prep u postpartum period
A client and her partner just experienced spontaneous bleeding at 11 weeks gestation, which resulted in the loss of the fetus. The couple wonders if the bleeding could have been caused from the client working long hours in a stressful work environment. What is the most appropriate response from the nurse?
"I can understand your need to find an answer to what caused this. Let's talk about this further."
A nurse meets a neighbor and new baby at the local market. The neighbor states that she received outstanding nursing care from one of the nurse's colleagues during her labor and childbirth. What is the best way for the nurse to recognize her nursing colleague's professional efforts?
Share the feedback with the nursing colleague directly.
A nurse observes several interactions between a client and her neonate. Which behaviors by the mother would the nurse identify as evidence of mother-infant attachment? Select all that apply.
She talks and coos to her neonate. She cuddles her neonate close to her. She counts the fingers and toes of her neonate.
With plans to breastfeed her neonate, a pregnant client with insulin-dependent diabetes asks the nurse about insulin needs during the postpartum period. Which statement about postpartal insulin requirements for breastfeeding mothers should the nurse include in the explanation?
They fall significantly in the immediate postpartum period.
The nurse returns the newborn to the new mother after obtaining assessment data and performing newborn interventions. The nurse recognizes the best evidence of positive bonding when the mother:
engages in direct eye contact with the infant.
On the second postpartum day, a client tells the nurse she feels anxious and tearful. Which assessment finding is most consistent with the client's statement?
postpartum "blues"
A woman who is Rh negative has given birth to an Rh-positive infant. The nurse explains to the client that she will receive Rho(D) immune globulin. The nurse determines that the client understands the purpose of the treatment when she reports that Rho(D) immune globulin has which action?
preventing antibody formation in her blood
During the second day postpartum, the nurse notices that a client is initiating breastfeeding with her infant and changing her infant's diapers with a little assistance from her partner. According to Reva Rubin's "phases of bonding," which of the following is the appropriate phase the woman is experiencing?
the taking-hold phase
When caring for a multiparous client who is human immunodeficiency virus (HIV) positive and asking to breastfeed her neonate as soon as possible, the nurse should include which instructions about breast milk in the teaching plan?
It has been found to contain the retrovirus HIV.
