Postpartum Body Changes

Postpartum Body Changes Related

Review Postpartum Body Changes related questions and content

Which description best explains the term reciprocal attachment behavior?

  • A. Behavior during the sensitive period when the infant is in the quiet alert stage
  • B. Positive feedback that the infant exhibits toward parents during the attachment process
  • C. Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
  • D. Behavior by the infant during the sensitive period to elicit feelings of “falling in love” from the parents
Correct Answer: B

Rationale: The correct answer is B because reciprocal attachment behavior refers to the mutual and positive interactions between infants and their caregivers during the attachment process. This behavior involves the infant responding to the caregiver's actions with positive feedback, such as smiles, cooing, and seeking physical contact. This interaction strengthens the bond between the infant and caregiver.

Choice A is incorrect because it describes the infant's behavior during a specific stage (quiet alert stage) but does not capture the reciprocal nature of attachment behavior. Choice C is incorrect because reciprocal attachment behavior is not unidirectional and does not solely depend on eye contact. Choice D is incorrect because reciprocal attachment behavior is not about eliciting specific feelings from the parents but rather about building a strong, mutual bond between the infant and caregiver.

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The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

  • A. “I may not have a bowel movement until the 2nd postpartum day.”
  • B. “If I breastfeed and supplemUenSt wiNth fTormula,O I won’t need any birth control.”
  • C. “I know my normal pattern of bowel elimination won’t return until about 8 to 10 days.”
  • D. “If I am not breastfeeding, I should use birth control when I resume sexual
Correct Answer: B

Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy.

Explanation:
1. Breastfeeding alone is not a foolproof method of contraception.
2. The combination of breastfeeding and formula feeding does not guarantee contraception.
3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met.
4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy.

Summary:
A: Correct statement about the timing of bowel movements postpartum.
C: Incorrect statement about the normal pattern of bowel elimination postpartum.
D: Correct statement about the need for birth control if not breastfeeding.

The nurse educates the postpartum person on bowel discomfort. What instructions would they give?

  • A. Limit water intake.
  • B. Use laxatives daily.
  • C. Ambulate often.
  • D. Avoid stool softeners.
Correct Answer: C

Rationale: The correct answer is C: Ambulate often. After childbirth, ambulation helps stimulate bowel movements, preventing constipation. Walking helps promote peristalsis and improves overall bowel function.

Choice A: Limit water intake - Incorrect. Hydration is important for bowel function and limiting water intake can worsen constipation.

Choice B: Use laxatives daily - Incorrect. Daily use of laxatives can lead to dependence and disrupt natural bowel function.

Choice D: Avoid stool softeners - Incorrect. Stool softeners can be beneficial in preventing constipation and should not be avoided without medical advice.

The nurse does not hear the baby swallow when suckling even though the baby appears to be latched properly to the breast. Which of the following situations may be the reason for this observation?

  • A. The mother reports a pain level of 4 on a 5-point scale.
  • B. The baby has been suckling for over 10 minutes.
  • C. The mother uses the cross-cradle hold while feeding.
  • D. The baby lies with the chin touching the under part of the breast.
Correct Answer: D

Rationale: Proper latch involves the chin touching the breast for efficient milk transfer.

A client just delivered the placenta pictured below. For which of the following complications should the nurse carefully observe the woman?

  • A. Endometrial ischemia.
  • B. Postpartum hemorrhage.
  • C. Prolapsed uterus.
  • D. Vaginal hematoma.
Correct Answer: B

Rationale: Abnormal placentas increase hemorrhage risk.

A nurse is working on the postpartum unit. Which of the following patients should the nurse assess first?

  • A. PP1 from vaginal delivery with complaints of burning on urination.
  • B. PP2 from forceps delivery with blood loss of 500 mL at time of delivery.
  • C. PP3 from vacuum delivery with hemoglobin of 7.2 g/dL.
  • D. PO4 from cesarean delivery with complaints of firm and painful breasts.
Correct Answer: C

Rationale: Severe anemia requires immediate attention.

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