ATI RN
Postpartum Body Changes Questions
Question 1 of 5
A mother is told that she should bottle feed her child for medical reasons. Which of the following maternal disease states are consistent with the recommendation? Select all that apply.
Correct Answer: A
Rationale: The correct answer is option A) Untreated active tuberculosis. In the case of a mother with untreated active tuberculosis, there is a risk of transmitting the infection to the infant through breastfeeding. Therefore, it is recommended for the mother to bottle feed her child to prevent the transmission of the disease. Option B) Hepatitis B surface antigen positive and Option C) Human immunodeficiency virus positive are not consistent with the recommendation to bottle feed for medical reasons. Both hepatitis B and HIV can be transmitted through breast milk, but the current recommendations support breastfeeding with appropriate interventions to reduce the risk of transmission, such as antiretroviral therapy and vaccination. Educationally, it is important to understand the rationale behind recommendations regarding infant feeding in the context of maternal health conditions. Healthcare providers play a crucial role in educating mothers about the risks and benefits of breastfeeding based on their individual health status. This question reinforces the importance of considering maternal health conditions when making decisions about infant feeding to promote the health and well-being of both the mother and the child.
Question 2 of 5
The nurse does not hear the baby swallow when suckling even though the baby appears to be latched properly to the breast. Which of the following situations may be the reason for this observation?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) The baby lies with the chin touching the under part of the breast. This observation indicates a shallow latch, which can lead to poor milk transfer and difficulty in swallowing for the baby. When the baby's chin is touching the under part of the breast, it suggests that the latch is not deep enough for effective breastfeeding. This can result in the baby not being able to effectively draw milk from the breast, hence the lack of audible swallowing. Option A is incorrect because the mother's pain level, although important in breastfeeding comfort, is not directly related to the baby's ability to swallow. Option B is incorrect because the duration of suckling alone does not indicate successful milk transfer or proper latch. Option C is incorrect because the feeding position chosen by the mother, such as the cross-cradle hold, does not directly impact the baby's ability to swallow. Educationally, it is crucial for healthcare providers to understand the significance of proper latch in breastfeeding. Recognizing signs of a shallow latch, such as the baby's chin not touching the breast, is essential in promoting successful breastfeeding outcomes for both the mother and baby. Encouraging correct latch techniques can help prevent issues like poor milk transfer and nipple pain, ultimately supporting breastfeeding success.
Question 3 of 5
A 2-day-old, exclusively breastfed baby is to be discharged home. Under what conditions should the nurse teach the parents to call the pediatrician?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) If the baby has eyes and skin that are tinged yellow. This is crucial because it indicates a condition called jaundice, which is common in newborns due to the breakdown of red blood cells. Jaundice causes a yellow appearance in the skin and eyes and can be a sign of elevated bilirubin levels that need medical attention. Option A is incorrect because feeding 8 to 12 times a day is actually a normal and expected behavior for a breastfeeding newborn. Option B is also incorrect as urinating 6 to 10 times a day is a positive sign indicating adequate hydration and milk intake. Option C, having stools that are watery and bright yellow, is typically a normal finding in exclusively breastfed infants. Breastfed babies often have loose, seedy, yellow stools, so this would not be a cause for concern. Understanding the signs of jaundice in newborns is crucial for parents to ensure early detection and management. Educating parents on when to seek medical attention for jaundice can prevent complications and promote the well-being of the newborn. It is essential for healthcare providers to provide parents with clear guidance on what to monitor and when to seek professional help, especially in the vulnerable postpartum period.
Question 4 of 5
What percentage of weight loss did the baby experience? Calculate to the nearest hundredth.
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 7.20%. This percentage represents the weight loss experienced by the baby after birth. The weight loss of the baby after birth is mainly due to the loss of amniotic fluid, placenta, and the initial expulsion of meconium. Babies typically lose around 5-10% of their birth weight in the first few days of life. In this case, the closest approximation to this average weight loss is 7.20%, making option B the correct answer. Option A) 5.55% is lower than the average weight loss experienced by babies after birth. Option C) 6.85% and D) 6.90% are also lower than the expected range of weight loss for newborns. Understanding postpartum body changes, including the weight loss of the baby, is crucial for healthcare professionals working in maternity care, pediatrics, or any field related to newborn health. This knowledge helps in assessing the health and development of the newborn and providing appropriate care and support to ensure their well-being.
Question 5 of 5
A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. Which of the following comments by the nurse is appropriate?
Correct Answer: B
Rationale: The appropriate comment by the nurse is option B) It is recommended that babies receive only breast milk for the first 4 to 6 months of their lives. This response aligns with current guidelines from organizations such as the World Health Organization and the American Academy of Pediatrics, which recommend exclusive breastfeeding for the first 6 months of life. Introducing rice cereal or other solid foods too early can increase the risk of allergies, digestive issues, and obesity. Breast milk provides all the necessary nutrients for a baby's growth and development in the first months of life. Option A is incorrect because giving rice cereal to babies to promote better sleep is not evidence-based and can be harmful to their immature digestive systems. Option C is incorrect because it does not provide any explanation or guidance to the mother. Option D is incorrect as it suggests introducing solid foods like applesauce and apple juice at ages that do not align with the recommended guidelines. From an educational perspective, it is crucial for nurses and healthcare providers to stay updated on current recommendations regarding infant feeding practices to provide accurate and evidence-based information to parents. Educating parents on the benefits of exclusive breastfeeding and the risks associated with early introduction of solid foods is essential for promoting the health and well-being of both the mother and the baby.