MEDizzy - In response to the nurse’s question about how she is

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The Postpartal Client with a Vaginal Birth

In response to the nurse’s question about how she is feeling, a postpartum client states that she is fine. She then begins talking to the baby, checking the diaper, and asking infant care questions. The nurse determines the client is in which postpartum phase of psychological adaptation?

ExplanationThe client is in the taking hold phase with a demonstrated focus on the neonate and learning about and fulfilling infant care and needs. The taking-in phase is the first period after delivery where there is emphasis on reviewing and reliving the labor and delivery process, concern with self and needing to be mothered. Eating and sleep are high priorities during this phase. Taking on is not a phase of postpartum psychological adaptation. Letting go is the process beginning about 6 weeks postpartum when the mother may be preparing to go back to work. During this time, she can have other individu- als assume care of the infant and begins the separation process.