ATI RN
Postpartum Body Changes Questions
Question 1 of 5
Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
Correct Answer: B
Rationale: The correct answer is B because a saturated pad over a 2-hour period 24 hours after vaginal birth could indicate postpartum hemorrhage, a serious complication requiring immediate intervention. Excessive bleeding can lead to hypovolemic shock and endanger the mother's life. Monitoring and managing postpartum bleeding is crucial to prevent complications. A: Pain level of 5 is subjective and may vary among individuals. It does not necessarily indicate a need for immediate intervention. C: Urinary output of 500 mL in one voiding is within the normal range for postpartum women and does not suggest an immediate need for intervention. D: Uterine fundus 2 cm above the umbilicus is within the expected range for 24 hours postpartum and does not indicate a need for immediate intervention.
Question 2 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 3 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 4 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.
Question 5 of 5
A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.” How should the nurse best respond?
Correct Answer: A
Rationale: The correct answer is A. The nurse should reassure the father that his wife's behavior of mood swings is normal after childbirth due to hormonal changes and adjustment to new responsibilities. This response validates the father's concerns, provides education on common postpartum experiences, and offers support. Incorrect choices: B: Immediate psychological help is not warranted for typical postpartum mood swings. C: Ignoring the mood swings can lead to misunderstandings and lack of support for the mother. D: Instructing on postpartum blues is more clinical and may not address the father's immediate concerns.