ATI RN
Postpartum Body Changes Questions
Question 1 of 5
The home health nurse is visiting a client with HIV who is 6 weeks postdelivery. Which of the following findings would indicate that patient teaching by the nurse in the hospital was successful?
Correct Answer: D
Rationale: In this scenario, option D, "The client is seeking care for a recent weight loss," indicates successful patient teaching. Weight loss in the postpartum period can be a concerning sign, especially for a client with HIV, as it may indicate underlying health issues that need prompt attention. By seeking care for this symptom, the client demonstrates an understanding of the importance of monitoring her health post-delivery and taking action when necessary. Option A, "The client is breastfeeding her baby every two hours," is a common and beneficial postpartum practice but does not directly relate to the effectiveness of patient teaching regarding postpartum body changes in a client with HIV. Option B, "The client is using a diaphragm for family planning," and option C, "The client is taking her temperature every morning," are not specific to postpartum body changes or indicative of successful patient teaching related to postpartum care for a client with HIV. Educationally, this question highlights the importance of assessing clients holistically in the postpartum period, especially those with underlying health conditions like HIV. It emphasizes the need for ongoing education and support for clients to recognize and act upon concerning symptoms post-delivery. By understanding these concepts, nurses can provide comprehensive care to support the health and well-being of postpartum clients.
Question 2 of 5
A woman with postpartum depression has been prescribed Zoloft (sertraline) 50 mg daily. Which of the following should the client be taught about the medication?
Correct Answer: B
Rationale: The correct answer is B) Therapeutic effect may be delayed a week or more. This is the most important information to provide to the client because it helps set realistic expectations about when they can expect to see improvements in their symptoms. It is crucial for the client to understand that the medication may take some time to start working, so they need to be patient and continue taking it as prescribed. Option A is incorrect because chamomile tea is not known to potentiate the effects of sertraline. Mixing herbal remedies with prescribed medications can be dangerous and should be avoided without consulting a healthcare provider. Option C is incorrect because sertraline does not necessarily have to be taken whole. It can be taken with or without food, but it is important to follow the specific instructions provided by the healthcare provider or pharmacist. Option D is incorrect because while weight gain can be a side effect of sertraline, it is not commonly seen to the extent of up to ten pounds. Weight changes can vary from person to person, and it is essential to monitor and discuss any changes with a healthcare provider. In an educational context, it is crucial to provide accurate and clear information to clients about their medications to ensure they understand how to take them safely and effectively. Setting realistic expectations and dispelling myths or misconceptions about medication can help promote adherence and better outcomes for the client.
Question 3 of 5
The nurse assesses a 2-day postpartum, breastfeeding client. The nurse notes blood on the mother's breast pad and a crack on the mother's nipple. Which of the following actions should the nurse perform at this time?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is to provide the woman with a tube of topical lanolin (Option B). This is because the presence of blood on the breast pad and a crack on the nipple indicate a common issue known as nipple trauma, often associated with breastfeeding. Topical lanolin can help soothe and protect the cracked nipple, promoting healing and providing relief to the mother. Option A is incorrect because washing with soap can further irritate the already sensitive area and potentially worsen the condition. Option C is incorrect as it can cause unnecessary worry and stress to the mother; ingesting a small amount of blood is generally not harmful to the baby. Option D is not the best course of action as a topical anesthetic may not address the underlying issue of nipple trauma and could potentially be harmful to the newborn if transferred during breastfeeding. Educationally, it is crucial for nurses to be knowledgeable about postpartum body changes and common breastfeeding issues to provide effective care and support to new mothers. Understanding the appropriate interventions for nipple trauma can help prevent complications and promote successful breastfeeding experiences for both the mother and baby.
Question 4 of 5
The nurse administers RhoGAM to a postpartum client. Which of the following is the goal of the medication?
Correct Answer: A
Rationale: RhoGAM is administered to a postpartum client who is Rh-negative to prevent the mother's immune system from producing antibodies against Rh-positive fetal blood cells, a condition known as Rh incompatibility. Option A, "Inhibit the mother's active immune response," is the correct answer because RhoGAM works by suppressing the mother's immune response to Rh-positive blood cells she may have been exposed to during pregnancy or delivery. Option B, "Aggressively destroy the Rh antibodies produced by the mother," is incorrect because RhoGAM does not destroy existing Rh antibodies but rather prevents their formation. Option C, "Prevent fetal cells from migrating throughout the mother's circulation," is incorrect as RhoGAM does not act on fetal cells but on the mother's immune system. Option D, "Change the maternal blood type to Rh-positive," is inaccurate as RhoGAM does not alter the mother's blood type. In an educational context, understanding the rationale behind administering RhoGAM is crucial for nurses caring for postpartum clients. By grasping the purpose of this medication, nurses can provide safe and effective care to prevent complications related to Rh incompatibility in future pregnancies. It also highlights the importance of maternal-fetal blood type compatibility and the role of immunoprophylaxis in preventing hemolytic disease of the newborn.
Question 5 of 5
A client is 1 day post-cesarean section with spinal anesthesia. Even though the nurse advised against it, the client has had the head of her bed in high Fowler's position since delivery. Which of the following complications would the nurse expect to see in relation to the client's action?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Severe postural headache. When a client undergoes a cesarean section with spinal anesthesia, maintaining the head of the bed elevated can lead to a postural headache due to leakage of cerebrospinal fluid from the dural puncture site, exacerbated by the high Fowler's position. This positional headache is a common complication post-spinal anesthesia and can be severe. Option A) Postpartum hemorrhage is incorrect as it is not directly related to the client's position in bed. Postpartum hemorrhage usually occurs due to issues like uterine atony or retained placental fragments. Option C) Pruritic skin rash is also unrelated to the client's bed position and is more commonly associated with allergic reactions or dermatological conditions. Option D) Paralytic ileus is not typically caused by the client's bed position but rather by factors like decreased peristalsis following abdominal surgery. Educationally, this scenario highlights the importance of understanding the potential complications of specific postpartum interventions, like maintaining proper positioning post-cesarean section with spinal anesthesia to prevent avoidable issues such as postural headaches. It also emphasizes the need for clear patient education and compliance with healthcare provider instructions to ensure optimal recovery and outcomes.