A nurse is collecting data from a client who is 48 hours postpartum.
Which of the following findings reported by the client should the nurse identify as a postpartum psychosocial concern?
The client discusses desire to have more children.
The client reports fatigue and desire to sleep.
The newborn reminds the client of themself as a newborn.
The client does not want to feed the newborn.
The Correct Answer is D
Choice A rationale
Discussing a desire for more children is a normal manifestation of a positive postpartum adjustment. This indicates a healthy attachment to the current child and an optimistic outlook on future family expansion, reflecting psychological well-being and a positive coping mechanism in the postpartum period, not a concern.
Choice B rationale
Fatigue and a desire to sleep are common physiological and psychological responses to the physical demands of labor, delivery, and the initial postpartum period, as well as the demands of newborn care. This is a normal physiological recovery process and not indicative of a psychosocial concern.
Choice C rationale
Acknowledging similarities between the newborn and oneself as an infant indicates a healthy process of identification and bonding. This self-referential observation fosters a sense of connection and continuity within the family unit, signifying normal maternal-infant attachment and psychological integration, not a concern.
Choice D rationale
A client's reluctance to feed the newborn can be a significant indicator of potential psychosocial concerns such as postpartum depression, anxiety, or difficulties with maternal-infant bonding. This behavior may suggest a diminished capacity for engaging in essential caregiving activities, warranting further assessment and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Long-grain rice is primarily a source of carbohydrates, providing energy, but contains negligible amounts of calcium. While it is a healthy staple, it does not contribute significantly to meeting the increased calcium requirements during pregnancy, which are essential for fetal bone development and maintaining maternal bone density.
Choice B rationale
Peanut butter is a good source of protein, healthy fats, and some vitamins and minerals like magnesium and potassium. However, its calcium content is relatively low compared to dairy products or fortified foods. Relying on peanut butter alone would not be an efficient way to address a low calcium level during pregnancy.
Choice C rationale
Avocados are rich in healthy monounsaturated fats, fiber, and various vitamins such as K, C, E, and B-6, as well as folate. While highly nutritious, avocados contain only a modest amount of calcium and are not considered a primary source for addressing calcium deficiency in pregnancy.
Choice D rationale
Yogurt is an excellent source of calcium, providing a bioavailable form of this essential mineral, crucial for bone health and numerous physiological processes. A single serving of plain yogurt can provide approximately 300-450 mg of calcium, making it a highly recommended food to increase dietary calcium intake during pregnancy.
Correct Answer is B
Explanation
Choice A rationale
Vaginal fluid with a pH of 5.3 is acidic and falls within the normal range for vaginal secretions, which are typically between 3.8 and 4.5. Amniotic fluid is alkaline, with a pH of 7.0 to 7.5. Therefore, an acidic pH does not indicate premature rupture of membranes.
Choice B rationale
Nitrazine paper turning dark blue indicates an alkaline pH, which is characteristic of amniotic fluid (pH 7.0-7.5). The presence of alkaline fluid in the vagina suggests premature rupture of membranes, as normal vaginal secretions are acidic.
Choice C rationale
A positive ferning test, where amniotic fluid dries in a fern-like pattern on a microscope slide, indicates the presence of amniotic fluid. A negative ferning test would suggest that the fluid is not amniotic fluid.
Choice D rationale
Nitrazine paper turning yellow indicates an acidic pH, which is consistent with normal vaginal secretions or urine. This finding would suggest that the fluid is not amniotic fluid, as amniotic fluid is alkaline and would turn the paper blue or dark blue.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.