ATI RN
Postpartum Body Changes Questions
Question 1 of 5
Which short-term goal is appropriate for a full-term, breastfeeding neonate?
Correct Answer: D
Rationale: The correct answer is D) The baby will urinate 6 to 10 times per day by 1 week of age. This is the appropriate short-term goal for a full-term, breastfeeding neonate because adequate urine output indicates proper hydration and functioning of the kidneys. Monitoring the frequency of urination is crucial in assessing the baby's overall health and ensuring proper breastfeeding. Option A) The baby will regain birth weight by 4 weeks of age is important but it is a long-term goal. Breastfed babies typically regain their birth weight by 2-3 weeks of age. Option B) The baby will sleep through the night by 4 weeks of age is not developmentally appropriate for a newborn. Newborns need to feed frequently, so it is not realistic to expect them to sleep through the night at such a young age. Option C) The baby will stool every 2 to 3 hours by 1 week of age is incorrect because while frequent stools are common in breastfed babies, the frequency can vary widely and is not as critical an indicator of health as urine output in the early days of life. Educationally, understanding these short-term goals for a newborn helps healthcare providers and parents monitor the baby's health and development, ensuring they are thriving in the early postpartum period. This knowledge empowers parents to recognize signs of adequate breastfeeding and overall well-being in their newborn.
Question 2 of 5
A 2-day-old, exclusively breastfed baby is to be discharged home. Under what conditions should the nurse teach the parents to call the pediatrician?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) If the baby has eyes and skin that are tinged yellow. This is crucial because it indicates a condition called jaundice, which is common in newborns due to the breakdown of red blood cells. Jaundice causes a yellow appearance in the skin and eyes and can be a sign of elevated bilirubin levels that need medical attention. Option A is incorrect because feeding 8 to 12 times a day is actually a normal and expected behavior for a breastfeeding newborn. Option B is also incorrect as urinating 6 to 10 times a day is a positive sign indicating adequate hydration and milk intake. Option C, having stools that are watery and bright yellow, is typically a normal finding in exclusively breastfed infants. Breastfed babies often have loose, seedy, yellow stools, so this would not be a cause for concern. Understanding the signs of jaundice in newborns is crucial for parents to ensure early detection and management. Educating parents on when to seek medical attention for jaundice can prevent complications and promote the well-being of the newborn. It is essential for healthcare providers to provide parents with clear guidance on what to monitor and when to seek professional help, especially in the vulnerable postpartum period.
Question 3 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 4 of 5
A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. Which of the following comments by the nurse is appropriate?
Correct Answer: B
Rationale: The appropriate comment by the nurse is option B) It is recommended that babies receive only breast milk for the first 4 to 6 months of their lives. This response aligns with current guidelines from organizations such as the World Health Organization and the American Academy of Pediatrics, which recommend exclusive breastfeeding for the first 6 months of life. Introducing rice cereal or other solid foods too early can increase the risk of allergies, digestive issues, and obesity. Breast milk provides all the necessary nutrients for a baby's growth and development in the first months of life. Option A is incorrect because giving rice cereal to babies to promote better sleep is not evidence-based and can be harmful to their immature digestive systems. Option C is incorrect because it does not provide any explanation or guidance to the mother. Option D is incorrect as it suggests introducing solid foods like applesauce and apple juice at ages that do not align with the recommended guidelines. From an educational perspective, it is crucial for nurses and healthcare providers to stay updated on current recommendations regarding infant feeding practices to provide accurate and evidence-based information to parents. Educating parents on the benefits of exclusive breastfeeding and the risks associated with early introduction of solid foods is essential for promoting the health and well-being of both the mother and the baby.
Question 5 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.