ATI RN
Postpartum Body Changes Questions
Question 1 of 5
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
Correct Answer: D
Rationale: The correct answer is D, teaching the patient to perform pelvic floor exercises to combat potential stress incontinence. This intervention strengthens pelvic floor muscles, aiding in bladder control postpartum. Choice A is incorrect as carbonated beverages can irritate the bladder. Choice B is incorrect as postpartum diuresis increases fluid loss, increasing the risk of dehydration. Choice C is incorrect as limiting fluid intake can lead to dehydration and hinder urinary elimination.
Question 2 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 3 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 4 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.
Question 5 of 5
The postpartum nurse is observing a patient holding the baby she delivered less than 24 hours ago. The partner is watching his wife and asking questions about newborn care. The
Correct Answer: C
Rationale: Correct Answer: C - No action; this is a normal family adjusting to family change. Rationale: 1. It is normal for new parents to have questions and concerns about newborn care. 2. The parents are actively engaged with the newborn and seeking information, indicating a positive adjustment. 3. The mother's behavior with the newborn does not raise any immediate concerns for intervention. 4. Reporting to social services or assuming parenting styles based on limited observation is unwarranted. Summary: A: Reporting to social services is unnecessary as there are no signs of neglect or abuse. B: Reprimanding the older son is unrelated to the situation and inappropriate. D: Assuming the mother's parenting style based on limited observation is unjustified and unprofessional.