A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the "taking-in phase" of maternal adjustment. Which of the following manifestations should the nurse expect?

Tolerates physical discomforts

Performs self-care independently

Begins reconnecting with their partner

Is eager to review the birth experience

Answer and Explanation

The Correct Answer is D

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Correct Answer is C

Explanation

Choice A Reason:

"Sounds are soft and at a rate of 1/min" - This describes hypoactive bowel sounds, which are characterized by decreased motility, not hyperactive bowel sounds.

Choice B Reason:

"Indicates decreased motility" - This is a correct statement about hypoactive bowel sounds, not hyperactive bowel sounds.

Choice C Reason:

Sounds are high-pitched. Hyperactive bowel sounds are characterized by sounds that are loud and high-pitched. These sounds are often more frequent and rapid than normal bowel sounds, indicating increased motility of the gastrointestinal tract. Hyperactive bowel sounds can be associated with conditions like diarrhea or early bowel obstruction and are the opposite of hypoactive bowel sounds, which are soft and indicate decreased motility. Paralytic ileus, on the other hand, is a condition that can lead to hypoactive or absent bowel sounds.

Choice D Reason:

"Can be a result of a paralytic ileus" - Paralytic ileus typically results in hypoactive or absent bowel sounds, not hyperactive bowel sounds.

A. "My child still wets the bed at least two times per week." B. "I have noticed that my child is withdrawn since we switched day care providers." C. "I have a difficult time getting my child to eat green vegetables." D. "My child continually asks me the same questions."

Correct Answer is B

Explanation

The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important. It suggests a change in behavior that could potentially indicate emotional or social difficulties.

The nurse should explore this further to gather more information and assess the child's well-being in the new daycare setting. It is essential to ensure the child's emotional health and address any potential issues that may be affecting their well-being and development.

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A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the "taking-in phase" of maternal adjustment. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?

Correct Answer is C

Explanation

A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?

Correct Answer is B

Explanation

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