Postpartum Care Nursing Practice Questions

Postpartum Care Nursing Practice Questions Related

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The nurse is observing a new mother interact with her baby and notices the mother holding the baby close to her body. However, the nurse also notices that the mother does not hold the baby in an enface position. Which question is most appropriate for the nurse to ask?

  • A. Can I help you with a nice position in which to hold your baby?'
  • B. What can you tell me about your family's beliefs with new babies?'
  • C. Is there some reason that I have not seen you look into your baby's eyes?'
  • D. Your baby is so expressive, have you looked into his eyes yet?'
Correct Answer: B

Rationale: The correct answer is B: "What can you tell me about your family's beliefs with new babies?" This question allows the nurse to gather valuable cultural information that may explain the mother's behavior of not holding the baby in an enface position. Understanding the family's beliefs helps the nurse provide culturally sensitive care.

A: "Can I help you with a nice position in which to hold your baby?" - This question assumes the mother needs help with positioning, which may not be the case. It does not address the underlying reason for the mother's behavior.

C: "Is there some reason that I have not seen you look into your baby's eyes?" - This question is accusatory and may make the mother defensive. It does not consider cultural reasons for the behavior.

D: "Your baby is so expressive, have you looked into his eyes yet?" - This question assumes the mother has not looked into the baby's eyes, which may not be the case. It does not address the cultural

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The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?

  • A. The woman applied her peri-pad from back to front.
  • B. The woman performed peri-care three times a day.
  • C. The woman washed her hands before and after performing peri-care.
  • D. The woman mixed tap water and hydrogen peroxide in her peri-bottle.
Correct Answer: C

Rationale: The correct answer is C because washing hands before and after performing peri-care is essential to prevent the spread of infections. Before touching the perineal area, proper hand hygiene reduces the risk of introducing harmful bacteria. After caring for the perineum, washing hands again prevents transferring any bacteria to other parts of the body. This demonstrates understanding of infection prevention.

Choice A is incorrect because applying the peri-pad from back to front can introduce bacteria from the rectal area to the vaginal area, increasing the risk of infection.

Choice B is incorrect because the frequency of performing peri-care depends on individual needs and hygiene practices, so stating a fixed number of times is not indicative of understanding.

Choice D is incorrect because mixing tap water and hydrogen peroxide in the peri-bottle is not a recommended practice for peri-care and may cause irritation or disrupt the natural balance of the vaginal flora.

The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?

  • A. The mother experienced eclampsia in the third trimester of pregnancy.
  • B. The neonate is being treated for meconium aspiration syndrome.
  • C. The mother experienced dystocia in the second phase of labor.
  • D. The father of the neonate is in the military and not yet home on leave.
Correct Answer: D

Rationale: The correct answer is D. The absence of the father due to military duty does not inherently cause bonding/attachment problems. Bonding issues are more commonly linked to factors like maternal health complications (choice A), neonatal health conditions (choice B), or labor complications (choice C). Military deployment may pose challenges, but it doesn't directly impede bonding. Therefore, option D is not a significant risk factor for bonding/attachment problems as compared to the other choices.

The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?

  • A. The woman applied her peri-pad from back to front.
  • B. The woman performed peri-care three times a day.
  • C. The woman washed her hands before and after performing peri-care.
  • D. The woman mixed tap water and hydrogen peroxide in her peri-bottle.
Correct Answer: C

Rationale: The correct answer is C because washing hands before and after peri-care is crucial to prevent the spread of infection. Before performing peri-care, clean hands reduce the risk of introducing harmful bacteria to the perineal area. After peri-care, hand hygiene prevents potential contamination from the perineum to other body parts or surfaces.

Explanation of why other choices are incorrect:
A: Applying the peri-pad from back to front can introduce bacteria from the rectal area to the urethra, increasing the risk of urinary tract infections.
B: While performing peri-care multiple times a day is important, it is not the best indicator of understanding peri-care principles.
D: Mixing tap water and hydrogen peroxide in the peri-bottle may be harmful and is not a standard practice for peri-care.

Which best represents the process of postpartum diuresis in a postpartum client?

  • A. A nervous response to vasomotor changes
  • B. Elimination of excess fluid through the skin
  • C. Underarm perspiration that occurs after ambulation
  • D. Loss of fluid from expulsion of the placenta and amniotic fluid
Correct Answer: D

Rationale: The correct answer is D because postpartum diuresis occurs due to the loss of fluid from the expulsion of the placenta and amniotic fluid. This process helps the body eliminate excess fluid retained during pregnancy. A is incorrect as it refers to a nervous response, not a physiological process. B is incorrect as diuresis involves elimination through urine, not the skin. C is incorrect as underarm perspiration is not directly related to postpartum diuresis. In summary, D is the best representation as it directly links the process to the expulsion of placenta and amniotic fluid.

The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?

  • A. The mother experienced eclampsia in the third trimester of pregnancy.
  • B. The neonate is being treated for meconium aspiration syndrome.
  • C. The mother experienced dystocia in the second phase of labor.
  • D. The father of the neonate is in the military and not yet home on leave.
Correct Answer: D

Rationale: The correct answer is D because the father being in the military and not yet home on leave does not directly impact bonding/attachment between the parents and the neonate. Bonding issues are typically related to factors such as maternal health conditions (choice A), neonatal health complications (choice B), or labor complications experienced by the mother (choice C). In contrast, the father's absence due to military service, while potentially challenging emotionally, does not inherently cause bonding/attachment problems as the mother and baby can still form a strong attachment bond. Choices A, B, and C are incorrect as they can directly affect the bonding/attachment process due to physical health issues of the mother and baby during pregnancy and labor.

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