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 because having an episiotomy is directly related to the need for a sitz bath postpartum. An episiotomy is a surgical incision made in the perineum during childbirth to enlarge the vaginal opening, which can cause discomfort and swelling postpartum. A sitz bath helps to soothe and cleanse the area, promote healing, and reduce the risk of infection. Choice A (The woman is multiparous) is incorrect as the number of pregnancies does not directly correlate with the need for a sitz bath. Choice C (The woman had a vaginal birth) is incorrect because all women who give birth vaginally can benefit from a sitz bath, not just this woman specifically. Choice D (The woman received a pudendal block for anesthesia) is incorrect as the type of anesthesia used does not determine the need for a sitz bath; it is more related to the presence of an episiotomy.
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 is important prior to assessing the patient's uterus because a full bladder can displace the uterus and make it difficult to accurately assess its position and firmness. By asking the patient to void, the nurse ensures a more accurate assessment of the uterus. Placing the patient on the left side (A) is a position used to maximize uterine perfusion but is not necessary prior to assessing the uterus. Assessing the passage of lochia (B) is important but can be done after assessing the uterus. Administering oxytocin (D) may be indicated to help prevent postpartum hemorrhage but is not necessary prior to assessing the 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 protect the neonate: Maternal vaccination can provide passive immunity to the newborn through transplacental transfer of antibodies. 2. Protect from serious illnesses: Rubella, hepatitis B, pertussis, and influenza can have severe consequences for newborns. 3. Immunization of the mother is a preventive measure: It reduces the risk of neonatal infections. 4. Ensures the health and well-being of the newborn: By preventing potential diseases. Summary of other choices: A: Discharge with a neonate is not solely dependent on the mother's vaccination status. C: Pregnancy does not suppress the immune system to the extent that vaccination is contraindicated. D: Vaccination timing is based on the immunization schedule and not solely dependent on medical care availability.
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 immediate 911 assistance as it indicates a potential risk of harm. It is crucial to prioritize safety in such situations to prevent harm to the patient or the baby. Options A, B, and D are important concerns but do not require immediate 911 assistance. Bleeding that soaks a pad per hour may indicate postpartum hemorrhage, a bad headache with vision changes could be a sign of preeclampsia, and signs of incision not healing may indicate infection. These situations require prompt medical attention but not necessarily emergency assistance via 911.
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. The mother focusing the visit on her physical recovery and concerns indicates a possible problem with mother-infant bonding. This is because bonding involves emotional connection and interaction between the mother and the baby, not just physical care. A mother who is solely focused on her physical recovery may not be engaging emotionally with her baby, which can impact bonding. A: The mother being pleased to have the nurse visit her home and baby is a positive sign of engagement and interest in the baby's well-being. B: The baby's grandmother being present and involved with mother/baby care is also a positive sign of family support and involvement, which can enhance bonding. D: The baby's father being on 'paternity leave' and involved with the baby is also a positive sign of parental involvement, which is important for bonding.