ATI RN
Postpartum Care Nursing Questions Questions
Question 1 of 5
Which statement should alert the nurse to the possibility of ineffective bonding between mother and newborn?
Correct Answer: C
Rationale: The correct answer is C because the statement "Where did he get those long fingers?" indicates a lack of recognition or acceptance of the newborn's physical features, which could be a sign of ineffective bonding. This statement suggests a disconnect between the mother and newborn. In contrast, choices A and B show recognition of shared physical traits, indicating a bond. Choice D, asking about the baby's sleep patterns, is a common concern for new parents and may not necessarily indicate ineffective bonding.
Question 2 of 5
Prior to discharge from the birthing center, the nurse informs the patient that she will receive vaccines for rubella, hepatitis B, pertussis, and influenza. For which reason does the nurse explain the need for the vaccinations?
Correct Answer: B
Rationale: Step 1: Vaccinating the mother before discharge is important to protect the neonate. Step 2: Maternal vaccines provide passive immunity to the newborn through transplacental transfer of antibodies. Step 3: This protection is crucial as newborns have immature immune systems and are vulnerable to infections. Step 4: Rubella, hepatitis B, pertussis, and influenza are serious illnesses that can be prevented through maternal immunization. Step 5: Therefore, the correct answer is B as it aligns with the concept of maternal vaccination for the benefit of the neonate. Summary: A: Incorrect. Discharge is not based on the mother's vaccination status but on the overall health of both mother and neonate. C: Incorrect. Pregnancy does not suppress the immune system to the extent that maternal vaccination is contraindicated. D: Incorrect. Vaccination is recommended based on the timing of administration, not solely on the mother's medical care status.
Question 3 of 5
In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the AWHONN acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Thoughts of hurting self or baby. This teaching point requires the patient to call for 911 assistance because it indicates a serious mental health emergency, such as postpartum depression or psychosis, which can lead to harm. It is crucial for immediate intervention by trained professionals. A: Bleeding that soaks a pad per hour is concerning but does not necessarily require immediate 911 assistance unless accompanied by other severe symptoms like dizziness or fainting. B: A bad headache with vision changes may indicate severe conditions like preeclampsia, which requires urgent medical attention but not necessarily a 911 call unless the symptoms worsen rapidly. D: Signs an incision is not healing, while important to monitor, does not typically warrant a 911 call unless there are signs of infection or severe complications. In summary, only choice C requires immediate 911 assistance due to the severe nature of mental health emergencies.
Question 4 of 5
The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother–infant bonding?
Correct Answer: C
Rationale: The correct answer is C because when a mother primarily focuses on her physical recovery and concerns during a home visit, it may indicate a possible problem with mother-infant bonding. This is because bonding involves emotional connection, interaction, and care between the mother and baby, which goes beyond physical recovery. A: The mother being pleased to have the nurse visit her home and baby is a positive sign of engagement and interest in the baby's well-being. B: The baby's grandmother being present and involved with mother/baby care can actually enhance bonding by providing support and assistance. D: The baby's father being on 'paternity leave' and involved with the baby is another positive sign of family support and involvement in bonding.
Question 5 of 5
A new mother expresses frustration about how to know what her baby wants. The mother states, 'I don't know what I expect, but then, the baby doesn't know either.' Which situation does the nurse use as an example of neonate communication?
Correct Answer: D
Rationale: The correct answer is D because rooting reflex is a classic example of neonate communication. When the baby's cheek is stroked, they turn their head in the direction of the touch in search of the breast for feeding. This reflex demonstrates the baby's ability to communicate their hunger needs. This action is instinctual and essential for the baby's survival. Choices A, B, and C are incorrect because they do not directly relate to neonate communication. Choice A focuses on the baby's physical position rather than communication. Choice B mentions the baby's sensitivity to loud noises, which is more about sensory response than communication. Choice C refers to eye contact, which is not a typical form of communication for newborns.