ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
On admission to the labor and delivery suite, the nurse assesses the discharge needs of a primipara who will be discharged home 4 days after a cesarean delivery. Which of the following questions should the nurse ask the client?
Correct Answer: D
Rationale: The correct answer is D) Are there many stairs in your home? Postpartum care after a cesarean delivery involves considering the physical limitations of the mother. Asking about stairs at home is crucial as climbing stairs can be challenging post-cesarean and can impact the mother's recovery. This question helps assess the client's potential mobility challenges and the need for additional support or modifications at home to ensure a safe and smooth transition post-discharge. A) Asking about previous anesthesia history is important but not as immediately relevant to post-discharge care after a cesarean delivery. B) Inquiring about allergies is essential for medical safety but is not directly related to discharge planning in this context. C) Asking about scarring propensity is not as critical as assessing the client's immediate environment and physical challenges post-cesarean delivery. Educationally, this question highlights the importance of tailoring discharge planning to the individual needs of postpartum mothers, considering their specific circumstances and potential challenges to optimize their recovery and ensure a successful transition to home care.
Question 2 of 5
A woman who wishes to breastfeed advises the nurse that she has had breast augmentation surgery. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: The appropriate response by the nurse is option D) Women who have implants are often able exclusively to breastfeed. This response is correct because breast implants do not typically interfere with a woman's ability to breastfeed. Breast augmentation surgery usually does not affect the function of the mammary glands responsible for milk production. Option A is incorrect because breast implants do not inherently contaminate breast milk with toxins. Option B is incorrect as it inaccurately suggests that women who need breast implants lack sufficient glandular tissue for breastfeeding. Option C is also incorrect as babies can usually latch onto the nipples of women with breast implants without significant difficulty. Educationally, it is crucial for healthcare providers to have accurate information about the impact of breast augmentation on breastfeeding to provide appropriate support and guidance to women. Understanding that breast implants generally do not impede breastfeeding can help alleviate concerns and encourage women who have had breast augmentation surgery to confidently pursue breastfeeding if they choose to do so.
Question 3 of 5
The nurse is discussing the neonatal blood screening test with a new mother. The nurse knows that the teaching was successful when the mother states that the test screens for the presence in the newborn of which of the following diseases? Select one that doesn't apply
Correct Answer: D
Rationale: In this scenario, option D, "Cerebral palsy," is the correct answer for the neonatal blood screening test. This test is designed to screen for metabolic and genetic disorders present in newborns that may not be apparent at birth. Cerebral palsy is a neurodevelopmental disorder that affects movement and muscle coordination, and it is not detected through a blood screening test. Options A, B, and C are incorrect because they are conditions that can be detected through neonatal blood screening tests. Hypothyroidism, sickle cell disease, and galactosemia are all metabolic disorders that can be identified early through such screening tests, allowing for prompt intervention and management to prevent complications and promote the baby's well-being. Educationally, understanding the purpose of neonatal blood screening tests is crucial for new parents to grasp the importance of early detection and intervention in managing potential health conditions in their newborns. By explaining the rationale behind each answer choice, nurses can enhance parental knowledge and empower them to be proactive in their child's healthcare from the very beginning.
Question 4 of 5
A full-term newborn was just born. Which nursing intervention is important for the nurse to perform first?
Correct Answer: B
Rationale: In the immediate postpartum period, assessing the Apgar score is crucial as it provides a quick snapshot of the newborn's overall condition and helps determine if any immediate interventions are needed. The Apgar score evaluates the baby's heart rate, respiratory effort, muscle tone, reflex irritability, and color at one minute and five minutes after birth. This quick assessment guides the nurse in determining the need for resuscitative measures or additional monitoring. Removing wet blankets (option A) is important for maintaining the newborn's body temperature but is not as time-sensitive as assessing the Apgar score. Inserting eye prophylaxis (option C) and eliciting the Moro reflex (option D) are important assessments but are not the priority immediately after birth. In an educational context, understanding the significance of the Apgar score and its role in the initial assessment of newborns is essential for nurses and other healthcare providers working in labor and delivery or postpartum units. This knowledge ensures that appropriate care is provided promptly, promoting the well-being of the newborn and facilitating early interventions if necessary.
Question 5 of 5
A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate? Select one that doesn't apply.
Correct Answer: A
Rationale: The correct answer is A) Babies have a poorly developed sense of smell until they are 2 months old. This is the appropriate response because it accurately reflects the neonate's sensory development at birth. At birth, babies have a limited sense of smell which gradually improves over the first few months of life. This information is crucial for the mother to understand in order to manage her expectations regarding her baby's responses to smells. Option B is incorrect because babies do not respond equally well to all tastes; they have a preference for sweet tastes like breast milk. Option C, while partially true about babies preferring sweet tastes, does not fully address the question about neonatal responsiveness. Option D is incorrect as it focuses on touch and cuddling rather than the specific sensory aspect of smell being asked about. In an educational context, understanding neonatal sensory development is important for parents as it helps them comprehend their baby's behaviors and needs. By knowing that babies have a poorly developed sense of smell initially, parents can adjust their interactions and caregiving practices accordingly, leading to better bonding and care for the newborn.