Practice Quiz

Nurse Midwife Exam Prep

Category - Midwifery

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A nurse midwife is managing the care of a 25-year-old postpartum client who gave birth 18 hours ago. No complications were noted during the labor process. The newborn is brought to the client for feeding and to have the mother and child bond for the night. The client says, “I’m too tired. Please get her back to the nursery, just for tonight. I need to get some sleep.” Which of the following is the most appropriate action of the midwife?
  1. Create a teaching plan for the mother that focuses on breast feeding.
  2. Encourage the client to join a parenting skill class.
  3. Accept the client’s behavior as an indication that she is in the taking-in phase.
  4. Accept the client’s behavior as an indication that she is in the taking-hold phase.
Explanation
Answer: C - The most appropriate action of the nurse midwife is to accept the client’s behavior as an indication that she is in the taking-in phase. The taking-in phase occurs in the first 24 hours after birth. In this stage, the client is more concerned about her own needs than the baby’s. The taking-hold phase is the next phase. A client in this phase demonstrates signs of readiness to learn and face responsibilities. The letting-go phase may begin weeks after the delivery. In this phase, the client incorporates the newborn into the family unit.
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