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?
The client puts their personal needs aside.
The client takes charge of all mothering tasks.
The client desires privacy with their newborn.
The client reviews their birth experience with others.
The Correct Answer is D
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.
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Related Questions
Correct Answer is D
Explanation
A. Human papillomavirus (HPV) vaccine:
The HPV vaccine is not recommended during pregnancy because there is limited safety data regarding its use in pregnant women. It is typically administered to individuals before they become sexually active to prevent HPV infections, which can lead to cervical cancer and other HPV-related diseases. Since the client is currently pregnant, administering the HPV vaccine would not be appropriate due to the lack of safety data during pregnancy.
B. Rubella vaccine:
The rubella vaccine is a live attenuated vaccine, and its administration during pregnancy is contraindicated due to the risk of congenital rubella syndrome (CRS) if the vaccine were to cause rubella infection in the pregnant woman. Rubella vaccination should be provided to non-pregnant individuals, particularly women of childbearing age, to prevent CRS. Administering the rubella vaccine to a pregnant woman at 28 weeks of gestation would pose a risk to both the mother and the developing fetus.
C. Varicella vaccine:
Similar to the rubella vaccine, the varicella (chickenpox) vaccine is a live attenuated vaccine and is contraindicated during pregnancy due to the risk of varicella infection in the pregnant woman, which can lead to severe complications for both the mother and the fetus. Varicella vaccination is recommended for individuals who have not had chickenpox or received the vaccine previously but should not be administered to pregnant women.
D. Tetanus vaccine:
Tetanus vaccination during pregnancy is recommended to prevent maternal and neonatal tetanus. Tetanus toxoid is considered safe during pregnancy and is routinely administered as part of the tetanus-diphtheria-pertussis (Tdap) vaccine. The tetanus vaccine helps protect against tetanus, a potentially fatal bacterial infection. Administering the tetanus vaccine during pregnancy is important for the health and safety of both the mother and the developing fetus.
Correct Answer is B
Explanation
a.This may help with incision pain or swelling but does not address the ongoing vaginal bleeding.
b.Administering a bolus of lactated Ringer's solution helps to restore fluid volume and maintain blood pressure, which is crucial in managing persistent vaginal bleeding. This action addresses the immediate concern of fluid loss and helps stabilize the patient while further assessments and interventions can be made.
c.While important for monitoring the incision, it does not address the immediate issue of ongoing vaginal bleeding.
d.Important to monitor, but not the first priority in the context of ongoing bleeding. This can be assessed after addressing the bleeding issue.
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