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A nurse is caring for a woman who gave birth three hours ago. The nurse observes that the woman is holding her infant close to her chest and is talking softly to him. The nurse interprets this behaviour as:

Bonding

Attachment

Engrossment

Entrainment.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Attachment.

Attachment is the process of developing a strong emotional bond between the mother and the infant.

It is influenced by factors such as maternal hormones, infant cues, and environmental support.

Attachment behaviors include holding, touching, talking, and gazing at the infant.

Choice A is wrong because bonding is the initial attraction felt by the parents for their infant.

It usually occurs within the first few minutes or hours after birth and is facilitated by skin-to-skin contact.

Choice C is wrong because engrossment is the term used to describe the father’s absorption, preoccupation, and interest in the infant.

It involves visual awareness, tactile awareness, perception of newborn as perfect, strong attraction, awareness of distinct features, extreme elation, and increased sense of self-esteem.

Choice D is wrong because entrainment is the term used to describe the infant’s movement in response to speech.

The infant synchronizes his or her movements with the rhythm and pitch of the adult’s voice.

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Correct Answer is A

Explanation

Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women.It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.

A. Place the patient on the left side. B. Assess the passage of lochia. C. Ask the patient to void. D. Administer a dose of oxytocin

Correct Answer is C

Explanation

The correct answer is choice C. Ask the patient to void.This is because a full bladder can displace the uterus and interfere with its contraction, which can lead to postpartum hemorrhageThe nurse should assess the patient’s uterus after ensuring that the bladder is empty.

Choice A is wrong because placing the patient on the left side does not affect the uterus assessment.It may help with blood circulation and oxygenation, but it is not necessary before checking the uterus.

Choice B is wrong because assessing the passage of lochia is part of the uterus assessment, not a prerequisite.Lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissueIt has three stages: lochia rubra (red), lochia serosa (pinkish brown), and lochia alba (yellowish white)

Choice D is wrong because administering a dose of oxytocin is not required before assessing the uterus.

Oxytocin is a hormone that stimulates uterine contractions and reduces bleeding.It may be given during or after labor to prevent or treat postpartum hemorrhage, but it is not a routine procedure.

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A nurse is caring for a woman who gave birth three hours ago. The nurse observes that the woman is holding her infant close to her chest and is talking softly to him. The nurse interprets this behaviour as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

Correct Answer is C

Explanation

A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD). Which of the following interventions should be included in her plan of care?

A nurse is caring for a woman who gave birth three hours ago. The nurse observes that the woman is holding her infant close to her chest and is talking softly to him. The nurse interprets this behaviour as:

A nurse is caring for a postpartum client who had a difficult labor and delivery. The client expresses frustration and disappointment with her birth experience. Which of the following actions should the nurse take?

The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?

A nurse is providing discharge teaching to a postpartum client who had a vaginal delivery with an episiotomy. The client asks, “How can I take care of myself at home?” Which of the following responses should the nurse give?

A client is concerned about the risk factors for pre-term labor. Which of the following factors should the nurse include in the discussion?

A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

A nurse is assessing a postpartum client who delivered her second baby 3 days ago. The client says, “I feel sad that my older child will not get as much attention from me as before.” The nurse recognizes that the client is in which phase of maternal role attainment?