ATI RN
Postpartum Care for Mom Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments isn't covered by REEDA?
Correct Answer: D
Rationale: The correct answer is D, Description of pain. The REEDA acronym stands for Redness, Edema, Ecchymosis, Discharge, and Approximation, focusing on physical characteristics. Pain assessment is important but not part of the REEDA visual assessment. Perineal coloration (A), suture line appearance (B), and amount of swelling (C) are all physical aspects covered by REEDA.
Question 5 of 5
The nurse on a postpartum unit is focused on providing care that will assist the mother and father in making the transition to parenthood. For which reason does the nurse review the prenatal and labor records?
Correct Answer: A
Rationale: The correct answer is A because reviewing the prenatal and labor records allows the nurse to understand the pregnancy and birth experiences of the mother and father, which can significantly impact their transition to parenthood. By knowing the details of these experiences, the nurse can identify factors that may enhance or impede the process of becoming a mother and father. This information helps the nurse tailor their care and support to address specific needs and concerns of the new parents. Choice B is incorrect because the focus of reviewing prenatal and labor records is not solely on identifying and focusing on learning needs from prenatal classes. Choice C is incorrect because while identifying preexisting maternal conditions is important for overall care, the primary focus in this scenario is on the transition to parenthood. Choice D is incorrect because the knowledge regarding neonate issues is not the main purpose of reviewing prenatal and labor records in this context.