ATI RN
Postpartum Care for Mom Questions Questions
Question 1 of 5
A nurse is preparing to perform a fundal assessment on a postpartum client who delivered 12 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: The correct answer is C: Assist the woman to the bathroom to empty her bladder. This is the first step because a full bladder can displace the uterus, making fundal assessment inaccurate. Emptying the bladder allows for proper fundal assessment by ensuring the uterus is in the correct position. Lowering the head of the bed (choice A) is not necessary before fundal assessment. Locating the level of the fundus (choice B) can be done after ensuring the bladder is empty. Massaging the fundus (choice D) should only be done after fundal assessment to check for firmness.
Question 2 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 because the baby's sucking during breastfeeding releases oxytocin, which stimulates the uterus to contract. This is known as the "let-down reflex" and is a normal physiological response to breastfeeding. The contraction-like pain the woman is experiencing is likely due to the uterus shrinking back to its normal size postpartum. Choice A is incorrect because there is no need to immediately involve the doctor for this normal physiological response. Choice B is incorrect as pain during breastfeeding is not necessarily a sign of infection. Choice C is incorrect because it does not provide the specific mechanism of how breastfeeding triggers uterine contractions.
Question 3 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: The correct answer is A: An increase in oxytocin release related to the newborn suckling. After delivery, breastfeeding stimulates the release of oxytocin, causing uterine contractions. This helps the uterus to contract, reduce bleeding, and return to its normal size. This process can result in uterine cramps, especially in multiparous women. B: The presence of intense afterbirth pains related to multiparity - Afterbirth pains are common in multiparous women, but they are different from uterine cramps due to breastfeeding. C: An expected response to the daily administration of oxytocin - The patient is breastfeeding, not receiving daily oxytocin administration. D: The efforts of the uterus to return to a prepregnancy condition - While this is true, the primary reason for the uterine cramps in this scenario is the increased oxytocin release from breastfeeding.
Question 4 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, expressing milk by a breast pump or manually. This is the most helpful teaching for a breastfeeding patient as it helps maintain milk supply, prevent engorgement, and relieve discomfort. Expressing milk also allows for flexibility in feeding schedules and helps store milk for later use. A: Running warm water over breasts in the shower may provide temporary relief but does not address milk expression. B: Wearing a supportive bra is important, but it is not necessary to wear it 24 hours a day. D: Taking analgesics for breast pain management should not be the first line of treatment and does not address the root cause of the issue.
Question 5 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 (swelling), Ecchymosis (bruising), Discharge, and Approximation (suture line). Pain description is not specifically covered by REEDA, as it focuses on the physical aspects of the perineal assessment. Describing pain would fall under a separate assessment category such as pain scale assessment. Choices A, B, and C are incorrect because they are all aspects that are included in the REEDA assessment for the perineum.