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 A

Explanation

The correct answer is choice A.

Choice A rationale:

The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.

Choice B rationale:

This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.

Choice C rationale:

This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.

Choice D rationale:

This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.

A. "Your baby should wet 6 to 12 diapers per day.”. . B. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.”. . C. "Your baby should sleep at least 6 hours between feedings.”. . D. "Your baby should burp after each feeding.”.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.

Choice B rationale:

A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.

Choice C rationale:

A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.

Choice D rationale:

While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.

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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?

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Naxlex Comprehensive Predictor Exams

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

Correct Answer is A

Explanation

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.

Correct Answer is A

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?

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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?