ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
What is the nursing intervention for unilateral edema in a lower extremity and a hot, red area on the leg?
Correct Answer: A
Rationale: The correct answer is A: Contact the health-care provider. Unilateral edema along with a hot, red area on the leg can indicate a potential serious condition such as deep vein thrombosis (DVT). It is crucial to involve the healthcare provider immediately for further evaluation and treatment. Contacting the healthcare provider ensures timely diagnosis and appropriate management. Summary: B: Explaining this as a normal finding is incorrect as it could be a sign of a serious condition. C: Massaging the calf can potentially dislodge a clot in case of DVT, leading to severe complications. D: Offering pain medication without proper evaluation can mask the symptoms and delay necessary medical intervention.
Question 2 of 5
The nurse assesses for signs of depression or postpartum blues. How can the nurse explain the difference?
Correct Answer: D
Rationale: The correct answer is D because postpartum blues typically involve symptoms like irritability and sadness, which are common and usually resolve within a few weeks. This is different from postpartum depression (PPD), which is more severe and may last longer. A is incorrect because PPD is typically more severe than postpartum blues. B is incorrect because postpartum blues usually resolve within a few weeks, not up to a year. C is incorrect because PPD is not considered a normal expectation of postpartum, as it requires intervention and treatment.
Question 3 of 5
The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
Correct Answer: A
Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.
Question 4 of 5
Postpartum persons who lack attachment with their newborn exhibit what behavior?
Correct Answer: B
Rationale: The correct answer is B because avoiding holding the newborn is a sign of lack of attachment in postpartum persons. This behavior indicates a lack of desire or ability to bond with the newborn, which is crucial for healthy emotional development. Intense eye contact (choice A) and cuddling (choice C) are typically associated with bonding behaviors. Exploring the newborn (choice D) can also be a positive behavior showing interest. However, the key indicator of attachment issues is the avoidance of holding the newborn, making choice B the correct answer.
Question 5 of 5
The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?
Correct Answer: A
Rationale: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.