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 because rubella vaccine contains live attenuated virus, which can pose a risk to a developing fetus if the woman becomes pregnant shortly after vaccination. This information is crucial for the woman to avoid pregnancy for a certain period after receiving the vaccine. Choice A is incorrect because breastfeeding is not contraindicated after receiving the rubella vaccine. Choice C is incorrect because the rubella vaccine should not be given to individuals with a severe allergy to eggs. Choice D is incorrect because 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 traits, which could suggest a disconnect between the mother and infant. This statement may signal that the mother is not bonding effectively with the baby. In contrast, choices A, B, and D all demonstrate a degree of recognition or concern for the baby's physical characteristics or behaviors, which are more indicative of normal bonding behaviors between a mother and newborn.
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. This is important prior to assessing the patient's uterus because a full bladder can displace the uterus and make it difficult to accurately assess its position and firmness. By asking the patient to void, the nurse ensures a more accurate assessment of the uterus. Placing the patient on the left side (A) is a position used to maximize uterine perfusion but is not necessary prior to assessing the uterus. Assessing the passage of lochia (B) is important but can be done after assessing the uterus. Administering oxytocin (D) may be indicated to help prevent postpartum hemorrhage but is not necessary prior to assessing the uterus.
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-by-step rationale for why choice B is correct: 1. Vaccinating the mother will protect the neonate: Maternal vaccination can provide passive immunity to the newborn through transplacental transfer of antibodies. 2. Protect from serious illnesses: Rubella, hepatitis B, pertussis, and influenza can have severe consequences for newborns. 3. Immunization of the mother is a preventive measure: It reduces the risk of neonatal infections. 4. Ensures the health and well-being of the newborn: By preventing potential diseases. Summary of other choices: A: Discharge with a neonate is not solely dependent on the mother's vaccination status. C: Pregnancy does not suppress the immune system to the extent that vaccination is contraindicated. D: Vaccination timing is based on the immunization schedule and not solely dependent on medical care availability.
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 immediate 911 assistance as it indicates a potential risk of harm. It is crucial to prioritize safety in such situations to prevent harm to the patient or the baby. Options A, B, and D are important concerns but do not require immediate 911 assistance. Bleeding that soaks a pad per hour may indicate postpartum hemorrhage, a bad headache with vision changes could be a sign of preeclampsia, and signs of incision not healing may indicate infection. These situations require prompt medical attention but not necessarily emergency assistance via 911.