A 28-year-old female client is admitted to the labor and delivery unit at 0700hrs. She is 34 weeks pregnant and reports having low back pain and frequent urination since last night. She mentions that urination is painful and she can only pass a small amount each time.

Exhibits

Given the client’s symptoms and the progression of her condition, the nurse suspects that the client may be experiencing complications related to preterm labor and a possible urinary tract infection (UTI). For each characteristic in the table, select whether it is more likely to be associated with preterm labor, a urinary tract infection (UTI), or both. Each column must have at least one response option selected. Candidates can select as many options as apply for each column.

The correct answer is choiceB. Expressions of excitement.

Choice A rationale:

Eagerness to learn newborn care skills is more characteristic of the “taking-hold” phase, which follows the “taking-in” phase.During the taking-hold phase, the mother becomes more independent and starts to take an active role in caring for her newborn.

Choice B rationale:

Expressions of excitement are typical during the “taking-in” phase. This phase occurs in the first 1-2 days postpartum, where the mother is primarily focused on herself and her birth experience.She may be excited and talkative about the birth process.

Choice C rationale:

Focus on the family unit and its members is more aligned with the “letting-go” phase, which is the final phase of maternal postpartum adjustment.In this phase, the mother starts to integrate the newborn into the family and adjusts to her new role.

Choice D rationale:

Lack of appetite can occur during the “taking-in” phase due to exhaustion and the physical demands of labor, but it is not a defining characteristic of this phase.

Choice A rationale
Introducing solid foods to a baby at 3 months old is not recommended. The American Academy of Pediatrics suggests exclusive breastfeeding for the first 6 months of life.
Choice B rationale
The American Dental Association recommends that a child is at least 6 months old before they start using fluoride supplements, and only if the child is at high risk for tooth decay and the primary drinking water source is deficient in fluoride.
Choice C rationale
Waiting to give fruit juice until a baby is 6 months old is a correct practice. The American Academy of Pediatrics recommends that fruit juice should not be introduced into the diet of infants before 6 months of age.
Choice D rationale
Introducing cow’s milk when a baby is 9 months old is not recommended. The American Academy of Pediatrics advises against introducing cow’s milk until a child is 12 months old.