Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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Which should the nurse do to provide support to a patient who must return to full-time employment 6 weeks after a vaginal birth?

  • A. Discuss child care arrangements with her.
  • B. Allow her to solve the problem on her own.
  • C. Reassure her that she’ll get used to leaving her baby.
  • D. Allow her to express her positive and negative feelings freely.
Correct Answer: A

Rationale: The correct answer is A because discussing child care arrangements with the patient is essential for addressing her concerns and ensuring a smooth transition back to full-time employment. By discussing child care options, the nurse can help the patient make informed decisions and feel more confident about returning to work. This step shows support and helps the patient plan ahead for her baby's care while she's at work.

Choices B, C, and D are incorrect because they do not actively address the patient's needs or provide practical support. Allowing the patient to solve the problem on her own (B) may leave her feeling overwhelmed and unsupported. Reassuring her that she'll get used to leaving her baby (C) minimizes her feelings and does not offer concrete assistance. Allowing her to express feelings (D) is important but may not directly address the practical aspect of arranging child care, which is crucial for her successful return to work.

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A client is receiving a blood transfusion after the delivery of a placenta accreta and hysterectomy. Which of the following complaints by the client would warrant immediately discontinuing the infusion?

  • A. My lower back hurts all of a sudden.
  • B. My hands feel so cold.
  • C. I feel like my heart is beating fast.
  • D. I feel like I need to have a bowel movement.
Correct Answer: A

Rationale: Back pain can indicate a hemolytic reaction.

A woman who wishes to breastfeed advises the nurse that she has had breast augmentation surgery. Which of the following responses by the nurse is appropriate?

  • A. Breast implants often contaminate the milk with toxins.
  • B. The glandular tissue of women who need implants is often deficient.
  • C. Babies often have difficulty latching to the nipples of women with breast implants.
  • D. Women who have implants are often able exclusively to breastfeed.
Correct Answer: D

Rationale: Implants do not preclude breastfeeding.

A couple, accompanied by their 5-year-old daughter, have been notified that their 32-week-gestation fetus is dead. The father is yelling at the staff. The mother is crying uncontrollably. The 5-year-old is banging the head of her doll on the floor. Which of the following nursing actions is appropriate at this time?

  • A. Tell the father that his behavior is inappropriate.
  • B. Sit with the family and quietly communicate sorrow at their loss.
  • C. Help the couple to understand that their daughter is acting inappropriately.
  • D. Encourage the couple to send their daughter to her grandparents.
Correct Answer: B

Rationale: Supportive presence is key.

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.

A mucousy baby is being left with the parents for the first time after delivery. Which of the following should the nurse teach the parents regarding use of the bulb syringe?

  • A. Suction the nostrils before suctioning the mouth.
  • B. Make sure to suction the back of the throat.
  • C. Insert the syringe before compressing the bulb.
  • D. Dispose of the drainage in a tissue or a cloth.
Correct Answer: A

Rationale: Suctioning the nostrils first clears airways effectively.

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