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 and establishes a connection with the infant. This behavior shows a one-way flow of communication and emotional attachment from the parent to the infant. In contrast, choices A, C, and D involve reciprocal interactions or responses between the parent and infant, indicating bidirectional bonding where both parties are actively engaged in the relationship. Therefore, choices A, C, and D do not exemplify unidirectional bonding as in choice B.
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 answer is C because assisting the woman to the bathroom to empty her bladder is the first step in a fundal assessment. A full bladder can displace the uterus and affect fundal height accuracy. Lowering the head of the bed (A) is not necessary for this assessment. Locating the level of the fundus (B) should come after ensuring the bladder is empty. Massaging the fundus (D) is not the initial step and could be harmful if the bladder is full.
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 to empty the breasts regularly, preventing engorgement. This frequent breastfeeding stimulates milk production and prevents milk stasis. Choice B is incorrect as avoiding soap on the breast during bathing is unrelated to preventing engorgement. Choice C is also incorrect as hydration is important, but it does not directly prevent engorgement. Choice D is incorrect as binding the breast with a towel or stretch bandage can lead to further engorgement by restricting milk flow.
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. Oxytocin is a hormone that is released during breastfeeding in response to the baby's sucking, causing the uterus to contract. This helps the uterus return to its pre-pregnancy size and reduces postpartum bleeding. Choice A is incorrect as the issue does not require immediate doctor intervention. Choice B is incorrect as pain does not necessarily indicate infection. Choice C is incorrect as it does not explain the role of oxytocin in uterine contractions during breastfeeding.
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: Rationale for correct answer A: 1. Breastfeeding stimulates the release of oxytocin. 2. Oxytocin causes uterine contractions. 3. Uterine contractions help the uterus return to its pre-pregnancy size. 4. Severe uterine cramps post-delivery are likely due to increased oxytocin release from breastfeeding. Summary of why other choices are incorrect: B: Afterbirth pains are typically crampy, but the scenario specifies severe pain on the first day after delivery, which is more likely due to breastfeeding. C: Daily administration of oxytocin would not lead to sudden severe cramps on the first day post-delivery. D: Uterus shrinking back to prepregnancy size causes cramping, but the timing and severity described in the scenario point more towards oxytocin release from breastfeeding.