A nurse is assessing a postpartum client who delivered her second baby 3 days ago.

The client says, “I feel sad that my older child will not get as much attention from me as before.” The nurse recognizes that the client is in which phase of maternal role attainment?

Dependent

Dependent-independent

Interdependent

Independent

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Interdependent. According to Mercer’s theory of maternal role attainment, the interdependent phase is when the mother redefines her relationship with her older child and integrates the new baby into the family. She also reestablishes her role in society and resumes her pre-pregnancy activities.

Choice A is wrong because dependent is the first phase of maternal role attainment, when the mother is focused on her own needs and recovery after childbirth. She relies on others for support and guidance.

Choice B is wrong because dependent-independent is the second phase of maternal role attainment, when the mother begins to take charge of her own care and learns how to care for the baby. She seeks information and validation from health professionals and experienced mothers.

Choice D is wrong because independent is the fourth and final phase of maternal role attainment, when the mother has a strong sense of identity and competence in her maternal role. She develops her own style of mothering and feels confident and comfortable with her baby.

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Correct Answer is A

Explanation

Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women.It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.

A. Tell the client that she should focus on the positive outcome of having a healthy baby. B. Encourage the client to talk about her feelings and listen empathetically. C. Explain to the client that her expectations were unrealistic and unachievable. D. Suggest that the client seek professional counseling to cope with her emotions.

Correct Answer is B

Explanation

The correct answer is choice B. Encourage the client to talk about her feelings and listen empathetically.

This action shows respect for the client’s emotions and helps her process her experience.

It also allows the nurse to provide support and reassurance.

Choice A is wrong because it dismisses the client’s feelings and implies that she should not be upset.

This can make the client feel guilty or invalidated.

Choice C is wrong because it blames the client for having unrealistic and unachievable expectations.

This can make the client feel ashamed or defensive.

Choice D is wrong because it suggests that the client needs professional counselling to cope with her emotions.

This can make the client feel stigmatized or abnormal.

Normal ranges for postpartum emotions vary depending on the individual and the circumstances.

However, some signs of postpartum depression or post-traumatic stress disorder include persistent sadness, anxiety, anger, guilt, flashbacks, nightmares, insomnia, loss of interest, difficulty bonding with the baby, or thoughts of harming oneself or the baby.

These symptoms should be reported to a healthcare provider as soon as possible.

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A nurse is assessing a postpartum client who delivered her second baby 3 days ago. The client says, “I feel sad that my older child will not get as much attention from me as before.” The nurse recognizes that the client is in which phase of maternal role attainment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is caring for a postpartum client who had a difficult labor and delivery. The client expresses frustration and disappointment with her birth experience. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is evaluating the effectiveness of antenatal education on a group of expectant mothers. Which of the following outcomes would indicate a positive effect of the education?

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?

A nurse is caring for a postpartum client who had a vaginal delivery with an episiotomy. Which action would help prevent infection of the perineal area?

A nurse is caring for a postpartum client who has decided not to breastfeed her infant and has chosen formula feeding instead. The nurse should instruct the client that:

A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

What is the most common cause of subinvolution?

A nurse is providing discharge teaching to a postpartum client who had a vaginal delivery with an episiotomy. The client asks, “How can I take care of myself at home?” Which of the following responses should the nurse give?

A nurse is assessing a postpartum client who delivered her second baby 3 days ago.

The client says, “I feel sad that my older child will not get as much attention from me as before.” The nurse recognizes that the client is in which phase of maternal role attainment?