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?.
Focus on the family unit and its members.
Expressions of excitement.
Eagerness to learn newborn care skills.
Lack of appetite.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D.
Choice A rationale:
Cervix dilation of 5 cm with 50% effacement is a sign of active phase of the first stage of labor, not the end of it.
Choice B rationale:
Rupturing of fetal membranes can occur at any time during labor, not specifically at the end of the first stage.
Choice C rationale:
Start of regular contractions is a sign of the onset of labor, not the end of the first stage.
Choice D rationale:
Cervix dilation of 10 cm with 100% effacement indicates the end of the first stage of labor and the beginning of the second stage.
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
Fetal heart tones detected by ultrasound are a positive sign of pregnancy because they provide direct evidence of a fetus.
Choice B rationale:
Breast tenderness is a presumptive sign of pregnancy, not a positive one, as it can be caused by other conditions such as premenstrual syndrome.
Choice C rationale:
A positive urine pregnancy test is a probable sign of pregnancy, not a positive one, as it measures the presence of hCG, a hormone produced during pregnancy. However, certain medications and medical conditions can also produce hCG.
Choice D rationale:
Fatigue is a presumptive sign of pregnancy, not a positive one, as it can be caused by various other conditions such as stress or illness.
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