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?

Lack of appetite

Eagerness to learn newborn care skills

Expressions of excitement

Focus on the family unit and its members

Answer and Explanation

The Correct Answer is C

A) Lack of appetite: During the dependent, taking in phase of maternal postpartum adjustment, the client is primarily focused on her own needs, particularly physical recovery and rest. She may not have a significant appetite due to fatigue, discomfort, or hormonal changes. However, expressions of excitement are more characteristic of this phase.
B) Eagerness to learn newborn care skills: While learning newborn care skills is an essential part of the postpartum period, it is more characteristic of the independent, taking hold phase. In the dependent, taking in phase, the client is more focused on her own needs, relying on others for assistance and care.
C) Expressions of excitement: During the dependent, taking in phase, the client is excited about her newborn and the experience of motherhood. She may express enthusiasm and interest in bonding with the baby, even though she may also rely heavily on others for support and care.
D) Focus on the family unit and its members: While the family unit is important, during the dependent, taking in phase, the client's primary focus is on her own physical recovery and rest. She may not yet be fully engaged in family dynamics or focused on the needs of other family members.

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Correct Answer is D

Explanation

D) Variable decelerations are due to umbilical cord compression:
Variable decelerations are characterized by abrupt, V-shaped decreases in fetal heart rate that are associated with contractions. They are caused by compression of the umbilical cord, leading to temporary disruption of blood flow to the fetus. Positional changes, amnioinfusion, or maternal oxygen administration are often used to alleviate umbilical cord compression.

A) Variable decelerations are related to fetal head compression:
Variable decelerations are not primarily caused by fetal head compression. Fetal head compression is associated with early decelerations, characterized by a gradual decrease in fetal heart rate coinciding with uterine contractions.

B) Variable decelerations are a result of the administration of IV narcotic analgesics:
Variable decelerations are not typically associated with the administration of IV narcotic analgesics. Narcotic analgesics can cause other fetal heart rate changes, such as late decelerations, but variable decelerations are specifically related to umbilical cord compression.

C) Variable decelerations are caused by uteroplacental insufficiency:
Variable decelerations are not primarily caused by uteroplacental insufficiency. Uteroplacental insufficiency is associated with late decelerations, which occur as a result of inadequate oxygen supply to the fetus during uterine contractions.

A. Enhanced production of fetal lung surfactant B. Weakened uterine contractions C. Maternal blood glucose 63 mg/dL D. Fetal heart rate 100/min

Correct Answer is B

Explanation

B) Weakened uterine contractions:
Terbutaline is a beta-adrenergic agonist that is commonly used to suppress preterm labor by relaxing uterine smooth muscle. Therefore, the nurse should expect weakened uterine contractions as a result of terbutaline administration.

A) Enhanced production of fetal lung surfactant:
Terbutaline does not directly enhance the production of fetal lung surfactant. Its primary action is to relax uterine smooth muscle, not influence fetal lung development.

C) Maternal blood glucose 63 mg/dL:
While terbutaline may cause side effects such as hyperglycemia, hypoglycemia (maternal blood glucose 63 mg/dL) is not typically associated with its use.

D) Fetal heart rate 100/min:
Terbutaline does not typically cause a decrease in fetal heart rate. Fetal heart rate is usually within the normal range unless other complications are present.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is D

Explanation

A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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