ATI RN
Postpartum Care for Mom Questions Questions
Question 1 of 5
A breastfeeding postpartum woman tells the nurse, "I am not sure I want to breastfeed because I notice that when I feed my baby, I have strong contraction-like pain. Is something wrong?" Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D. Oxytocin is a hormone that is released during breastfeeding in response to the baby's sucking, causing the uterus to contract. This helps the uterus return to its pre-pregnancy size and reduces postpartum bleeding. Choice A is incorrect as the issue does not require immediate doctor intervention. Choice B is incorrect as pain does not necessarily indicate infection. Choice C is incorrect as it does not explain the role of oxytocin in uterine contractions during breastfeeding.
Question 2 of 5
The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient?
Correct Answer: C
Rationale: The correct answer is C because expressing milk by a breast pump or manually helps maintain milk supply, prevent engorgement, and relieve discomfort. It also allows for milk storage and feeding flexibility. A: Running warm water over breasts can lead to oversupply and disrupt milk production. B: Wearing a bra 24/7 can lead to constriction and may decrease milk flow. D: Taking analgesics only masks the pain without addressing the underlying issue of milk expression.
Question 3 of 5
The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments isn't covered by REEDA?
Correct Answer: D
Rationale: The correct answer is D, Description of pain. The REEDA acronym stands for Redness, Edema, Ecchymosis, Discharge, and Approximation, focusing on physical characteristics. Pain assessment is important but not part of the REEDA visual assessment. Perineal coloration (A), suture line appearance (B), and amount of swelling (C) are all physical aspects covered by REEDA.
Question 4 of 5
The nurse on a postpartum unit is focused on providing care that will assist the mother and father in making the transition to parenthood. For which reason does the nurse review the prenatal and labor records?
Correct Answer: A
Rationale: The correct answer is A because reviewing the prenatal and labor records allows the nurse to understand the pregnancy and birth experiences of the mother and father, which can significantly impact their transition to parenthood. By knowing the details of these experiences, the nurse can identify factors that may enhance or impede the process of becoming a mother and father. This information helps the nurse tailor their care and support to address specific needs and concerns of the new parents. Choice B is incorrect because the focus of reviewing prenatal and labor records is not solely on identifying and focusing on learning needs from prenatal classes. Choice C is incorrect because while identifying preexisting maternal conditions is important for overall care, the primary focus in this scenario is on the transition to parenthood. Choice D is incorrect because the knowledge regarding neonate issues is not the main purpose of reviewing prenatal and labor records in this context.
Question 5 of 5
Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant?
Correct Answer: B
Rationale: The correct answer is B because calling the baby by name demonstrates a unidirectional bond where the parent is actively engaging with the infant without requiring a response. In this scenario, the parent is initiating communication and bonding with the baby. The other choices involve reciprocal interactions between the parent and infant, which do not solely demonstrate a unidirectional bond. Choice A involves the parent responding to the baby's cry, which is a reaction to the infant's behavior. Choice C involves the baby responding to comforting measures initiated by the parent. Choice D involves the parents stimulating and entertaining the baby, which implies a back-and-forth interaction rather than a unidirectional bond.