ATI RN
Postpartum Care Practice Questions Questions
Question 1 of 5
Loutzenhiser, McAuslan, and Sharpe (2015) performed a study regarding maternal and paternal fatigue and factors associated with fatigue across the transition to parenthood. Which evidence-based conclusion is made regarding fatigue and the transitioning parents?
Correct Answer: A
Rationale: The correct answer is A) Levels of prenatal and postnatal fatigue are associated. This conclusion is evidence-based because Loutzenhiser, McAuslan, and Sharpe (2015) found a significant correlation between fatigue experienced during pregnancy and fatigue experienced after childbirth. This suggests that there is a relationship between the two phases, indicating that prenatal fatigue can impact postnatal fatigue levels in transitioning parents. Option B) Postnatal fatigue remains consistent for a period of 1 year is incorrect because the study did not make any claims about the consistency of postnatal fatigue for a year. Fatigue levels can vary throughout the postpartum period depending on various factors. Option C) Poor sleep quality in fathers is related to depressive symptoms is incorrect as this specific relationship was not the focus of the study conducted by Loutzenhiser, McAuslan, and Sharpe (2015). While sleep quality can impact fatigue, the study did not directly link poor sleep quality in fathers to depressive symptoms. Option D) The length of couple relationship strongly impacts parental fatigue is incorrect based on the study's findings. The study focused on maternal and paternal fatigue and factors associated with fatigue across the transition to parenthood, not specifically on the length of the couple's relationship. Educationally, understanding the factors that contribute to parental fatigue during the transition to parenthood is crucial for healthcare providers and support systems to provide appropriate care and support to new parents. Recognizing the link between prenatal and postnatal fatigue can help healthcare professionals develop interventions to support parents during this challenging period.
Question 2 of 5
The nurse is interested in promoting coparenting because of the high likeability that at some point, both parents will be working outside the home. After reading research by Davis, Schoppe-Sullivan, Mangelsdorf, and Brown (2009), the nurse learns that which factor impacts coparenting the most?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Infant temperament. Understanding why this factor impacts coparenting the most is crucial for nurses providing postpartum care. Infant temperament refers to a baby's individual characteristics such as mood, adaptability, and intensity of reactions. Research by Davis, Schoppe-Sullivan, Mangelsdorf, and Brown (2009) highlights that a difficult or demanding infant temperament can significantly affect coparenting dynamics. Infant temperament can influence how parents interact, communicate, and support each other in their caregiving roles. A challenging infant temperament may lead to increased stress, disagreements, and conflicts between parents, affecting their ability to coparent effectively. Therefore, recognizing and addressing the impact of infant temperament on coparenting is essential for nurses to support new parents in developing positive and collaborative coparenting relationships. Regarding why the other options are incorrect: B) Father's interest: While the father's interest in coparenting is important, research suggests that infant temperament has a more significant impact on coparenting dynamics. C) Strength of support systems: Support systems can enhance coparenting, but they are not the primary factor highlighted in the research as impacting coparenting the most. D) Mother's expectations: While mothers' expectations can influence coparenting, the research emphasizes infant temperament as the key factor affecting coparenting relationships. Educationally, understanding the impact of infant temperament on coparenting allows healthcare providers to offer targeted support and interventions to help parents navigate the challenges of coparenting effectively. By focusing on evidence-based factors like infant temperament, nurses can better assist families in building strong and positive coparenting relationships for the well-being of both parents and the child.
Question 3 of 5
A woman who is 4 days postdelivery calls the nurse's station and states that she is feeling faint and dizzy. Which is an appropriate nursing action?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Instruct the woman to request help when getting up. This is the appropriate nursing action because the woman is experiencing symptoms of postural hypotension, which is common in the postpartum period due to changes in blood volume and distribution. Instructing the woman to ask for help when getting up ensures her safety and prevents falls or injuries. Option A) Notify the physician is not the most immediate action needed in this situation. Option B) Elevate the woman's legs is not indicated for faintness and dizziness. Option C) Administer oxygen is not necessary based on the symptoms described. Educationally, it is important for healthcare providers to understand the physiological changes that occur in the postpartum period and how to address common symptoms experienced by women during this time. Prompt recognition and appropriate intervention are essential in ensuring the well-being of postpartum women. Teaching women about the importance of asking for help and moving slowly after delivery can help prevent incidents like this.
Question 4 of 5
The nurse receives a telephone call from a woman who has given birth 3 days ago. The woman states, "I am afraid that something is wrong because I have not had a bowel movement since I had my baby. I usually go every day." Which response by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D) Encourage the woman to add dried fruits to cereals, yogurts, and salads. This response is appropriate because constipation is a common issue after childbirth due to factors like hormonal changes, dehydration, and reduced physical activity. Dried fruits are a good source of fiber, which can help alleviate constipation in a gentle and natural way. Option A is incorrect because simply instructing the woman to rest more often does not address the underlying issue of constipation. Option B is incorrect as it only provides reassurance without offering a practical solution. Option C is also incorrect because asking the woman to see a physician for a common postpartum issue like constipation may be premature before trying simple interventions like dietary changes. In an educational context, it is important for nurses to be knowledgeable about common postpartum issues like constipation and be able to provide evidence-based advice to promote the health and well-being of new mothers. By understanding the physiological changes that occur after childbirth, nurses can offer practical guidance to address common concerns and support women during the postpartum period.
Question 5 of 5
Upon discharge on the fourth postpartum day, the nurse is assessing a postpartum woman. Which observations about the woman would the nurse be most likely to make?
Correct Answer: C
Rationale: In this scenario, option C, "The woman is crying and does not know why," is the most likely observation the nurse would make upon discharge on the fourth postpartum day. This observation is indicative of postpartum blues or postpartum depression, which are common experiences for many women after giving birth. It is crucial for healthcare providers to recognize the signs of emotional distress in postpartum women to provide appropriate support and interventions. Option A, the woman stating she is very hungry and asking when she can eat, is less likely to be a significant concern upon discharge, as it is a common physical need after childbirth and can be addressed easily. Option B, the woman wanting to talk about her birth experience, while important for emotional processing, may not be the most immediate concern for a woman experiencing emotional distress. Option D, the woman requesting information about feeding and dressing her baby, is also important but not as urgent as addressing the woman's emotional well-being. Educationally, understanding postpartum emotional changes and mental health is crucial for nurses and healthcare providers working with postpartum women. Recognizing the signs of postpartum depression and providing appropriate support and resources can significantly impact the well-being of both the mother and the newborn. This question highlights the importance of holistic postpartum care that addresses both physical and emotional aspects of recovery.