ATI RN
Postpartum Body Changes Questions
Question 1 of 5
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, he preceding nurse indicated that the patient’s lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient’s peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse’s priority action with this finding?
Correct Answer: C
Rationale: The correct answer is C: Contact the health care provider. This is the priority action because the sudden increase in lochia flow after breastfeeding could indicate postpartum hemorrhage, which is a serious complication that requires immediate medical attention. Contacting the healthcare provider will allow for prompt assessment and intervention. A: Weigh the peripad - This is not the priority action as assessing the amount of blood loss is important, but contacting the healthcare provider for further assessment and intervention takes precedence. B: Replace the peripad - While maintaining cleanliness and hygiene is important, addressing the potential postpartum hemorrhage is the priority. D: Document the finding in the patient’s chart - Documentation is necessary but should come after the immediate concern of postpartum hemorrhage is addressed.
Question 2 of 5
During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?
Correct Answer: A
Rationale: The correct answer is A: Formal. During the formal stage of role attainment, parents become acquainted with their baby and combine parenting activities with cues from the infant. This stage involves learning and adapting to the responsibilities and expectations associated with parenting through formal education, guidance, and support. In this stage, parents seek information and guidance from healthcare providers, parenting classes, and other formal sources to develop their parenting skills. Summary of other choices: B: Informal - This stage involves informal learning and interactions with the baby, not the formal education and guidance mentioned in the question. C: Personal - This stage focuses on the parents' personal feelings and experiences, rather than the formal acquisition of parenting skills. D: Anticipatory - This stage involves preparing for the arrival of the baby, rather than actively engaging in parenting activities and cues from the infant.
Question 3 of 5
The postpartum nurse is observing a patient holding the baby she delivered less than 24 hours ago. The partner is watching his wife and asking questions about newborn care. The
Correct Answer: C
Rationale: Correct Answer: C - No action; this is a normal family adjusting to family change. Rationale: 1. It is normal for new parents to have questions and concerns about newborn care. 2. The parents are actively engaged with the newborn and seeking information, indicating a positive adjustment. 3. The mother's behavior with the newborn does not raise any immediate concerns for intervention. 4. Reporting to social services or assuming parenting styles based on limited observation is unwarranted. Summary: A: Reporting to social services is unnecessary as there are no signs of neglect or abuse. B: Reprimanding the older son is unrelated to the situation and inappropriate. D: Assuming the mother's parenting style based on limited observation is unjustified and unprofessional.
Question 4 of 5
A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.” How should the nurse best respond?
Correct Answer: A
Rationale: The correct answer is A. The nurse should reassure the father that his wife's behavior of mood swings is normal after childbirth due to hormonal changes and adjustment to new responsibilities. This response validates the father's concerns, provides education on common postpartum experiences, and offers support. Incorrect choices: B: Immediate psychological help is not warranted for typical postpartum mood swings. C: Ignoring the mood swings can lead to misunderstandings and lack of support for the mother. D: Instructing on postpartum blues is more clinical and may not address the father's immediate concerns.
Question 5 of 5
Which patient is more likely to have less stress adjusting to her role as a mother?
Correct Answer: A
Rationale: The correct answer is A because the 26-year-old woman who is returning to work in 10 weeks is more likely to have less stress adjusting to her role as a mother. This is because she is likely more established in her career, which can provide a sense of stability and financial security. Additionally, knowing she will return to work in 10 weeks can give her a sense of structure and purpose, reducing uncertainty and stress. Choice B is incorrect because the 35-year-old anxious mother who has had no contact with babies or children may struggle with feelings of inadequacy and anxiety due to lack of experience with children. Choice C is incorrect because the 16-year-old teenager living with strained relationship with her mother may face additional stressors from family dynamics and lack of maturity. Choice D is incorrect because the 25-year-old woman who knew early in her pregnancy and delivered twins by cesarean birth may face physical challenges and increased demands of caring for twins, leading to higher stress levels.