Postpartum Body Changes

Postpartum Body Changes Related

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Which patient is more likely to have less stress adjusting to her role as a mother?

  • A. A 26-year-old woman who is returning to work in 10 weeks
  • B. A 35-year-old anxious mother who has had no contact with babies or children
  • C. A 16-year-old teenager who lives with her parents and has a strained relationship with her mother
  • D. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birth
Correct Answer: A

Rationale: The correct answer is A because the 26-year-old woman who is returning to work in 10 weeks is more likely to have less stress adjusting to her role as a mother. This is because she is likely more established in her career, which can provide a sense of stability and financial security. Additionally, knowing she will return to work in 10 weeks can give her a sense of structure and purpose, reducing uncertainty and stress.

Choice B is incorrect because the 35-year-old anxious mother who has had no contact with babies or children may struggle with feelings of inadequacy and anxiety due to lack of experience with children.

Choice C is incorrect because the 16-year-old teenager living with strained relationship with her mother may face additional stressors from family dynamics and lack of maturity.

Choice D is incorrect because the 25-year-old woman who knew early in her pregnancy and delivered twins by cesarean birth may face physical challenges and increased demands of caring for twins, leading to higher stress levels.

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The nurse is developing a plan of care for the patient’s fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?

  • A. Encourage the patient to call the baby by his or her first name
  • B. Stimulate the grasp reflex by placing the patient’s finger in the infant’s palm.
  • C. Ask the patient if she wants her baby placed on her chest immediately after birth.
  • D. Assess for familial characteristics and remark on the resemblance to the patient or the father
Correct Answer: C

Rationale: Rationale: Choice C is correct because immediate skin-to-skin contact promotes bonding by facilitating the release of oxytocin, the bonding hormone. This close physical contact also helps regulate the baby's temperature and promotes breastfeeding initiation. Choices A, B, and D do not directly facilitate bonding as effectively as immediate skin-to-skin contact. Encouraging the baby's name or assessing for familial characteristics may be important but do not have the same immediate bonding impact as skin-to-skin contact. Placing the patient's finger in the infant's palm may stimulate reflexes but does not directly promote bonding as effectively as skin-to-skin contact.

What do ineffective parenting practices put the newborn at risk for?

  • A. sleeplessness
  • B. reflux
  • C. lack of attachment
  • D. NICU admission
Correct Answer: C

Rationale: The correct answer is C: lack of attachment. Ineffective parenting practices can lead to difficulties in forming a secure attachment bond with the newborn, which is crucial for their emotional and social development. This can result in long-term negative outcomes such as behavioral issues and emotional instability.

Incorrect choices:
A: Sleeplessness is a common issue for newborns but is not directly caused by ineffective parenting practices.
B: Reflux can occur in newborns due to various reasons, not necessarily related to parenting practices.
D: NICU admission may be necessary for certain medical conditions unrelated to parenting practices.

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.

A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast. Upon inspection, a diagnosis of mastitis is made. Which of the following nursing interventions is appropriate?

  • A. Advise the woman to apply ice packs to her breasts.
  • B. Encourage the woman to breastfeed frequently.
  • C. Inform the woman that she should wean immediately.
  • D. Direct the woman to notify her pediatrician as soon as possible.
Correct Answer: B

Rationale: Frequent breastfeeding helps clear infection.

The nurse is providing discharge counseling to a woman who is breastfeeding her baby. What should the nurse advise the woman to do if she should palpate tender, hard nodules in her breasts?

  • A. Gently massage the areas toward the nipple, especially during feedings.
  • B. Apply ice to the areas between feedings.
  • C. Bottle feed for the next twenty-four hours.
  • D. Apply lanolin ointment to the areas after each and every breastfeeding.
Correct Answer: A

Rationale: Massaging helps resolve blocked ducts.

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