ATI RN
Postpartum Body Changes Questions
Question 1 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.
Question 2 of 5
Which of the following are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)
Correct Answer: A
Rationale: Rationale: A: Providing comfort and ample time for rest helps parents feel less stressed, promoting bonding. B: Keeping the baby wrapped is important for warmth but does not directly impact bonding. C: Positioning face to face can enhance bonding, but it is not a nursing measure. D: Pointing out characteristics positively can boost parent's confidence but does not directly promote bonding.
Question 3 of 5
What physiologic postpartum change occurs because the uterus shrinks in size, resulting in an increase in blood flow?
Correct Answer: B
Rationale: The correct answer is B: Cardiac output increases. As the uterus shrinks in size postpartum, it stimulates an increase in blood flow to the area, leading to an increase in cardiac output to meet the demands. This is a normal physiologic response that helps to prevent excessive bleeding and promote healing. Edema increasing (A) is not directly related to the shrinking uterus. Temperature rising (C) is not a typical postpartum change due to uterine involution. Lochia increasing (D) is not a direct result of uterine shrinkage, but rather a normal discharge after childbirth.
Question 4 of 5
The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?
Correct Answer: B
Rationale: The correct answer is B: full bladder. A full bladder can cause the fundus to be boggy, elevated, and deviated to one side due to impeding the uterus from contracting properly. This can lead to postpartum hemorrhage. Uterine rupture (A) would present with severe abdominal pain and signs of shock. Perineal laceration (C) would not cause these fundus changes. Hematoma (D) would present with localized swelling and pain, not fundal changes.
Question 5 of 5
The nurse screens for risk factors such as an infant in the neonatal intensive care unit (NICU), difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support for what complication?
Correct Answer: C
Rationale: The correct answer is C: postpartum depression. Screening for risk factors such as a baby in the NICU, difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support are all associated with an increased risk for postpartum depression. Postpartum depression is a common complication that affects many new mothers and can have significant impacts on both the mother and the baby's well-being. It is important for healthcare providers to be vigilant in screening for these risk factors to identify and support mothers at risk for postpartum depression. Summary: A: maladaptive parenting - Not directly related to the risk factors listed. B: psychosis - Not typically associated with the listed risk factors. D: bipolar disorder - While bipolar disorder can occur postpartum, the listed risk factors are more specifically linked to postpartum depression.