ATI RN
Postpartum Body Changes Questions
Question 1 of 5
A physician writes in a breastfeeding mother's chart, 'Ampicillin 500 mg q 6 h po. Baby should be bottle fed until medication is discontinued.' What should be the nurse's next action?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?
Correct Answer: A
Rationale: The correct answer is A - Gravida 5, para 5. Afterbirth pains are caused by uterine contractions as the uterus returns to its pre-pregnancy size. The more pregnancies a woman has had, the more stretched and prone to stronger contractions her uterus becomes. In this case, a gravida 5, para 5 patient has had multiple pregnancies and deliveries, leading to a higher likelihood of severe afterbirth pains. The other choices are incorrect because a primipara (B) would have less uterine stretching, a patient bottle feeding her first child (C) would still experience afterbirth pains due to uterine contractions, and a patient breastfeeding her second child (D) would experience milder afterbirth pains due to the release of oxytocin during breastfeeding which helps the uterus contract and reduce bleeding.
Question 3 of 5
Which fundal assessment finding at 12 hours after birth requires further assessment?
Correct Answer: A
Rationale: Rationale: - A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments. - B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment. Summary: - Choice A is correct because it indicates a potential issue with uterine involution. - Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.
Question 4 of 5
A postpartum patient asks, “Will these stretch marks ever go away?” Which is the nurse’s best response?
Correct Answer: C
Rationale: The correct answer is C: “They will fade to silvery lines but won’t disappear completely.” This response is the best because it provides a realistic expectation to the patient. Stretch marks may lighten over time but typically do not completely disappear. Choice A is incorrect as it provides a definitive and discouraging answer. Choice B is vague and does not offer a clear timeframe. Choice D is incorrect as it gives an overly optimistic timeline that may not be realistic for most individuals. Overall, choice C is the most accurate and supportive response for the patient's query.
Question 5 of 5
If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?
Correct Answer: D
Rationale: The correct answer is D because the rubella vaccine contains live virus and poses a risk to the fetus if the patient becomes pregnant within 28 days of receiving the vaccine. Providing instructions about the risks of pregnancy after vaccination is crucial to prevent potential harm to the fetus. A: Incorrect - Specific instructions are necessary due to the live virus in the vaccine. B: Incorrect - Drinking fluids does not address the specific risks associated with pregnancy after vaccination. C: Incorrect - Stopping breastfeeding is not necessary after receiving the rubella vaccine.