ATI RN
Postpartum Body Changes Questions
Question 1 of 5
The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?
Correct Answer: B
Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy. Explanation: 1. Breastfeeding alone is not a foolproof method of contraception. 2. The combination of breastfeeding and formula feeding does not guarantee contraception. 3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met. 4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy. Summary: A: Correct statement about the timing of bowel movements postpartum. C: Incorrect statement about the normal pattern of bowel elimination postpartum. D: Correct statement about the need for birth control if not breastfeeding.
Question 2 of 5
Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
Correct Answer: B
Rationale: The correct answer is B because a saturated pad over a 2-hour period 24 hours after vaginal birth could indicate postpartum hemorrhage, a serious complication requiring immediate intervention. Excessive bleeding can lead to hypovolemic shock and endanger the mother's life. Monitoring and managing postpartum bleeding is crucial to prevent complications. A: Pain level of 5 is subjective and may vary among individuals. It does not necessarily indicate a need for immediate intervention. C: Urinary output of 500 mL in one voiding is within the normal range for postpartum women and does not suggest an immediate need for intervention. D: Uterine fundus 2 cm above the umbilicus is within the expected range for 24 hours postpartum and does not indicate a need for immediate intervention.
Question 3 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 4 of 5
Which description best explains the term reciprocal attachment behavior?
Correct Answer: B
Rationale: The correct answer is B because reciprocal attachment behavior refers to the mutual and positive interactions between infants and their caregivers during the attachment process. This behavior involves the infant responding to the caregiver's actions with positive feedback, such as smiles, cooing, and seeking physical contact. This interaction strengthens the bond between the infant and caregiver. Choice A is incorrect because it describes the infant's behavior during a specific stage (quiet alert stage) but does not capture the reciprocal nature of attachment behavior. Choice C is incorrect because reciprocal attachment behavior is not unidirectional and does not solely depend on eye contact. Choice D is incorrect because reciprocal attachment behavior is not about eliciting specific feelings from the parents but rather about building a strong, mutual bond between the infant and caregiver.
Question 5 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.