ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
The postpartum patient who continually repeats the story of her labor, birth, and recovery experiences is performing which of the following tasks?
Correct Answer: A
Rationale: The correct answer is A: Making the birth experience "real." This choice aligns with the concept of emotional processing and integration in the postpartum period. By continually repeating her birth story, the patient is trying to make sense of and come to terms with her experience, making it feel more "real" to her. This process helps her emotionally process the events and transitions she has gone through during labor and birth. Choices B, C, and D are incorrect: B: Accepting her response to labor and birth - This choice focuses more on the patient's emotional response rather than the act of repeating the story. C: Providing others with her knowledge of events - This choice is more about sharing information rather than the internal emotional processing the patient is likely engaging in. D: Taking hold of the events leading to her labor and birth - This choice suggests a sense of control over the events, which may not necessarily be the primary motivation behind the patient's behavior.
Question 2 of 5
During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?
Correct Answer: A
Rationale: The correct answer is A: Letting-go. During this phase, the mother transitions from idealized fantasies about her baby to accepting the reality of the infant. She lets go of unrealistic expectations and embraces the actual characteristics of her child. Choice B, Taking-in, refers to the mother focusing on her own needs post-birth. Choice C, Taking-on, involves the mother identifying with her new role. Choice D, Taking-hold, pertains to the mother forming a strong bond with the baby. However, none of these phases specifically address the process of relinquishing idealized fantasies and accepting the real baby like the Letting-go phase does.
Question 3 of 5
To promote bonding and attachment immediately after birth, which action should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because assuming an en face position (face-to-face) with the newborn promotes bonding and attachment by facilitating eye contact, skin-to-skin contact, and mutual recognition between the mother and baby. This physical closeness immediately after birth helps establish a strong emotional connection. A: Assisting with feeding is important but does not specifically address bonding and attachment immediately after birth. B: Allowing quiet time is beneficial but may not actively promote bonding and attachment. C: Teaching about bonding and attachment is valuable but does not directly facilitate the immediate connection between mother and baby.
Question 4 of 5
Which anticipatory guidance action by the nurse makes role transition to parenthood easier?
Correct Answer: A
Rationale: The correct answer is A because helping new parents identify resources promotes a smoother role transition by providing support and guidance. This action empowers parents to access necessary services and assistance. Choice B is incorrect as frequent babysitting does not address the parents' transition needs. Choice C is incorrect because focusing on the negatives may increase anxiety. Choice D is incorrect as it lacks proactive support and guidance.
Question 5 of 5
Which should the nurse do to provide support to a patient who must return to full-time employment 6 weeks after a vaginal birth?
Correct Answer: A
Rationale: The correct answer is A because discussing child care arrangements with the patient is essential for addressing her concerns and ensuring a smooth transition back to full-time employment. By discussing child care options, the nurse can help the patient make informed decisions and feel more confident about returning to work. This step shows support and helps the patient plan ahead for her baby's care while she's at work. Choices B, C, and D are incorrect because they do not actively address the patient's needs or provide practical support. Allowing the patient to solve the problem on her own (B) may leave her feeling overwhelmed and unsupported. Reassuring her that she'll get used to leaving her baby (C) minimizes her feelings and does not offer concrete assistance. Allowing her to express feelings (D) is important but may not directly address the practical aspect of arranging child care, which is crucial for her successful return to work.