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 1: Vaccinating the mother before discharge is important to protect the neonate. Step 2: Maternal vaccines provide passive immunity to the newborn through transplacental transfer of antibodies. Step 3: This protection is crucial as newborns have immature immune systems and are vulnerable to infections. Step 4: Rubella, hepatitis B, pertussis, and influenza are serious illnesses that can be prevented through maternal immunization. Step 5: Therefore, the correct answer is B as it aligns with the concept of maternal vaccination for the benefit of the neonate. Summary: A: Incorrect. Discharge is not based on the mother's vaccination status but on the overall health of both mother and neonate. C: Incorrect. Pregnancy does not suppress the immune system to the extent that maternal vaccination is contraindicated. D: Incorrect. Vaccination is recommended based on the timing of administration, not solely on the mother's medical care status.
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 when a mother primarily focuses on her physical recovery and concerns during a home visit, it may indicate a possible problem with mother-infant bonding. This is because bonding involves emotional connection, interaction, and care between the mother and baby, which goes beyond physical recovery. 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 can actually enhance bonding by providing support and assistance. D: The baby's father being on 'paternity leave' and involved with the baby is another positive sign of family support and involvement in bonding.
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 classic example of neonate communication. When the baby's cheek is stroked, they turn their head in the direction of the touch in search of the breast for feeding. This reflex demonstrates the baby's ability to communicate their hunger needs. This action is instinctual and essential for the baby's survival. Choices A, B, and C are incorrect because they do not directly relate to neonate communication. Choice A focuses on the baby's physical position rather than communication. Choice B mentions the baby's sensitivity to loud noises, which is more about sensory response than communication. Choice C refers to eye contact, which is not a typical form of communication for newborns.
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 is a live attenuated vaccine, which means it should not be given to pregnant women as it can potentially harm the fetus. Therefore, it is important for the postpartum woman to avoid becoming pregnant after receiving the vaccine to prevent any risks to future pregnancies. Choice A is incorrect as breastfeeding is not contraindicated with the rubella vaccine. Choice C is incorrect because the rubella vaccine should not be given to individuals with severe egg allergies. Choice D is incorrect as 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: The woman has an episiotomy. A sitz bath is often recommended postpartum for women who have had an episiotomy to promote healing and relieve discomfort. An episiotomy is a surgical incision made in the perineum during childbirth to facilitate delivery and prevent tearing. The warm water in a sitz bath helps to reduce swelling, promote circulation, and clean the area. Incorrect choices: A: The woman is multiparous - Multiparity does not directly correlate with the need for a sitz bath postpartum. C: The woman had a vaginal birth - While this is true, it does not specifically address the need for a sitz bath. D: The woman received a pudendal block for anesthesia - Although this information may be relevant to the birth experience, it does not directly relate to the need for a sitz bath postpartum.