A client postpartum 3 days scheduled for discharge today was given education about diaper changes yesterday. The client says to the nurse, "I'm so glad you are here. I think my baby has a dirty diaper. I can't change it as well as you can. Will you change my baby's diaper for me?" What is the nurse's best response?

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According to the Rubin theory, there are 3 phases of postpartum adaptation to motherhood. Taking-in: In the first 24-48 hours postpartum, the mother is physically recovering from childbirth. During this time, she is more dependent on the health care team to help with care of the baby. Taking-hold: During 2-10 days postpartum, the mother still is learning the technical skills of mothering but may feel inadequate. Letting-go: After 10 days postpartum, the mother becomes comfortable with the new role. Research indicates that new mothers adapt to their role today more quickly than they did during the 1960s, when the Rubin theory was developed. This mother is still learning to care for the newborn. Therefore, letting her change the diaper will allow the nurse to assess her diaper changing skills and provide education as needed. (Option A) If the nurse takes over this essential task and delays the client's need to be comfortable in the role of a mother, it may reinforce the client's perception of not being capable or competent. (Option C) This response would give the mother opportunity to demonstrate the new skill, but it is not a good example of therapeutic communication. (Option D) The mother was taught how to change a diaper the previous day. If the nurse performs the task, the mother may feel incompetent and unable to learn. Educational objective: There are 3 distinct phases of postpartum adjustment to motherhood, as outlined by Rubin. 11ecbb05_cc13_e8ea_b433_2bd864c071bc_MD0009_00

A Client Postpartum 3 Days Scheduled for Discharge Today Was