Which response by the nurse is most appropriate to this ...

[armygirl]

Which response by the nurse is most appropriate to this statement: This test isn't my idea, but my husband insists?
 
  a. Don't worry. Everything will be fine.
  b. Why don't you want to have this test?
  c. You're concerned about having this test?
  d. It's your decision.

Question 2

On the first postpartum day, the nurse teaches the client about breastfeeding. Two hours later, the client seems to remember very little of the teaching. The nurse understands this memory lapse to be due to:
 
  1. The taking-hold phase.
  2. Postpartum hemorrhage.
  3. The taking-in phase.
  4. Epidural anesthesia.

[blakcmamba]

Answer to Question 1

C
Feedback
A This is false reassurance and does not deal with the concerns expressed by the
woman.
B The woman may not be able to answer why questions. It may also make her
defensive.
C The nurse should clarify the statement and assist the patient in exploring her
feelings about the test.
D This is a closed statement and does not encourage the woman to express her
feelings.

Answer to Question 2

3
Rationale:
1. The taking-hold phase occurs by the second or third day, when the mother is ready to resume control of life and is open to teaching.
2. Postpartum hemorrhage is a serious complication, and will need medical intervention.
3. The taking-in phase, which occurs during the first day or two following birth, is characterized by a passive and dependent affect. The mother also might be in need of food and rest.
4. Epidural anesthesia is a pharmacologic approach to pain control.