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All of the following are important in the immediate care of the premature neonate. Which nursing activity should have the greatest priority?
Placement in a warm environment
A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth. The nurse, recognizing the needs of women during this stage, should:
Provide time for the mother to reflect on the events of and her behavior during childbirth.
The focus of the taking-in stage is nurturing the new mother by meeting her dependency needs for rest, comfort, hygiene, and nutrition. Once they are met, she is more able to take an active role, not only in her own care but also the care of her newborn. Women express a need to review their childbirth experience and evaluate their performance. Short teaching sessions, using written materials to reinforce the content presented, are a more effective approach.
Parents can facilitate the adjustment of their other children to a new baby by:
Having the children choose or make a gift to give to the new baby upon its arrival home.
Option B: Special time should be set aside just for the other children without interruption from the newborn.
Option C: Someone other than the mother should carry the baby into the home so she can give full attention to greeting her other children.
Option D: Children should be actively involved in the care of the baby according to their ability without overwhelming them.
Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:
Recognize this as a behavior of the taking-hold stage.
The behavior described is typical of this stage and not a reflection of ineffective attachment unless the behavior persists. Mothers need to reestablish their own well-being in order to effectively care for their baby.
Option A does not take into consideration the need for the new mother to be nurtured and have her needs met during the taking-in stage.
When making a visit to the home of a postpartum woman one week after birth, the nurse should recognize that the woman would characteristically:
Express a strong need to review events and her behavior during the process of labor and birth.
One week after birth the woman should exhibit behaviors characteristic of the taking-hold stage as described in response C. This stage lasts for as long as 4 to 5 weeks after birth.
Options A and B are characteristic of the taking-in stage, which lasts for the first few days after birth.
Option D reflects the letting-go stage, which indicates that psychosocial recovery is complete.