Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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To promote bonding and attachment immediately after birth, which action should the nurse take?

  • A. Assist the mother in feeding her baby.
  • B. Allow the mother quiet time with her infant.
  • C. Teach the mother about the concepts of bonding and attachment.
  • D. Assist the mother in assuming an en face position with her newborn.
Correct Answer: D

Rationale: The correct answer is D because assuming an en face position (face-to-face) with the newborn promotes bonding and attachment by facilitating eye contact, skin-to-skin contact, and mutual recognition between the mother and baby. This physical closeness immediately after birth helps establish a strong emotional connection.

A: Assisting with feeding is important but does not specifically address bonding and attachment immediately after birth.
B: Allowing quiet time is beneficial but may not actively promote bonding and attachment.
C: Teaching about bonding and attachment is valuable but does not directly facilitate the immediate connection between mother and baby.

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A full-term newborn was just born. Which nursing intervention is important for the nurse to perform first?

  • A. Remove wet blankets.
  • B. Assess Apgar score.
  • C. Insert eye prophylaxis.
  • D. Elicit the Moro reflex.
Correct Answer: B

Rationale: Assessing the Apgar score is a priority immediately after birth to evaluate the newborn's overall condition.

A postpartum woman has been diagnosed with postpartum psychosis. Which of the following signs/symptoms would the client exhibit?

  • A. Hallucinations.
  • B. Polyphagia.
  • C. Induced vomiting.
  • D. Weepy sadness.
Correct Answer: A

Rationale: Hallucinations are characteristic of psychosis.

A client is receiving IV heparin for deep vein thrombosis. Which of the following medications should the nurse obtain from the pharmacy to have on hand in case of heparin overdose?

  • A. Vitamin K.
  • B. Protamine.
  • C. Vitamin E.
  • D. Mannitol.
Correct Answer: B

Rationale: Protamine reverses heparin effects.

The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?

  • A. increased risk for DVT
  • B. faster recovery
  • C. less use of pain medication
  • D. less risk for infection
Correct Answer: A

Rationale: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.

Four newborns were admitted into the neonatal nursery 1 hour ago. They are all sleeping in overhead warmers. Which of the babies should the nurse ask the neonatologist to evaluate?

  • A. The neonate with a temperature of 98.9°F and weight of 3
  • B. 000 grams.
  • C. The neonate with white spots on the bridge of the nose.
  • D. The neonate with raised white specks on the gums.
Correct Answer: D

Rationale: Tachypnea and tachycardia may indicate respiratory distress or sepsis.

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