ATI RN
Postpartum Body Changes Questions
Question 1 of 5
A 2-day-postpartum breastfeeding client is complaining of pain during feedings. Which of the following may be causing the pain?
Correct Answer: D
Rationale: In this scenario, option D is the correct answer because the baby being latched only to the nipple and not to a significant portion of the areola can cause pain during breastfeeding. When a baby latches onto just the nipple, it can lead to improper positioning and shallow latch, resulting in increased friction and pressure on the nipple, causing pain and potential damage. Option A is incorrect because a frenulum attached to the tip of the tongue does not directly cause pain during breastfeeding. Option B is incorrect as the baby forming a trough around the breast is a natural breastfeeding behavior and not a cause of pain. Option C is also incorrect as frequent and long feedings are expected in the early postpartum period to establish milk supply and support the baby's nutritional needs. Educationally, it is important for caregivers and healthcare professionals to understand the significance of proper latch and positioning during breastfeeding to prevent pain and ensure successful breastfeeding outcomes. Teaching mothers about correct latch techniques, positioning, and signs of a good latch can help prevent issues such as pain and nipple damage, ultimately supporting a positive breastfeeding experience for both the mother and baby.
Question 2 of 5
A woman states that she is going to bottle feed her baby because, 'I hate milk and I know that to make good breast milk I will have to drink milk.' The nurse's response about producing high-quality breast milk should be based on which of the following?
Correct Answer: C
Rationale: The correct answer is C: The mother can consume a variety of good calcium sources like broccoli and fish with bones as well as dairy products. Educational Rationale: Breast milk production is not solely dependent on the mother's consumption of milk. While dairy products are good sources of calcium, it is essential for the nurse to educate the mother that a variety of calcium sources can support adequate breast milk production. By emphasizing the inclusion of foods like broccoli and fish with bones, the nurse promotes a well-rounded diet that meets the mother's nutritional needs. Why the other options are incorrect: A) Option A is incorrect because there is no specific requirement for a mother to drink a set number of glasses of milk per day to produce quality breast milk. B) Option B is also incorrect as it limits the mother's dietary choices by focusing primarily on milk consumption rather than a diverse range of calcium-rich foods. D) Option D is misleading as it shifts the focus to protein intake, which although important, is not directly related to the mother's ability to produce high-quality breast milk. Educational Context: In a postpartum setting, it is crucial for healthcare providers to offer evidence-based information to support new mothers in making informed decisions regarding breastfeeding. By providing accurate information on nutrition and breastfeeding, nurses can empower mothers to make choices that support both their own health and the health of their baby. Encouraging a balanced diet rich in various nutrients, including calcium from a variety of sources, can contribute to successful breastfeeding outcomes.
Question 3 of 5
Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?
Correct Answer: A
Rationale: The correct answer is A - Gravida 5, para 5. Afterbirth pains are caused by uterine contractions as the uterus returns to its pre-pregnancy size. The more pregnancies a woman has had, the more stretched and prone to stronger contractions her uterus becomes. In this case, a gravida 5, para 5 patient has had multiple pregnancies and deliveries, leading to a higher likelihood of severe afterbirth pains. The other choices are incorrect because a primipara (B) would have less uterine stretching, a patient bottle feeding her first child (C) would still experience afterbirth pains due to uterine contractions, and a patient breastfeeding her second child (D) would experience milder afterbirth pains due to the release of oxytocin during breastfeeding which helps the uterus contract and reduce bleeding.
Question 4 of 5
Which fundal assessment finding at 12 hours after birth requires further assessment?
Correct Answer: A
Rationale: Rationale: - A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments. - B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment. Summary: - Choice A is correct because it indicates a potential issue with uterine involution. - Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.
Question 5 of 5
A postpartum patient asks, “Will these stretch marks ever go away?” Which is the nurse’s best response?
Correct Answer: C
Rationale: The correct answer is C: “They will fade to silvery lines but won’t disappear completely.” This response is the best because it provides a realistic expectation to the patient. Stretch marks may lighten over time but typically do not completely disappear. Choice A is incorrect as it provides a definitive and discouraging answer. Choice B is vague and does not offer a clear timeframe. Choice D is incorrect as it gives an overly optimistic timeline that may not be realistic for most individuals. Overall, choice C is the most accurate and supportive response for the patient's query.