ATI RN
Postpartum Body Changes Questions
Question 1 of 5
The nurse does not hear the baby swallow when suckling even though the baby appears to be latched properly to the breast. Which of the following situations may be the reason for this observation?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) The baby lies with the chin touching the under part of the breast. This observation indicates a shallow latch, which can lead to poor milk transfer and difficulty in swallowing for the baby. When the baby's chin is touching the under part of the breast, it suggests that the latch is not deep enough for effective breastfeeding. This can result in the baby not being able to effectively draw milk from the breast, hence the lack of audible swallowing. Option A is incorrect because the mother's pain level, although important in breastfeeding comfort, is not directly related to the baby's ability to swallow. Option B is incorrect because the duration of suckling alone does not indicate successful milk transfer or proper latch. Option C is incorrect because the feeding position chosen by the mother, such as the cross-cradle hold, does not directly impact the baby's ability to swallow. Educationally, it is crucial for healthcare providers to understand the significance of proper latch in breastfeeding. Recognizing signs of a shallow latch, such as the baby's chin not touching the breast, is essential in promoting successful breastfeeding outcomes for both the mother and baby. Encouraging correct latch techniques can help prevent issues like poor milk transfer and nipple pain, ultimately supporting breastfeeding success.
Question 2 of 5
What percentage of weight loss did the baby experience? Calculate to the nearest hundredth.
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 7.20%. This percentage represents the weight loss experienced by the baby after birth. The weight loss of the baby after birth is mainly due to the loss of amniotic fluid, placenta, and the initial expulsion of meconium. Babies typically lose around 5-10% of their birth weight in the first few days of life. In this case, the closest approximation to this average weight loss is 7.20%, making option B the correct answer. Option A) 5.55% is lower than the average weight loss experienced by babies after birth. Option C) 6.85% and D) 6.90% are also lower than the expected range of weight loss for newborns. Understanding postpartum body changes, including the weight loss of the baby, is crucial for healthcare professionals working in maternity care, pediatrics, or any field related to newborn health. This knowledge helps in assessing the health and development of the newborn and providing appropriate care and support to ensure their well-being.
Question 3 of 5
A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. Which of the following comments by the nurse is appropriate?
Correct Answer: B
Rationale: The appropriate comment by the nurse is option B) It is recommended that babies receive only breast milk for the first 4 to 6 months of their lives. This response aligns with current guidelines from organizations such as the World Health Organization and the American Academy of Pediatrics, which recommend exclusive breastfeeding for the first 6 months of life. Introducing rice cereal or other solid foods too early can increase the risk of allergies, digestive issues, and obesity. Breast milk provides all the necessary nutrients for a baby's growth and development in the first months of life. Option A is incorrect because giving rice cereal to babies to promote better sleep is not evidence-based and can be harmful to their immature digestive systems. Option C is incorrect because it does not provide any explanation or guidance to the mother. Option D is incorrect as it suggests introducing solid foods like applesauce and apple juice at ages that do not align with the recommended guidelines. From an educational perspective, it is crucial for nurses and healthcare providers to stay updated on current recommendations regarding infant feeding practices to provide accurate and evidence-based information to parents. Educating parents on the benefits of exclusive breastfeeding and the risks associated with early introduction of solid foods is essential for promoting the health and well-being of both the mother and the baby.
Question 4 of 5
A breastfeeding mother who is 2 weeks postpartum is informed by her pediatrician that her 4-year-old has chickenpox (varicella). The mother calls the nursery nurse because she is concerned about having the baby in contact with the sick sibling. The mother had chickenpox as a child. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A) The baby received passive immunity through the placenta. This is the appropriate response by the nurse because infants born to mothers who had chickenpox in the past have passive immunity through the transfer of maternal antibodies across the placenta. This immunity provides protection to the newborn for a few months post-birth. Breast milk also contains antibodies that can further protect the baby. Option B is incorrect because while breast milk does provide some protection, the primary source of immunity in this case is through the placenta. Option C is wrong as separating the baby from the family is not necessary if the newborn has passive immunity. Option D is incorrect as handwashing does not prevent the spread of chickenpox, as it is primarily transmitted through respiratory droplets. In an educational context, understanding the concept of passive immunity through placental transfer is crucial for healthcare providers working with postpartum mothers and newborns. It highlights the importance of prenatal care and maternal immunity in protecting infants against certain infections. This knowledge can inform decisions regarding newborn care and potential exposure to infectious diseases within the family.
Question 5 of 5
A mother, who gave birth 5 minutes ago, states that she would like to breastfeed. The baby's Apgar score is 9/9. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to perform first is option A) Assist the woman to breastfeed. This is the most appropriate action because initiating breastfeeding soon after birth has numerous benefits for both the mother and the baby. Breastfeeding immediately after birth helps establish a strong bond between the mother and baby, promotes the release of oxytocin to reduce postpartum bleeding, and provides vital colostrum rich in antibodies for the newborn. Additionally, early breastfeeding can help the mother's uterus contract, aiding in the expulsion of the placenta and reducing the risk of postpartum hemorrhage. Option B) Dress the baby in a shirt and diaper is incorrect because dressing the baby can wait until after the initial breastfeeding session, which is a more critical and time-sensitive intervention. Option C) Administer the ophthalmic prophylaxis is important but can be done after the initial breastfeeding session since it does not require immediate action. Option D) Take the baby's rectal temperature is unnecessary at this moment as the baby's Apgar score is 9/9, indicating good overall health, and the priority is to establish breastfeeding for the numerous benefits it provides. In an educational context, understanding the importance of early breastfeeding initiation can help nurses prioritize care effectively in the immediate postpartum period to promote optimal maternal and infant outcomes. This knowledge empowers nurses to provide evidence-based care that supports the physical and emotional well-being of both the mother and the newborn.