse is educating the postpartum client on lactation suppression. Which instructions to the client regarding lactation suppression should be included? Select all that apply.
- A. "Take warm showers twice a day."
- B. "Pump each breast three times a day."
- C. "Apply a heating pad to each breast."
- D. "Wear a well-fitting bra for the first 5 to 6 days."
Correct Answer: D
Rationale: Rationale: Option D is correct because wearing a well-fitting bra provides support and helps reduce stimulation to the breasts, aiding in lactation suppression. Warm showers, pumping, and applying heating pads can all increase milk production, which is counterproductive to lactation suppression. Therefore, options A, B, and C are incorrect.