ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
The nurse is evaluating the effectiveness of an intervention when assisting a woman whose baby has been latched to the nipple only rather than to the nipple and the areola. Which response would indicate that further intervention is needed?
Correct Answer: C
Rationale: In this scenario, option C is the correct answer because the baby's jaws moving up and down once every second indicates ineffective latch. When a baby is latched correctly, their jaws should make a slow, deep movement rather than a rapid up-and-down motion. This rapid movement suggests that the baby is not effectively extracting milk, which can lead to poor milk transfer and potential nipple soreness for the mother. Option A is incorrect because a decrease in pain does not necessarily indicate a correct latch. Pain reduction could be due to the baby being latched incorrectly but still feeding, causing further issues later on. Option B is incorrect because hearing the baby swallow after each suck is a positive sign of effective milk transfer but does not provide information about the latch itself. Option D is incorrect because the movement of the baby's cheeks in and out with each suck is a normal physiological response and does not necessarily indicate a correct latch. In an educational context, understanding the signs of effective latch is crucial for nurses and breastfeeding mothers to ensure successful breastfeeding outcomes. By recognizing the cues of an ineffective latch, healthcare providers can intervene early to prevent issues such as poor milk supply, nipple pain, and improper feeding techniques. This knowledge empowers nurses to support mothers in establishing a comfortable and effective breastfeeding relationship with their babies.
Question 2 of 5
A nurse who is caring for a mother/newborn dyad on the maternity unit has identified the following nursing diagnosis: Effective breastfeeding. Which of the following would warrant this diagnosis?
Correct Answer: A
Rationale: In this scenario, option A is the correct answer because when a baby's lips are flanged (turned out) while latched onto the breast, it indicates a proper latch and positioning for effective breastfeeding. This is crucial for optimal milk transfer and preventing nipple soreness or damage. Option B, feeding every 4 hours, is incorrect as newborns typically need to feed more frequently, usually every 2-3 hours, to establish a good milk supply and meet their nutritional needs. Option C, baby lost 12% of weight since birth, is concerning as it suggests inadequate milk intake or other underlying issues affecting feeding and growth, indicating ineffective breastfeeding rather than effective breastfeeding. Option D, baby's tongue stays behind the gum line, indicates a potential tongue-tie issue which can hinder proper latch and milk transfer, leading to ineffective breastfeeding. Educationally, understanding the signs of effective breastfeeding is crucial for nurses caring for postpartum mothers and newborns to provide appropriate support and interventions to ensure successful breastfeeding outcomes. Proper latch and positioning are fundamental for successful breastfeeding and promoting maternal-infant bonding. Identifying issues early and providing timely interventions can prevent breastfeeding challenges and promote a positive breastfeeding experience for the mother-newborn dyad.
Question 3 of 5
Which of the following actions would encourage the baby to open the mouth wide for feeding?
Correct Answer: C
Rationale: In the context of postpartum hormonal changes and breastfeeding, it is crucial to understand how to encourage proper latching for effective feeding. The correct answer is option C) Tickling the baby's lips with the nipple. This action stimulates the rooting reflex in infants, prompting them to instinctively open their mouths wide to latch onto the nipple for feeding. By tickling the baby's lips, you are initiating a natural response that supports successful breastfeeding. Now, let's analyze why the other options are incorrect: A) Holding the baby in the en face position: While maintaining eye contact with the baby during feeding is beneficial for bonding, it does not specifically encourage the baby to open their mouth wide for feeding. B) Pushing down on the baby's lower jaw: This action can be forceful and may lead to discomfort or improper latching. It is essential to support the baby's head and neck without applying pressure to manipulate their jaw during feeding. D) Giving the baby a trial bottle of formula: Introducing a bottle early on can interfere with establishing a good breastfeeding routine, as it may cause nipple confusion for the baby. Additionally, offering a bottle of formula is not a recommended method to encourage proper latching during breastfeeding. Educationally, understanding the significance of facilitating a good latch is fundamental for successful breastfeeding. By knowing how to trigger the rooting reflex through gentle stimulation, caregivers can promote effective feeding, ensure adequate milk transfer, and support the overall breastfeeding experience for both the baby and the mother. It is essential to provide this knowledge and guidance to new parents to help them navigate the early stages of breastfeeding with confidence and competence.
Question 4 of 5
On admission to the maternity unit, it is learned that a mother has smoked 2 packs of cigarettes per day and expects to continue to smoke after discharge. The mother also states that she expects to breastfeed her baby. The nurse's response should be based on which of the following?
Correct Answer: B
Rationale: The correct answer is B: Breastfeeding is protective for the baby and should be encouraged. This response is based on evidence-based practice and the benefits of breastfeeding for both the mother and the baby. Breastfeeding provides numerous health benefits, including boosting the baby's immune system and reducing the risk of certain infections and chronic diseases. Encouraging breastfeeding in this scenario is important to promote the well-being of the infant. Option A is incorrect because breastfeeding is not contraindicated if the mother smokes cigarettes. While smoking can have negative effects on breastfeeding, it is still possible for a mother to breastfeed while actively working on reducing or quitting smoking. Option C is incorrect as reporting a mother to child protective services for smoking would be extreme and inappropriate. Smoking, while harmful, does not constitute child abuse in this context. Option D is incorrect because admitting to smoking cigarettes does not automatically imply illicit substance abuse. It is essential to approach each situation with empathy and provide support and resources for smoking cessation rather than making assumptions about illicit substance abuse. In an educational context, it is crucial for healthcare professionals to be knowledgeable about the benefits of breastfeeding and how to support mothers in making informed choices regarding their infant's health. Understanding the impact of maternal behaviors, such as smoking, on breastfeeding can guide healthcare providers in offering appropriate guidance and support to promote the best outcomes for both the mother and the baby.
Question 5 of 5
A client is preparing to breastfeed her newborn son in the cross-cradle position. Which of the following actions should the woman make?
Correct Answer: A
Rationale: In the context of postpartum hormonal changes and breastfeeding, the correct answer is option A) Place a pillow in her lap. This position helps support the baby's weight, allows the mother to relax her arms and shoulders, and promotes a comfortable latch for successful breastfeeding. Placing a pillow in her lap also helps maintain proper positioning and prevents strain on the mother's back and arms during feeding sessions. Option B) Position the head of the baby in her elbow is incorrect because it does not provide adequate support for the baby's body and head, leading to potential discomfort for both the mother and the baby. Option C) Put the baby on his back is incorrect as this position is not conducive to effective breastfeeding, as it does not allow for proper alignment of the baby's mouth to the breast. Option D) Move the breast toward the mouth of the baby is incorrect because the mother should bring the baby to the breast, not the breast to the baby, to ensure a proper latch and effective milk transfer. Educationally, it is crucial for new mothers to learn proper breastfeeding positions to establish a successful breastfeeding relationship with their newborn. By understanding and practicing correct positioning techniques, mothers can optimize milk flow, prevent nipple soreness, and promote bonding with their baby. Providing education on breastfeeding positions empowers mothers to feel confident and comfortable in nourishing their infants.