ATI RN
Postpartum Care Nursing Questions Questions
Question 1 of 5
The physician has ordered the rubella vaccine to be given to a postpartum woman who is being discharged. Which should be included when providing education about the vaccine to the woman?
Correct Answer: B
Rationale: The correct answer is B: The woman should avoid becoming pregnant after receiving the vaccine. This is because the rubella vaccine contains a live virus that could potentially harm a developing fetus if the woman were to become pregnant shortly after receiving the vaccine. It is recommended to wait at least 1 month after vaccination before trying to conceive. Choice A is incorrect because breastfeeding is not contraindicated after receiving the rubella vaccine. Choice C is incorrect as women with severe egg allergies should not receive the rubella vaccine due to potential allergic reactions. Choice D is incorrect as there is no need for the woman to be separated from her infant after receiving the rubella vaccine.
Question 2 of 5
Which statement should alert the nurse to the possibility of ineffective bonding between mother and newborn?
Correct Answer: C
Rationale: The correct answer is C because the statement "Where did he get those long fingers?" indicates a lack of recognition or acceptance of the newborn's physical features, which could be a sign of ineffective bonding. This statement suggests a disconnect between the mother and newborn. In contrast, choices A and B show recognition of shared physical traits, indicating a bond. Choice D, asking about the baby's sleep patterns, is a common concern for new parents and may not necessarily indicate ineffective bonding.
Question 3 of 5
The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient's uterus?
Correct Answer: C
Rationale: The correct answer is C: Ask the patient to void. It is important to ask the patient to void before assessing the uterus to ensure that the bladder is empty, which allows for a more accurate assessment of the uterus size and position. This helps prevent displacement of the uterus due to a full bladder, leading to a more accurate assessment of postpartum hemorrhage risk. Placing the patient on the left side (A) is done after assessing the uterus to facilitate uterine involution. Assessing the passage of lochia (B) is important but not a priority before assessing the uterus. Administering oxytocin (D) may be indicated but should be based on assessment findings rather than being the first action.
Question 4 of 5
Prior to discharge from the birthing center, the nurse informs the patient that she will receive vaccines for rubella, hepatitis B, pertussis, and influenza. For which reason does the nurse explain the need for the vaccinations?
Correct Answer: B
Rationale: Step 1: Vaccinating the mother before discharge is important to protect the neonate. Step 2: Maternal vaccines provide passive immunity to the newborn through transplacental transfer of antibodies. Step 3: This protection is crucial as newborns have immature immune systems and are vulnerable to infections. Step 4: Rubella, hepatitis B, pertussis, and influenza are serious illnesses that can be prevented through maternal immunization. Step 5: Therefore, the correct answer is B as it aligns with the concept of maternal vaccination for the benefit of the neonate. Summary: A: Incorrect. Discharge is not based on the mother's vaccination status but on the overall health of both mother and neonate. C: Incorrect. Pregnancy does not suppress the immune system to the extent that maternal vaccination is contraindicated. D: Incorrect. Vaccination is recommended based on the timing of administration, not solely on the mother's medical care status.
Question 5 of 5
In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the AWHONN acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Thoughts of hurting self or baby. This teaching point requires the patient to call for 911 assistance because it indicates a serious mental health emergency, such as postpartum depression or psychosis, which can lead to harm. It is crucial for immediate intervention by trained professionals. A: Bleeding that soaks a pad per hour is concerning but does not necessarily require immediate 911 assistance unless accompanied by other severe symptoms like dizziness or fainting. B: A bad headache with vision changes may indicate severe conditions like preeclampsia, which requires urgent medical attention but not necessarily a 911 call unless the symptoms worsen rapidly. D: Signs an incision is not healing, while important to monitor, does not typically warrant a 911 call unless there are signs of infection or severe complications. In summary, only choice C requires immediate 911 assistance due to the severe nature of mental health emergencies.