ATI RN
Postpartum Care for Mom Questions Questions
Question 1 of 5
The nurse is counseling a lesbian couple who have decided to have a child. Which considerations doesn't the nurse present with regard to which partner will become pregnant?
Correct Answer: D
Rationale: The correct answer is D because determining who will be on the birth certificate is not a relevant consideration when a lesbian couple decides which partner will become pregnant. The birth certificate can typically be amended to include both partners as legal parents regardless of who gives birth. A: Considering the age and health of each partner is important for assessing pregnancy risks. B: Evaluating career goals may impact decisions around timing and balancing work and parenthood. C: Deciding which partner has better insurance is relevant for covering prenatal care and delivery costs.
Question 2 of 5
The nurse is educating a postpartum woman on how to prevent engorgement. Which action of the patient indicates effective learning?
Correct Answer: A
Rationale: The correct answer is A because breastfeeding the infant every 2 to 3 hours helps to empty the breasts regularly, preventing engorgement. This frequent breastfeeding stimulates milk production and prevents milk stasis. Choice B is incorrect as avoiding soap on the breast during bathing is unrelated to preventing engorgement. Choice C is also incorrect as hydration is important, but it does not directly prevent engorgement. Choice D is incorrect as binding the breast with a towel or stretch bandage can lead to further engorgement by restricting milk flow.
Question 3 of 5
A breastfeeding postpartum woman tells the nurse, "I am not sure I want to breastfeed because I notice that when I feed my baby, I have strong contraction-like pain. Is something wrong?" Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D. Oxytocin is a hormone that is released during breastfeeding in response to the baby's sucking, causing the uterus to contract. This helps the uterus return to its pre-pregnancy size and reduces postpartum bleeding. Choice A is incorrect as the issue does not require immediate doctor intervention. Choice B is incorrect as pain does not necessarily indicate infection. Choice C is incorrect as it does not explain the role of oxytocin in uterine contractions during breastfeeding.
Question 4 of 5
A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence?
Correct Answer: A
Rationale: Rationale for correct answer A: 1. Breastfeeding stimulates the release of oxytocin. 2. Oxytocin causes uterine contractions. 3. Uterine contractions help the uterus return to its pre-pregnancy size. 4. Severe uterine cramps post-delivery are likely due to increased oxytocin release from breastfeeding. Summary of why other choices are incorrect: B: Afterbirth pains are typically crampy, but the scenario specifies severe pain on the first day after delivery, which is more likely due to breastfeeding. C: Daily administration of oxytocin would not lead to sudden severe cramps on the first day post-delivery. D: Uterus shrinking back to prepregnancy size causes cramping, but the timing and severity described in the scenario point more towards oxytocin release from breastfeeding.
Question 5 of 5
The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient?
Correct Answer: C
Rationale: The correct answer is C because expressing milk by a breast pump or manually helps maintain milk supply, prevent engorgement, and relieve discomfort. It also allows for milk storage and feeding flexibility. A: Running warm water over breasts can lead to oversupply and disrupt milk production. B: Wearing a bra 24/7 can lead to constriction and may decrease milk flow. D: Taking analgesics only masks the pain without addressing the underlying issue of milk expression.