Maternity Nursing Q 179

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According to Rubin’s theory of maternal role adaptation, the mother will go through 3 stages during the postpartum period. These stages are:

  

     A. Going through, adjustment period, adaptation period

     B. Taking-in, taking hold and letting-go

     C. Attachment phase, adjustment phase, adaptation phase

     D. Taking-hold, letting-go, attachment phase

    

    

Correct Answer: B. Taking-in, taking-hold and letting-go

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Rubin’s theory states that the 3 stages that a mother goes through for maternal adaptation are: taking-in, taking-hold and letting-go. In the taking-in stage, the mother is more passive and dependent on others for care. In taking-hold, the mother begins to assume a more active role in the care of the child and in letting-go, the mother has become adapted to her maternal role.

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Option A: The taking-in phase usually sets 1 to 2 days after delivery. This is the time of reflection for the woman because within the 2 to 3 day period, the woman is passive. The taking-in phase provides time for the woman to regain her physical strength and organize her rambling thoughts about her new role.

Option C: The taking hold phase starts 2 to 4 days after delivery. The woman starts to initiate actions on her own and makes decisions without relying on others. She starts to focus on the newborn instead of herself and begins to actively participate in newborn care. The woman still needs positive reinforcements despite the independence that she is already showing because she might still feel insecure about the care of her child.

Option D: During the letting go phase, the woman finally accepts her new role and gives up her old roles like being a childless woman or just a mother of one child. This is the phase where postpartum depression may set in. Readjustment of relationships is needed for an easy transition to this phase.

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