Postpartum Care for Mom Questions

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The nurse is counseling a lesbian couple who have decided to have a child. Which considerations doesn't the nurse present with regard to which partner will become pregnant?

  • A. Consider the age and health of each partner.
  • B. Evaluate each partner's career goals.
  • C. Decide which partner has better insurance.
  • D. Determine who will be on the birth certificate.
Correct Answer: D

Rationale: Correct Answer: D - Determine who will be on the birth certificate.

Rationale: The nurse should not present the consideration of who will be on the birth certificate because legal parentage can be determined through various means regardless of who gives birth. The birth certificate can be amended to include both partners, and legal agreements can be put in place to establish parental rights. Focusing on the birth certificate may limit the couple's options and overlook the importance of legal protections for both partners and the child.

Summary of Incorrect Choices:
A: Considering the age and health of each partner is important for making informed decisions about pregnancy but does not specifically address the issue of who will become pregnant.
B: Evaluating each partner's career goals is important for planning but is not directly related to the decision of who will carry the pregnancy.
C: Choosing based on insurance is a practical consideration but should not be the primary factor in deciding which partner will become pregnant as it does not address the complexities of parenthood and family dynamics

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A breastfeeding postpartum woman tells the nurse, "I am not sure I want to breastfeed because I notice that when I feed my baby, I have strong contraction-like pain. Is something wrong?" Which response by the nurse is most appropriate?

  • A. "I will call the doctor and let him know your concern."
  • B. "You may be getting an infection and will have to stop breastfeeding."
  • C. "This is normal because your uterus is shrinking back to the normal size."
  • D. "The baby's sucking during breastfeeding releases the hormone oxytocin, which stimulates the uterus to contract."
Correct Answer: D

Rationale: The correct answer is D. Oxytocin is a hormone that is released during breastfeeding in response to the baby's sucking, causing the uterus to contract. This helps the uterus return to its pre-pregnancy size and reduces postpartum bleeding. Choice A is incorrect as the issue does not require immediate doctor intervention. Choice B is incorrect as pain does not necessarily indicate infection. Choice C is incorrect as it does not explain the role of oxytocin in uterine contractions during breastfeeding.

The nurse is counseling a lesbian couple who have decided to have a child. Which considerations doesn't the nurse present with regard to which partner will become pregnant?

  • A. Consider the age and health of each partner.
  • B. Evaluate each partner's career goals.
  • C. Decide which partner has better insurance.
  • D. Determine who will be on the birth certificate.
Correct Answer: D

Rationale: The correct answer is D because determining who will be on the birth certificate is not a relevant consideration when a lesbian couple decides which partner will become pregnant. The birth certificate can typically be amended to include both partners as legal parents regardless of who gives birth.

A: Considering the age and health of each partner is important for assessing pregnancy risks.
B: Evaluating career goals may impact decisions around timing and balancing work and parenthood.
C: Deciding which partner has better insurance is relevant for covering prenatal care and delivery costs.

Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant?

  • A. The parents respond to the baby's cry.
  • B. The parents call the baby by name.
  • C. The baby responds to comforting measures.
  • D. The parents stimulate and entertain the baby.
Correct Answer: B

Rationale: The correct answer is B because calling the baby by name demonstrates unidirectional bonding where the parent initiates the interaction without the need for the baby's response. This action shows a one-way connection from the parent to the infant. In contrast, choices A, C, and D involve mutual interaction between the parent and the baby, indicating bidirectional bonding where both parties are actively engaging with each other. Option A involves the parent responding to the baby's cry, option C involves the baby responding to comforting measures, and option D involves the parents stimulating and entertaining the baby, all of which require reciprocal actions from both the parent and the baby.

A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence?

  • A. An increase in oxytocin release related to the newborn suckling
  • B. The presence of intense afterbirth pains related to multiparity
  • C. An expected response to the daily administration of oxytocin
  • D. The efforts of the uterus to return to a prepregnancy condition
Correct Answer: A

Rationale: Rationale for correct answer A:
1. Breastfeeding stimulates the release of oxytocin.
2. Oxytocin causes uterine contractions.
3. Uterine contractions help the uterus return to its pre-pregnancy size.
4. Severe uterine cramps post-delivery are likely due to increased oxytocin release from breastfeeding.

Summary of why other choices are incorrect:
B: Afterbirth pains are typically crampy, but the scenario specifies severe pain on the first day after delivery, which is more likely due to breastfeeding.
C: Daily administration of oxytocin would not lead to sudden severe cramps on the first day post-delivery.
D: Uterus shrinking back to prepregnancy size causes cramping, but the timing and severity described in the scenario point more towards oxytocin release from breastfeeding.

The nurse on a postpartum unit is focused on providing care that will assist the mother and father in making the transition to parenthood. For which reason does the nurse review the prenatal and labor records?

  • A. Pregnancy and birth experiences, which can either enhance or impede the process of becoming a mother.
  • B. Awareness of prenatal classes that will help identify and focus on learning needs of both parents.
  • C. Identification of preexisting maternal conditions that may interfere with parenting transitions.
  • D. Knowledge regarding questions and concerns the mother and father may have about neonate issues.
Correct Answer: A

Rationale: The correct answer is A: Pregnancy and birth experiences, which can either enhance or impede the process of becoming a mother. Reviewing the prenatal and labor records helps the nurse understand the mother's experiences during pregnancy and childbirth, which can significantly impact her transition to motherhood. By knowing these experiences, the nurse can identify any factors that may enhance or impede the mother's adjustment to motherhood. This information allows the nurse to provide tailored support and interventions to assist the mother in her transition.

Choice B is incorrect because prenatal classes are not directly related to reviewing prenatal and labor records to understand the mother's experiences. Choice C is incorrect as preexisting maternal conditions are not the main focus when reviewing records for the transition to parenthood. Choice D is also incorrect as it focuses on neonate issues, which are not the primary concern when reviewing prenatal and labor records for assisting the mother and father in making the transition to parenthood.

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