Postpartum Body Changes

Postpartum Body Changes Related

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A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.” How should the nurse best respond?

  • A. Reassure him that this behavior is normal.
  • B. Advise him to get immediate psychological help for her.
  • C. Tell him to ignore the mood swings because they will go away.
  • D. Instruct him in the signs, symptoms, and duration of postpartum blues.
Correct Answer: A

Rationale: The correct answer is A. The nurse should reassure the father that his wife's behavior of mood swings is normal after childbirth due to hormonal changes and adjustment to new responsibilities. This response validates the father's concerns, provides education on common postpartum experiences, and offers support.

Incorrect choices:
B: Immediate psychological help is not warranted for typical postpartum mood swings.
C: Ignoring the mood swings can lead to misunderstandings and lack of support for the mother.
D: Instructing on postpartum blues is more clinical and may not address the father's immediate concerns.

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Which fundal assessment finding at 12 hours after birth requires further assessment?

  • A. The fundus is palpable at the level of the umbilicus.
  • B. The fundus is palpable two fingerbreadths above the umbilicus.
  • C. The fundus is palpable one fingerbreadth below the umbilicus.
  • D. The fundus is palpable two fingerbreadths below the umbilicus.
Correct Answer: A

Rationale: Rationale:
- A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments.
- B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment.

Summary:
- Choice A is correct because it indicates a potential issue with uterine involution.
- Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.

A couple is asking the nurse whether or not their son should be circumcised. On which fact should the nurse's response be based?

  • A. Boys should be circumcised for them to establish a positive self-image.
  • B. Boys should not be circumcised because there is no medical rationale for the procedure.
  • C. Experts from the Centers for Disease Control and Prevention argue that circumcision is desirable.
  • D. A statement from the American Academy of Pediatrics asserts that circumcision is optional.
Correct Answer: D

Rationale: Circumcision is considered optional, and parents should make an informed decision.

A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast. Upon inspection, a diagnosis of mastitis is made. Which of the following nursing interventions is appropriate?

  • A. Advise the woman to apply ice packs to her breasts.
  • B. Encourage the woman to breastfeed frequently.
  • C. Inform the woman that she should wean immediately.
  • D. Direct the woman to notify her pediatrician as soon as possible.
Correct Answer: B

Rationale: Frequent breastfeeding helps clear infection.

The nurse reviews postpartum discharge instructions regarding sexual health. What information is important to review?

  • A. Place nothing in the vagina for 4–6 weeks.
  • B. Pregnancy cannot occur until 3 months after birth.
  • C. Sexual intercourse can resume after discharge from the facility.
  • D. Postpartum persons do not have a need for sexual intimacy.
Correct Answer: A

Rationale: Rationale for Correct Answer (A):
- A: Correct because postpartum women should avoid placing anything in the vagina to prevent infection and allow healing.
- B: Incorrect because ovulation can occur before the first postpartum period.
- C: Incorrect because resuming sexual intercourse should be based on individual healing and comfort, not just discharge.
- D: Incorrect because sexual intimacy is a normal part of relationships and should be discussed postpartum for emotional well-being.

A mother is told that she should bottle feed her child for medical reasons. Which of the following maternal disease states are consistent with the recommendation? Select all that apply.

  • A. Untreated
  • B. active tuberculosis.
  • C. Hepatitis B surface antigen positive.
  • D. Human immunodeficiency virus positive.
Correct Answer: A

Rationale: Breastfeeding is contraindicated in untreated TB and HIV.

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