ATI RN
Postpartum Body Changes Questions
Question 1 of 5
Which patient is more likely to have less stress adjusting to her role as a mother?
Correct Answer: A
Rationale: The correct answer is A because the 26-year-old woman who is returning to work in 10 weeks is more likely to have less stress adjusting to her role as a mother. This is because she is likely more established in her career, which can provide a sense of stability and financial security. Additionally, knowing she will return to work in 10 weeks can give her a sense of structure and purpose, reducing uncertainty and stress. Choice B is incorrect because the 35-year-old anxious mother who has had no contact with babies or children may struggle with feelings of inadequacy and anxiety due to lack of experience with children. Choice C is incorrect because the 16-year-old teenager living with strained relationship with her mother may face additional stressors from family dynamics and lack of maturity. Choice D is incorrect because the 25-year-old woman who knew early in her pregnancy and delivered twins by cesarean birth may face physical challenges and increased demands of caring for twins, leading to higher stress levels.
Question 2 of 5
The postpartum nurse is reviewing dietary practices for an Asian patient. Which of the following should the nurse expect to observe as a dietary practice for this culture?
Correct Answer: A
Rationale: The correct answer is A: Special foods brought from home. Asian cultures often have specific dietary practices and beliefs related to postpartum care. Bringing special foods from home is a common practice to support recovery and promote health. This may include traditional dishes thought to have healing properties. B: Preference for fresh fruits is not specific to Asian cultures and may not necessarily be a common dietary practice postpartum. C: Preference for “cold” foods is not a general characteristic of Asian dietary practices and may not be specifically related to postpartum care. D: Request for ice water instead of hot water is not a general dietary practice in Asian cultures and is not directly related to postpartum care.
Question 3 of 5
Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?
Correct Answer: C
Rationale: The correct answer is C because excessive fatigue post-childbirth can indicate a risk for impaired parenting due to the physical and emotional toll it takes on the mother's ability to care for her infant. This aligns with the defining characteristics of Risk for Impaired Parenting. A: En face behavior is a positive interaction between parent and infant, not indicative of impaired parenting. B: Feeling exhilarated post-birth is a normal emotional response and does not necessarily indicate impaired parenting. D: Finger tipping behavior towards infant is vague and does not specifically relate to impaired parenting.
Question 4 of 5
The nurse is developing a plan of care for the patient’s fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?
Correct Answer: C
Rationale: Rationale: Choice C is correct because immediate skin-to-skin contact promotes bonding by facilitating the release of oxytocin, the bonding hormone. This close physical contact also helps regulate the baby's temperature and promotes breastfeeding initiation. Choices A, B, and D do not directly facilitate bonding as effectively as immediate skin-to-skin contact. Encouraging the baby's name or assessing for familial characteristics may be important but do not have the same immediate bonding impact as skin-to-skin contact. Placing the patient's finger in the infant's palm may stimulate reflexes but does not directly promote bonding as effectively as skin-to-skin contact.
Question 5 of 5
Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)
Correct Answer: A
Rationale: Rationale: 1. Pertussis vaccine is recommended in the postpartum period to protect the newborn from whooping cough. 2. Rubella vaccine is usually given preconception or postpartum if the mother is not immune. 3. Tdap vaccine (Diphtheria, Tetanus, Pertussis) is recommended during pregnancy, not specifically postpartum. 4. RhoGAM is given to Rh-negative mothers to prevent hemolytic disease in the newborn, not for general immunity.