A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

A. The client puts their personal needs aside:

This option is not characteristic of the taking-in phase. During this phase, the mother tends to focus on her own needs and may rely on others for assistance with caregiving tasks.

B. The client takes charge of all mothering tasks:

Taking charge of all mothering tasks is more characteristic of the maternal role attainment phase, which occurs later in the postpartum period. During the taking-in phase, the mother may be less assertive in assuming full responsibility for caregiving tasks.

C. The client desires privacy with their newborn:

Incorrect. While privacy is important, it is not a specific indicator of the taking-in phase.

D. The client reviews their birth experience with others:

The client reviews their birth experience with others:This is correct. During the taking in phase, the client has a great need to talk about the labour and birth experience.

A. Administer oxygen via face mask at 10 L/min:

Administering oxygen can help improve tissue oxygenation and prevent hypoxia, which is critical in managing a client at risk of hypovolemic shock. However, while oxygenation is important, it may not directly address the underlying cause of the excessive bleeding. Therefore, while oxygen may be necessary, it is not the most immediate action required to address the potential cause of the hemorrhage.

B. Collect hemoglobin and hematocrit levels:

Collecting hemoglobin and hematocrit levels is essential for assessing the extent of blood loss and the client's hemodynamic status. This information will help determine the severity of the situation and guide further management and interventions, such as blood transfusion if indicated. Since postpartum hemorrhage is a leading cause of maternal mortality, prompt assessment of blood loss is crucial in guiding appropriate interventions to prevent further complications.

C. Prepare the client to receive a plasma expander:

Plasma expanders may be administered to help restore circulating blood volume in cases of hypovolemic shock due to significant blood loss. However, before initiating plasma expander administration, it is essential to assess the client's hemoglobin and hematocrit levels to determine the severity of blood loss and guide appropriate fluid resuscitation strategies. Therefore, preparing the client to receive a plasma expander would come after assessing the extent of blood loss through laboratory values.

D. Insert an indwelling urinary catheter:

Inserting an indwelling urinary catheter may be necessary to monitor urinary output, which is an important indicator of renal perfusion and overall fluid status. However, while urinary catheterization is important for assessing renal function and fluid balance, it is not the most immediate action required to address the potential cause of the hemorrhage. Assessing blood loss through laboratory values and initiating appropriate interventions to manage postpartum hemorrhage take precedence over urinary catheterization in this scenario.