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: Failed to generate a rationale of 500+ characters after 5 retries.
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: Failed to generate a rationale of 500+ characters after 5 retries.
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.