A nurse is planning care for a client in the postpartum unit. Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?.

The client will demonstrate proper bathing of the infant.

The client will verbalize appropriate car seat safety.

The client will identify individual family member roles.

The client will have adequate nutritional intake.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Demonstrating proper bathing of the infant is incorrect. This is a goal for the taking-hold phase, not the taking-in phase.
Choice B rationale:
Verbalizing appropriate car seat safety is incorrect. This is a goal for the taking-hold phase, not the taking-in phase.
Choice C rationale:
Identifying individual family member roles is incorrect. This is a goal for the taking-hold phase, not the taking-in phase.
Choice D rationale:
Having adequate nutritional intake is correct. During the taking-in phase, the mother is focused on her own needs, including nutrition.

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Correct Answer is B

Explanation

Choice A rationale:
Intense contractions lasting 45 to 60 seconds are normal during labor.
Choice B rationale:
An urge to have a bowel movement during contractions could indicate that the baby’s head is descending into the birth canal, which may require immediate attention.
Choice C rationale:
A sense of excitement and warm, flushed skin are normal emotional and physiological responses during labor.
Choice D rationale:
Progressive sacral discomfort during contractions is a normal part of labor as the baby descends through the birth canal.

A. WBC count 9,000/mm. B. Uterine tenderness. C. Scant lochia. D. Temperature 37.4° C (99.3° F).

Correct Answer is B

Explanation

Choice A rationale:
A WBC count of 9,000/mm is within the normal range (4,500-11,000/mm).
Choice B rationale:
Uterine tenderness is a common symptom of endometritis.
Choice C rationale:
Scant lochia is not typically associated with endometritis.
Choice D rationale:
A temperature of 37.4° C (99.3° F) is within the normal range.

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A nurse is planning care for a client in the postpartum unit. Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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