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 because assisting the woman to the bathroom to empty her bladder is the first step in a fundal assessment. A full bladder can displace the uterus and affect fundal height accuracy. Lowering the head of the bed (A) is not necessary for this assessment. Locating the level of the fundus (B) should come after ensuring the bladder is empty. Massaging the fundus (D) is not the initial step and could be harmful if the bladder is full.
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. 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 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: Rationale for correct answer A: 1. Breastfeeding stimulates the release of oxytocin. 2. Oxytocin causes uterine contractions. 3. Uterine contractions help the uterus return to its pre-pregnancy size. 4. Severe uterine cramps post-delivery are likely due to increased oxytocin release from breastfeeding. Summary of why other choices are incorrect: B: Afterbirth pains are typically crampy, but the scenario specifies severe pain on the first day after delivery, which is more likely due to breastfeeding. C: Daily administration of oxytocin would not lead to sudden severe cramps on the first day post-delivery. D: Uterus shrinking back to prepregnancy size causes cramping, but the timing and severity described in the scenario point more towards 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 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 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, 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.