ATI RN
Postpartum Body Changes Questions
Question 1 of 5
The nurse is developing a plan of care for the patient’s fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?
Correct Answer: C
Rationale: Rationale: Choice C is correct because immediate skin-to-skin contact promotes bonding by facilitating the release of oxytocin, the bonding hormone. This close physical contact also helps regulate the baby's temperature and promotes breastfeeding initiation. Choices A, B, and D do not directly facilitate bonding as effectively as immediate skin-to-skin contact. Encouraging the baby's name or assessing for familial characteristics may be important but do not have the same immediate bonding impact as skin-to-skin contact. Placing the patient's finger in the infant's palm may stimulate reflexes but does not directly promote bonding as effectively as skin-to-skin contact.
Question 2 of 5
The nurse is teaching a non–breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Avoid massaging the breasts. Massaging the breasts can stimulate milk production and worsen engorgement. Therefore, it is essential to avoid any stimulation to prevent further lactation. Summary: - Choice B: Allowing warm shower water to run over the breasts can stimulate milk production, so it should be avoided. - Choice C: Pumping can also stimulate milk production and should be avoided unless instructed by a healthcare provider. - Choice D: Ice packs or cabbage leaves can provide relief from discomfort but do not suppress lactation.
Question 3 of 5
Which of the following are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)
Correct Answer: A
Rationale: Rationale: A: Providing comfort and ample time for rest helps parents feel less stressed, promoting bonding. B: Keeping the baby wrapped is important for warmth but does not directly impact bonding. C: Positioning face to face can enhance bonding, but it is not a nursing measure. D: Pointing out characteristics positively can boost parent's confidence but does not directly promote bonding.
Question 4 of 5
What physiologic postpartum change occurs because the uterus shrinks in size, resulting in an increase in blood flow?
Correct Answer: B
Rationale: The correct answer is B: Cardiac output increases. As the uterus shrinks in size postpartum, it stimulates an increase in blood flow to the area, leading to an increase in cardiac output to meet the demands. This is a normal physiologic response that helps to prevent excessive bleeding and promote healing. Edema increasing (A) is not directly related to the shrinking uterus. Temperature rising (C) is not a typical postpartum change due to uterine involution. Lochia increasing (D) is not a direct result of uterine shrinkage, but rather a normal discharge after childbirth.
Question 5 of 5
The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?
Correct Answer: B
Rationale: The correct answer is B: full bladder. A full bladder can cause the fundus to be boggy, elevated, and deviated to one side due to impeding the uterus from contracting properly. This can lead to postpartum hemorrhage. Uterine rupture (A) would present with severe abdominal pain and signs of shock. Perineal laceration (C) would not cause these fundus changes. Hematoma (D) would present with localized swelling and pain, not fundal changes.