A nurse is caring for a client who experienced a vaginal birth 12 hours 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?
Eagerness to learn newborn care skills
Lack of appetite
Expressions of excitement
Focus on the family unit and its members
The Correct Answer is C
Choice A reason: During the taking-in phase, the mother is often passive and may not yet show eagerness to learn newborn care skills. This phase is more about recovery and processing the birth experience.
Choice B reason: Lack of appetite might be present immediately after birth due to the exertion and possible nausea, but it is not a defining characteristic of the taking-in phase. The mother's appetite usually returns as she begins to recover.
Choice C reason: Expressions of excitement are common as the mother relives the delivery experience and begins to bond with the baby. This emotional response is part of the taking-in phase, where the mother is focused on her own experience and the reality of becoming a parent.
Choice D reason: While the focus on the family unit is important, during the taking-in phase, the mother is primarily oriented to her own needs and recovery. The focus on family members and the broader family unit becomes more prominent in the subsequent taking-hold phase.
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Related Questions
Correct Answer is D
Explanation
Choice a reason:
Limiting alcohol consumption is important during pregnancy to prevent fetal alcohol syndrome and other developmental issues, but it is not specifically related to the prevention of neural tube defects. Alcohol can interfere with the body's ability to absorb certain nutrients, but folic acid intake is the key factor in preventing neural tube defects.
Choice b reason:
Avoiding foods containing aspartame is often recommended for overall health, but there is no direct link between aspartame and neural tube defects. Aspartame is an artificial sweetener found in many diet foods and beverages, and while some people choose to avoid it for various health reasons, it is not specifically associated with neural tube defects.
Choice c reason:
Increasing the intake of iron-rich foods is crucial for preventing anemia during pregnancy and ensuring the baby has enough iron stores. However, iron does not play a direct role in the prevention of neural tube defects. Neural tube defects are related to folic acid, not iron.
Choice d reason:
Consuming foods fortified with folic acid is the most critical factor in preventing neural tube defects. Folic acid is a B vitamin that is essential for the proper development of the neural tube, which becomes the baby's brain and spinal cord. Adequate folic acid intake before conception and during early pregnancy can significantly reduce the risk of neural tube defects.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason:
Amniotic fluid volume is one of the components evaluated during a biophysical profile. It is assessed because adequate amniotic fluid is essential for fetal development and can indicate the health of the pregnancy. A normal amniotic fluid volume suggests that the fetus's kidneys are functioning well and that there is no leakage or rupture of membrane.
Choice B reason:
Fetal breathing is another key component of the biophysical profile. The presence of fetal breathing movements is a positive sign, indicating that the central nervous system is functioning and the fetus is getting enough oxygen.
Choice C reason:
Fetal motion is also assessed during a biophysical profile. Multiple discrete body or limb movements within a certain time frame are considered normal and indicate good fetal health and activity levels.
Choice D reason:
Fetal neck translucency is not evaluated in a biophysical profile. This measurement is typically assessed during the first trimester as part of screening for chromosomal abnormalities, not as a part of the biophysical profile.
Choice E reason:
Fetal gender is not a component of the biophysical profile. The biophysical profile focuses on the well-being of the fetus rather than determining its sex.
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