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Placing pillows under the client's knees may provide comfort but does not address the prevention of thromboembolic disease.

Massaging the client's posterior lower legs may increase the risk of dislodging a clot in clients with a history of thromboembolic disease.

Applying warm, moist heat to the client's lower extremities may provide comfort but does not address the prevention of thromboembolic disease.

This timeline is too early for the onset of mature breast milk.

This timeline is too late for the onset of mature breast milk.

This timeline is too late for the onset of mature breast milk.

Noting physical features shared with the father suggests recognition and connection.

Declining a baby bath demonstration doesn't necessarily indicate a lack of attachment.

Requesting nursery care for sleep doesn't necessarily indicate a lack of attachment.

A score of 4 would indicate severe distress, but the baby in this scenario shows signs of responsiveness and activity.

A score of 10 is perfect, but the noted symptoms suggest some difficulties.

A score of 9 would be high and not consistent with the observed signs of distress.

While babies have instincts, guidance on proper latch is essential for successful breastfeeding.

Placing the nipple and areola under the tongue is not accurate guidance for breastfeeding.

Limiting the latch to part of the nipple may lead to ineffective breastfeeding.

This is not appropriate for the taking-in stage, as the woman may not be ready to absorb new information or focus on self-care. She may need more verbal instruction and demonstration from the nurse.

This is more suitable for the taking-hold stage, which occurs after the taking-in stage. In this stage, the woman becomes more active and independent, and shows interest in learning how to care for herself and her baby.

This is also more appropriate for the taking-hold stage, when the woman develops confidence and competence in her maternal role. In the taking-in stage, she may be more focused on her own needs and rely on others to care for the baby.

Confirming that the newborn is at least 24 hours old is not a requirement for administering the HBV vaccine. The vaccine can be given to newborns shortly after birth, typically within 12 hours.

The preferred site for injection is the vastus lateralis muscle (anterolateral thigh), not the dorsogluteal muscle.

Maternal infection status does not impact the administration of the HBV vaccine to the newborn.

This is incorrect because pushing the baby in a wheeled bassinet is not a secure way of transporting the newborn. The bassinet could be easily taken by someone else or accidentally rolled away. The nurse should always accompany the newborn when moving from one place to another.

This is incorrect because carrying the grandchild to the room is also not a secure way of transporting the newborn. The grandmother could be stopped by someone who claims to be a staff member and asked to hand over the newborn. The nurse should never let anyone carry the newborn without proper identification and authorization.

This is incorrect because showing photo identification is not enough to prove that the person is related to the newborn. The nurse should only allow the mother or the father to take the newborn, and only after verifying their identity with a wristband or a code. The nurse should not rely on photo identification alone, as it could be forged or stolen.