ATI RN
Postpartum Care for Mom Questions Questions
Question 1 of 5
A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Breastfeeding stimulates the release of oxytocin. 2. Oxytocin causes uterine contractions, aiding in the expulsion of placenta and reducing postpartum bleeding. 3. The patient's severe uterine cramps are likely due to increased oxytocin release from breastfeeding. 4. This is a normal response, known as afterpains, and is common in breastfeeding mothers. Summary: - Choice B is incorrect as afterbirth pains are typically milder in primiparous women. - Choice C is incorrect as oxytocin is not typically administered daily postpartum. - Choice D is incorrect as uterine involution occurs gradually over weeks, not causing sudden severe cramps.
Question 2 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. These components focus on physical aspects like inflammation, bruising, wound healing, and discharge. Pain assessment is important but not part of the REEDA acronym, which specifically addresses visible signs of perineal healing postpartum. A thorough assessment should include pain evaluation separately. Choices A, B, and C are incorrect because they are covered by the REEDA acronym, focusing on perineal coloration, suture line appearance, and amount of swelling, respectively.
Question 3 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: Pregnancy and birth experiences, which can either enhance or impede the process of becoming a mother. Reviewing the prenatal and labor records helps the nurse understand the mother's experiences during pregnancy and childbirth, which can significantly impact her transition to motherhood. By knowing these experiences, the nurse can identify any factors that may enhance or impede the mother's adjustment to motherhood. This information allows the nurse to provide tailored support and interventions to assist the mother in her transition. Choice B is incorrect because prenatal classes are not directly related to reviewing prenatal and labor records to understand the mother's experiences. Choice C is incorrect as preexisting maternal conditions are not the main focus when reviewing records for the transition to parenthood. Choice D is also incorrect as it focuses on neonate issues, which are not the primary concern when reviewing prenatal and labor records for assisting the mother and father in making the transition to parenthood.
Question 4 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 unidirectional bonding where the parent initiates the interaction and establishes a connection with the infant. This behavior shows a one-way flow of communication and emotional attachment from the parent to the infant. In contrast, choices A, C, and D involve reciprocal interactions or responses between the parent and infant, indicating bidirectional bonding where both parties are actively engaged in the relationship. Therefore, choices A, C, and D do not exemplify unidirectional bonding as in choice B.
Question 5 of 5
The nurse is counseling a lesbian couple who have decided to have a child. Which considerations doesn't the nurse present with regard to which partner will become pregnant?
Correct Answer: D
Rationale: The correct answer is D because determining who will be on the birth certificate is not a relevant consideration when a lesbian couple decides which partner will become pregnant. The birth certificate can typically be amended to include both partners as legal parents regardless of who gives birth. A: Considering the age and health of each partner is important for assessing pregnancy risks. B: Evaluating career goals may impact decisions around timing and balancing work and parenthood. C: Deciding which partner has better insurance is relevant for covering prenatal care and delivery costs.