ATI RN
Postpartum Body Changes Questions
Question 1 of 5
A nurse is providing anticipatory guidance to a couple before they take home their newborn. Which of the following should be included?
Correct Answer: C
Rationale: In the context of postpartum body changes, option C, "If they take their baby outside," is the correct choice for anticipatory guidance to be provided to the couple. This recommendation is crucial as it addresses the need for parents to ensure their newborn's safety and well-being when exposing them to external environments. Taking a newborn outside exposes them to various elements such as sunlight, temperature changes, germs, and pollution. Educating parents on the importance of protecting their baby from these factors is essential for their health and development. Advising parents to avoid direct sunlight exposure, especially during peak hours, and to dress their baby appropriately for the weather helps in preventing overheating or chilling. Options A and B are incorrect as they provide potentially harmful advice. Waking a sleeping newborn for feeding is essential, especially in the early postpartum period to ensure they are adequately nourished and gaining weight. Delaying feedings can lead to dehydration and other complications. Option D is also incorrect as sunscreen is not recommended for newborns under six months due to their delicate skin. Instead, it is advised to keep them in the shade, dress them in protective clothing, and use hats to shield them from the sun. In summary, educating parents on safe practices when taking their newborn outside is vital in promoting their baby's health and well-being during the postpartum period. This guidance helps parents navigate the challenges of caring for a newborn and fosters a safe and nurturing environment for their child.
Question 2 of 5
A nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. Which of the following should the nurse include in the plan?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Wash hands well before picking up the baby. This is crucial because proper hand hygiene helps prevent the transmission of harmful pathogens to the newborn, who has a developing immune system. Option B) Refrain from having visitors for the first month is incorrect as social support is important for new parents, and isolating them can lead to feelings of loneliness and postpartum depression. Option C) Wear a mask to prevent transmission of a cold is unnecessary unless the visitor is actively sick, as breastfeeding provides antibodies that can help protect the baby from illnesses. Option D) Sterilize the breast pump supplies after every use is important but not as critical as proper handwashing, which is essential to prevent the spread of infections to the vulnerable newborn. In an educational context, teaching parents about the importance of hand hygiene not only protects the baby but also empowers parents to take an active role in their baby's health and well-being. It also sets a foundation for practicing good hygiene habits in the household, promoting a safe environment for the newborn.
Question 3 of 5
A bottle-feeding mother is providing a return demonstration of how to burp the baby. Which of the following would indicate that the teaching was successful? Select one that doesn't apply
Correct Answer: C
Rationale: The correct answer is C) The woman waits to burp the baby until the baby's feeding is complete. This indicates successful teaching because burping a baby mid-feeding can interrupt their intake and lead to discomfort. Waiting until the feeding is complete allows the baby to consume their milk without unnecessary interruptions. Option A is incorrect because gently stroking and patting the baby's back is a common technique for burping, so it would actually indicate successful teaching. Option B is incorrect because positioning the baby in a sitting position on the lap is not the recommended position for burping. The baby should be held upright against the caregiver's chest or shoulder for effective burping. Option D is incorrect because any amount of regurgitated formula is not considered acceptable. It is important to burp the baby to prevent discomfort and spit-up. In an educational context, it is crucial to teach parents the correct techniques for burping to ensure the baby's comfort and well-being. Demonstrating and reinforcing proper burping practices can help caregivers feel more confident in caring for their infant's needs.
Question 4 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 5 of 5
Which short-term goal is appropriate for a full-term, breastfeeding neonate?
Correct Answer: D
Rationale: The correct answer is D) The baby will urinate 6 to 10 times per day by 1 week of age. This is the appropriate short-term goal for a full-term, breastfeeding neonate because adequate urine output indicates proper hydration and functioning of the kidneys. Monitoring the frequency of urination is crucial in assessing the baby's overall health and ensuring proper breastfeeding. Option A) The baby will regain birth weight by 4 weeks of age is important but it is a long-term goal. Breastfed babies typically regain their birth weight by 2-3 weeks of age. Option B) The baby will sleep through the night by 4 weeks of age is not developmentally appropriate for a newborn. Newborns need to feed frequently, so it is not realistic to expect them to sleep through the night at such a young age. Option C) The baby will stool every 2 to 3 hours by 1 week of age is incorrect because while frequent stools are common in breastfed babies, the frequency can vary widely and is not as critical an indicator of health as urine output in the early days of life. Educationally, understanding these short-term goals for a newborn helps healthcare providers and parents monitor the baby's health and development, ensuring they are thriving in the early postpartum period. This knowledge empowers parents to recognize signs of adequate breastfeeding and overall well-being in their newborn.