Postpartum Care for Mom Questions

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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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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.

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 discussing which partner will become pregnant. The birth certificate can be adjusted later, and it does not impact the decision-making process for pregnancy.

A: Age and health are important factors to consider for the partner who will become pregnant.
B: Evaluating career goals can help determine the impact of pregnancy on each partner's professional life.
C: Insurance coverage can be important when planning for pregnancy and childbirth, as it can affect access to healthcare services.

A nurse is preparing to perform a fundal assessment on a postpartum client who delivered 12 hours ago. What should the nurse do first?

  • A. Lower the head of the bed
  • B. Locate the level of the fundus
  • C. Assist the woman to the bathroom to empty her bladder
  • D. Massage the fundus
Correct Answer: C

Rationale: The correct answer is C because assisting the woman to the bathroom to empty her bladder is the first step in a fundal assessment. A full bladder can displace the uterus and affect fundal height accuracy. Lowering the head of the bed (A) is not necessary for this assessment. Locating the level of the fundus (B) should come after ensuring the bladder is empty. Massaging the fundus (D) is not the initial step and could be harmful if the bladder is full.

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: Correct Answer: A

Rationale:
1. Breastfeeding stimulates the release of oxytocin.
2. Oxytocin causes uterine contractions, aiding in the expulsion of placenta and reducing postpartum bleeding.
3. The patient's severe uterine cramps are likely due to increased oxytocin release from breastfeeding.
4. This is a normal response, known as afterpains, and is common in breastfeeding mothers.

Summary:
- Choice B is incorrect as afterbirth pains are typically milder in primiparous women.
- Choice C is incorrect as oxytocin is not typically administered daily postpartum.
- Choice D is incorrect as uterine involution occurs gradually over weeks, not causing sudden severe cramps.

A nurse is preparing to perform a fundal assessment on a postpartum client who delivered 12 hours ago. What should the nurse do first?

  • A. Lower the head of the bed
  • B. Locate the level of the fundus
  • C. Assist the woman to the bathroom to empty her bladder
  • D. Massage the fundus
Correct Answer: C

Rationale: The correct answer is C: Assist the woman to the bathroom to empty her bladder. This is the first step because a full bladder can displace the uterus, making fundal assessment inaccurate. Emptying the bladder allows for proper fundal assessment by ensuring the uterus is in the correct position. Lowering the head of the bed (choice A) is not necessary before fundal assessment. Locating the level of the fundus (choice B) can be done after ensuring the bladder is empty. Massaging the fundus (choice D) should only be done after fundal assessment to check for firmness.

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