ATI RN
Postpartum Care Nursing Questions Questions
Question 1 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 2 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.
Question 3 of 5
A new mother expresses frustration about how to know what her baby wants. The mother states, 'I don't know what I expect, but then, the baby doesn't know either.' Which situation does the nurse use as an example of neonate communication?
Correct Answer: D
Rationale: The correct answer is D because rooting reflex is a clear example of neonate communication. When the baby's cheek is stroked, the baby turns its head in the direction of the touch, indicating a desire for feeding. This reflexive behavior demonstrates the baby's ability to communicate its needs for nourishment. A: The baby being content to lie still on the mother's abdomen does not directly relate to communication. B: Being easily awakened by loud noises is a sensory response but not specifically a form of communication. C: Resisting eye contact if bored or disinterested involves more complex social cues and is not typically seen in neonatal communication. In summary, choice D is correct as it directly involves a neonatal communication reflex, while the other choices do not demonstrate clear communication cues in the context of a newborn baby.
Question 4 of 5
The physician has ordered the rubella vaccine to be given to a postpartum woman who is being discharged. Which should be included when providing education about the vaccine to the woman?
Correct Answer: B
Rationale: The correct answer is B because rubella vaccine contains live attenuated virus, which can pose a risk to a developing fetus if the woman becomes pregnant shortly after vaccination. This information is crucial for the woman to avoid pregnancy for a certain period after receiving the vaccine. Choice A is incorrect because breastfeeding is not contraindicated after receiving the rubella vaccine. Choice C is incorrect because the rubella vaccine should not be given to individuals with a severe allergy to eggs. Choice D is incorrect because there is no need for the woman to be separated from her infant after receiving the rubella vaccine.
Question 5 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.