ATI RN
Postpartum Care Nursing Questions Questions
Question 1 of 5
A nurse is providing postpartum care to a G4P4 woman who gave birth vaginally 48 hours ago to a 9 pound 10 ounce boy with only a pudendal block for anesthesia. The physician has written orders for the woman to have a sitz bath three times a day. Which information is most closely correlated with the order?
Correct Answer: B
Rationale: The correct answer is B: The woman has an episiotomy. A sitz bath is often recommended postpartum for women who have had an episiotomy to promote healing and relieve discomfort. An episiotomy is a surgical incision made in the perineum during childbirth to facilitate delivery and prevent tearing. The warm water in a sitz bath helps to reduce swelling, promote circulation, and clean the area. Incorrect choices: A: The woman is multiparous - Multiparity does not directly correlate with the need for a sitz bath postpartum. C: The woman had a vaginal birth - While this is true, it does not specifically address the need for a sitz bath. D: The woman received a pudendal block for anesthesia - Although this information may be relevant to the birth experience, it does not directly relate to the need for a sitz bath postpartum.
Question 2 of 5
The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient's uterus?
Correct Answer: C
Rationale: The correct answer is C: Ask the patient to void. This action is performed prior to assessing the patient's uterus because a full bladder can displace the uterus, leading to inaccurate assessment of uterine size and position. By asking the patient to void, the nurse ensures an accurate assessment of the uterus. Placing the patient on the left side (choice A) is important for preventing supine hypotension but is not directly related to assessing the uterus. Assessing the passage of lochia (choice B) is important postpartum, but it can be done after checking the uterus. Administering a dose of oxytocin (choice D) may be indicated to prevent postpartum hemorrhage, but it is not the first step in assessing the patient's uterus.
Question 3 of 5
Prior to discharge from the birthing center, the nurse informs the patient that she will receive vaccines for rubella, hepatitis B, pertussis, and influenza. For which reason does the nurse explain the need for the vaccinations?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Vaccinating the mother will stimulate her immune system to produce antibodies against rubella, hepatitis B, pertussis, and influenza. 2. These antibodies can pass through the placenta to the neonate, providing passive immunity and protecting the baby from serious illnesses. 3. Newborns have immature immune systems, making them vulnerable to infections, so maternal vaccination is crucial. 4. This approach also helps protect the neonate during the early months when they are too young to receive vaccines themselves. Summary of why the other choices are incorrect: A. Discharge with a neonate is not contingent on the mother's vaccination status. C. The mother's immune system is not necessarily suppressed during pregnancy; vaccination is still recommended. D. Vaccination can be done post-discharge, but protecting the neonate is the primary reason for vaccinating the mother before discharge.
Question 4 of 5
In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the AWHONN acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Thoughts of hurting self or baby. This teaching point requires the patient to call for 911 assistance because it indicates a serious mental health emergency that needs immediate intervention to ensure the safety of the patient and the baby. Thoughts of harming oneself or the baby are signs of a potential crisis that requires urgent professional help. Other choices: A: Bleeding that soaks a pad per hour - This is a concerning sign but does not necessarily require 911 assistance unless it is accompanied by other severe symptoms. B: A bad headache with vision changes - This could indicate a serious condition like preeclampsia, but it does not always require immediate 911 assistance unless it is severe and life-threatening. D: Signs an incision is not healing - While this may require medical attention, it does not typically necessitate calling 911 unless there are signs of infection or severe complications.
Question 5 of 5
The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother–infant bonding?
Correct Answer: C
Rationale: The correct answer is C because the mother focusing the visit on her physical recovery and concerns suggests a lack of emotional connection or bonding with the baby. This could indicate a potential problem with mother-infant bonding. Choice A is incorrect because the mother being pleased to have the nurse visit her home and baby shows positive engagement. Choice B is incorrect because the baby's grandmother being present and involved with mother/baby care indicates social support and family involvement, which can enhance bonding. Choice D is incorrect because the baby's father being on 'paternity leave' and involved with the baby also demonstrates active participation in caregiving and bonding activities.