ATI RN
Complications of Postpartum Questions
Question 1 of 5
The nurse develops a plan to increase a patient’s milk supply. What is an intervention they can implement?
Correct Answer: A
Rationale: The correct answer is A: Pump between nursing sessions. This intervention helps stimulate milk production by emptying the breasts more frequently. Pumping increases demand for milk, signaling the body to produce more. Nursing every 6 hours (B) reduces milk supply due to less frequent stimulation. Keeping newborn in bassinet (C) limits nursing opportunities. Offering a pacifier (D) may decrease milk supply by reducing nursing frequency. Therefore, option A is the most effective intervention to increase milk supply.
Question 2 of 5
Why does the nurse encourage ambulation in a patient who has experienced a cesarean birth?
Correct Answer: B
Rationale: The correct answer is B because ambulation after a cesarean birth helps the patient to lose weight. Walking promotes circulation, aids in healing, and can prevent complications such as blood clots and pneumonia. It also helps to restore strength and energy levels. Choices A, C, and D are incorrect because ambulation primarily benefits the patient's overall well-being and recovery, rather than directly preventing DVT, aiding breastfeeding, or decreasing peristalsis.
Question 3 of 5
What symptom can partners of persons with PPD experience?
Correct Answer: B
Rationale: The correct answer is B: psychosis. Partners of individuals with Paranoid Personality Disorder (PPD) may experience shared psychosis due to the intense distrust and suspicion exhibited by the person with PPD. This can lead partners to develop similar delusions or false beliefs. Depression (A), bipolar disorder (C), and mania (D) are not directly associated with PPD and are less likely to be experienced solely as a result of being in a relationship with someone with PPD.
Question 4 of 5
What intervention by the nurse can help with PPD?
Correct Answer: B
Rationale: The correct answer is B because encouraging the family to have support available for the person and partner is essential in managing postpartum depression (PPD). Support from loved ones can provide emotional, practical, and social assistance, which are crucial in helping the individual cope with PPD. It promotes a sense of belonging, reduces feelings of isolation, and helps in sharing the responsibilities of caring for the newborn. A: Encouraging the partner to let the postpartum person learn to take care of themself is not the best intervention as it may increase feelings of inadequacy and overwhelm in the individual experiencing PPD. C: Telling the person not to breast-feed if taking antidepressants is incorrect as breastfeeding can still be possible under the guidance of healthcare professionals while taking antidepressants. D: Keeping the newborn in the nursery most of the day and night is not recommended as it can disrupt bonding and caregiving opportunities between the parent and child, which are important for both parties' emotional well-being
Question 5 of 5
The nurse is taking the postpartum patient’s vital signs. The newborn is across the room in the bassinet, and the postpartum person refuses to hold the newborn. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B. The nurse should ask the postpartum person if they are feeling depressed, hopeless, afraid, or overwhelmed. This is important because it can help assess the person's mental and emotional state, which could be contributing to their refusal to hold the newborn. It also shows empathy and support for the person's feelings. Choice A is incorrect because calling Child Protective Services (CPS) would be premature and could escalate the situation unnecessarily. Choice C is incorrect as starting an antidepressant should only be considered after a thorough evaluation by a healthcare provider. Choice D is incorrect because it does not address the underlying issue of the person's emotional state and may come off as judgmental.