A nurse is assessing a postpartum woman.
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

She did her perineal care independently.

She is eager to talk about her birth experience.

She has not asked for anything for pain all day.

She sits and rocks her infant for long intervals.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. She did her perineal care independently.

Choice A rationale:

Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.

Choice B rationale:

Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.

Choice C rationale:

Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.

Choice D rationale:

Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.

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Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.

Choice B rationale:

Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.

Choice C rationale:

Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.

Choice D rationale:

Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.

A. Focus on the family unit and its members. B. Expressions of excitement. C. Eagerness to learn newborn care skills. D. Lack of appetite.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Focus on the family unit and its members is more characteristic of the “letting-go” phase.

Choice B rationale:

Expressions of excitement are common in the dependent, taking in phase as the mother is focused on her own needs and the experience of childbirth.

Choice C rationale:

Eagerness to learn newborn care skills is more characteristic of the “taking-hold” phase.

Choice D rationale:

Lack of appetite is not a typical characteristic of the dependent, taking in phase.

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A nurse is assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A nurse is caring for a client who experienced a vaginal birth 12 hr ago.The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.Which of the following findings should the nurse expect during this phase?.

Correct Answer is B

Explanation

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A nurse is assessing a postpartum woman.
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?