ATI RN
Postpartum Care for Mom Questions Questions
Question 1 of 5
Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant?
Correct Answer: B
Rationale: The correct answer is B because calling the baby by name demonstrates unidirectional bonding where the parent initiates the interaction without the need for the baby's response. This action shows a one-way connection from the parent to the infant. In contrast, choices A, C, and D involve mutual interaction between the parent and the baby, indicating bidirectional bonding where both parties are actively engaging with each other. Option A involves the parent responding to the baby's cry, option C involves the baby responding to comforting measures, and option D involves the parents stimulating and entertaining the baby, all of which require reciprocal actions from both the parent and the baby.
Question 2 of 5
A nurse is preparing to perform a fundal assessment on a postpartum client who delivered 12 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: The correct first step is to assist the woman to the bathroom to empty her bladder. This is important to ensure an accurate fundal assessment, as a full bladder can displace the uterus and lead to incorrect fundal height measurement. Lowering the head of the bed (Choice A) is not necessary for a fundal assessment. Locating the level of the fundus (Choice B) should come after ensuring the bladder is empty. Massaging the fundus (Choice D) is not indicated until after the fundal assessment is completed.
Question 3 of 5
The nurse is educating a postpartum woman on how to prevent engorgement. Which action of the patient indicates effective learning?
Correct Answer: A
Rationale: The correct answer is A because breastfeeding the infant every 2 to 3 hours helps in emptying the breasts regularly, preventing engorgement. This frequent feeding stimulates milk production and prevents milk buildup. Choice B is incorrect as soap can dry out the skin, leading to cracked nipples. Choice C is important for overall hydration but not directly related to preventing engorgement. Choice D is incorrect as binding the breast can lead to blocked milk ducts and worsen engorgement.
Question 4 of 5
A breastfeeding postpartum woman tells the nurse, "I am not sure I want to breastfeed because I notice that when I feed my baby, I have strong contraction-like pain. Is something wrong?" Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: "The baby's sucking during breastfeeding releases the hormone oxytocin, which stimulates the uterus to contract." This response is correct because oxytocin is released during breastfeeding, causing the uterus to contract, which is a normal physiological response postpartum. This contraction-like pain is known as afterpains and is a natural process to help the uterus return to its pre-pregnancy size. A: "I will call the doctor and let him know your concern." This response does not address the woman's question and does not provide appropriate education about the normal postpartum process. B: "You may be getting an infection and will have to stop breastfeeding." This response is incorrect as it jumps to a conclusion without considering the normal physiological process of breastfeeding. C: "This is normal because your uterus is shrinking back to the normal size." While this response acknowledges the normal process, it does not provide the specific mechanism behind the contraction-like pain experienced by the woman.
Question 5 of 5
A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Breastfeeding stimulates the release of oxytocin. 2. Oxytocin causes uterine contractions, aiding in the expulsion of placenta and reducing postpartum bleeding. 3. The patient's severe uterine cramps are likely due to increased oxytocin release from breastfeeding. 4. This is a normal response, known as afterpains, and is common in breastfeeding mothers. Summary: - Choice B is incorrect as afterbirth pains are typically milder in primiparous women. - Choice C is incorrect as oxytocin is not typically administered daily postpartum. - Choice D is incorrect as uterine involution occurs gradually over weeks, not causing sudden severe cramps.