ATI RN
Postpartum Care Nursing Questions Questions
Question 1 of 5
The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother–infant bonding?
Correct Answer: C
Rationale: The correct answer is C. The mother focusing the visit on her physical recovery and concerns indicates a possible problem with mother-infant bonding. This is because bonding involves emotional connection and interaction between the mother and the baby, not just physical care. A mother who is solely focused on her physical recovery may not be engaging emotionally with her baby, which can impact bonding. A: The mother being pleased to have the nurse visit her home and baby is a positive sign of engagement and interest in the baby's well-being. B: The baby's grandmother being present and involved with mother/baby care is also a positive sign of family support and involvement, which can enhance bonding. D: The baby's father being on 'paternity leave' and involved with the baby is also a positive sign of parental involvement, which is important for bonding.
Question 2 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 3 of 5
A nurse is providing postpartum care to a G4P4 woman who gave birth vaginally 48 hours ago to a 9 pound 10 ounce boy with only a pudendal block for anesthesia. The physician has written orders for the woman to have a sitz bath three times a day. Which information is most closely correlated with the order?
Correct Answer: B
Rationale: The correct answer is B: The woman has an episiotomy. The rationale is that a sitz bath is commonly recommended postpartum for women who have had an episiotomy to promote healing and reduce discomfort. An episiotomy is a surgical incision made in the perineum during childbirth to widen the vaginal opening. In this case, the woman had a vaginal birth and received a pudendal block for anesthesia, which are not directly correlated with the sitz bath order. Being multiparous (choice A) does not necessarily indicate the need for a sitz bath. Therefore, the most closely correlated information with the sitz bath order is the presence of an episiotomy.
Question 4 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 5 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.