ATI RN
Postpartum Body Changes Questions
Question 1 of 5
What percentage of weight loss did the baby experience? Calculate to the nearest hundredth.
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 7.20%. This percentage represents the weight loss experienced by the baby after birth. The weight loss of the baby after birth is mainly due to the loss of amniotic fluid, placenta, and the initial expulsion of meconium. Babies typically lose around 5-10% of their birth weight in the first few days of life. In this case, the closest approximation to this average weight loss is 7.20%, making option B the correct answer. Option A) 5.55% is lower than the average weight loss experienced by babies after birth. Option C) 6.85% and D) 6.90% are also lower than the expected range of weight loss for newborns. Understanding postpartum body changes, including the weight loss of the baby, is crucial for healthcare professionals working in maternity care, pediatrics, or any field related to newborn health. This knowledge helps in assessing the health and development of the newborn and providing appropriate care and support to ensure their well-being.
Question 2 of 5
A breastfeeding mother who is 2 weeks postpartum is informed by her pediatrician that her 4-year-old has chickenpox (varicella). The mother calls the nursery nurse because she is concerned about having the baby in contact with the sick sibling. The mother had chickenpox as a child. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A) The baby received passive immunity through the placenta. This is the appropriate response by the nurse because infants born to mothers who had chickenpox in the past have passive immunity through the transfer of maternal antibodies across the placenta. This immunity provides protection to the newborn for a few months post-birth. Breast milk also contains antibodies that can further protect the baby. Option B is incorrect because while breast milk does provide some protection, the primary source of immunity in this case is through the placenta. Option C is wrong as separating the baby from the family is not necessary if the newborn has passive immunity. Option D is incorrect as handwashing does not prevent the spread of chickenpox, as it is primarily transmitted through respiratory droplets. In an educational context, understanding the concept of passive immunity through placental transfer is crucial for healthcare providers working with postpartum mothers and newborns. It highlights the importance of prenatal care and maternal immunity in protecting infants against certain infections. This knowledge can inform decisions regarding newborn care and potential exposure to infectious diseases within the family.
Question 3 of 5
A mother, who gave birth 5 minutes ago, states that she would like to breastfeed. The baby's Apgar score is 9/9. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to perform first is option A) Assist the woman to breastfeed. This is the most appropriate action because initiating breastfeeding soon after birth has numerous benefits for both the mother and the baby. Breastfeeding immediately after birth helps establish a strong bond between the mother and baby, promotes the release of oxytocin to reduce postpartum bleeding, and provides vital colostrum rich in antibodies for the newborn. Additionally, early breastfeeding can help the mother's uterus contract, aiding in the expulsion of the placenta and reducing the risk of postpartum hemorrhage. Option B) Dress the baby in a shirt and diaper is incorrect because dressing the baby can wait until after the initial breastfeeding session, which is a more critical and time-sensitive intervention. Option C) Administer the ophthalmic prophylaxis is important but can be done after the initial breastfeeding session since it does not require immediate action. Option D) Take the baby's rectal temperature is unnecessary at this moment as the baby's Apgar score is 9/9, indicating good overall health, and the priority is to establish breastfeeding for the numerous benefits it provides. In an educational context, understanding the importance of early breastfeeding initiation can help nurses prioritize care effectively in the immediate postpartum period to promote optimal maternal and infant outcomes. This knowledge empowers nurses to provide evidence-based care that supports the physical and emotional well-being of both the mother and the newborn.
Question 4 of 5
A 2-day-postpartum breastfeeding client is complaining of pain during feedings. Which of the following may be causing the pain?
Correct Answer: D
Rationale: In this scenario, option D is the correct answer because the baby being latched only to the nipple and not to a significant portion of the areola can cause pain during breastfeeding. When a baby latches onto just the nipple, it can lead to improper positioning and shallow latch, resulting in increased friction and pressure on the nipple, causing pain and potential damage. Option A is incorrect because a frenulum attached to the tip of the tongue does not directly cause pain during breastfeeding. Option B is incorrect as the baby forming a trough around the breast is a natural breastfeeding behavior and not a cause of pain. Option C is also incorrect as frequent and long feedings are expected in the early postpartum period to establish milk supply and support the baby's nutritional needs. Educationally, it is important for caregivers and healthcare professionals to understand the significance of proper latch and positioning during breastfeeding to prevent pain and ensure successful breastfeeding outcomes. Teaching mothers about correct latch techniques, positioning, and signs of a good latch can help prevent issues such as pain and nipple damage, ultimately supporting a positive breastfeeding experience for both the mother and baby.
Question 5 of 5
A physician writes in a breastfeeding mother's chart, 'Ampicillin 500 mg q 6 h po. Baby should be bottle fed until medication is discontinued.' What should be the nurse's next action?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is option B, which is to call the doctor and question the order. This is the best course of action because it is crucial to ensure the safety and well-being of both the mother and the baby, especially considering the impact of medications on breastfeeding. Calling the doctor allows the nurse to seek clarification on the physician's rationale for requesting bottle feeding during the mother's medication course. It also presents an opportunity to discuss alternative antibiotics that are safe for breastfeeding mothers, as well as strategies to continue breastfeeding while on medication if possible. Option A is incorrect because blindly following the order without questioning could potentially compromise the health of the baby and disrupt the breastfeeding relationship. Option C is not advisable as it disregards the physician's instruction regarding bottle feeding, which may have important implications related to the medication's effects on the infant. Option D, while seeking information from a reference source is valuable, the immediate concern of ensuring the safety of the mother and baby warrants direct communication with the prescribing physician. In an educational context, this scenario highlights the importance of advocating for the patient's well-being, effective communication among healthcare team members, and the need to critically evaluate orders that may have significant implications for vulnerable populations like breastfeeding mothers and their infants. It underscores the significance of evidence-based practice and interprofessional collaboration in delivering safe and patient-centered care.