ATI RN
Postpartum Care Practice Questions Questions
Question 1 of 5
A patient who is 12 hours postpartum after a vaginal delivery continues to have difficulty in initiating urination. The nurse is aware that an integrative method used when a woman is unable to void is peppermint oil. In which manner will the peppermint oil be used?
Correct Answer: D
Rationale: The correct answer is D) A saturated cotton ball is placed in a "hat" on the toilet. This method is used to help stimulate urination by providing a strong scent that can help relax the perineal muscles, making it easier for the patient to void. Placing the saturated cotton ball in a "hat" on the toilet allows the peppermint oil to be in close proximity to the patient during the voiding process. Option A is incorrect because applying peppermint oil directly to the urinary meatus can be irritating and uncomfortable for the patient. Option B is also incorrect as leaving a small amount on a cotton ball at the bedside will not provide the necessary stimulation for urination. Option C is incorrect as adding peppermint oil to a vaporizer may not be as effective in stimulating urination as the direct application method in option D. In an educational context, it is important for nurses to understand integrative methods like using peppermint oil to aid patients in postpartum care. This knowledge can help nurses provide holistic care and support to patients experiencing difficulties in postpartum recovery, promoting their comfort and well-being.
Question 2 of 5
Dayton et al. (2016) performed qualitative research regarding expectant fathers' beliefs and expectations. The nurse identifies which theme as emerging from this research?
Correct Answer: B
Rationale: In this scenario, option B is the correct answer because it aligns with the findings of the research conducted by Dayton et al. (2016). The study highlighted that men described fathering as an extremely difficult task, which indicates the challenges and complexities they perceive in the role of a father. This theme emerged as a significant aspect of expectant fathers' beliefs and expectations. Option A is incorrect because even though men may feel that the role of being a father can be learned, this was not the primary theme identified in the research. Option C is incorrect as the research did not focus on men relying on other men to support the fathering role specifically. Option D is also incorrect as the research did not suggest that men believe the nurturing role is always the mother's, but rather emphasized the difficulties men associate with the fathering role. Educationally, understanding these research findings is crucial for healthcare providers, especially nurses working in postpartum care. It helps them to appreciate the unique perspectives and challenges that expectant fathers may face, enabling them to provide more holistic and supportive care to families during the postpartum period. By recognizing the complexities of fatherhood, healthcare professionals can offer tailored support and resources to meet the needs of both parents effectively.
Question 3 of 5
The nurse is interested in promoting coparenting because of the high likeability that at some point, both parents will be working outside the home. After reading research by Davis, Schoppe-Sullivan, Mangelsdorf, and Brown (2009), the nurse learns that which factor impacts coparenting the most?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Infant temperament. Understanding why this factor impacts coparenting the most is crucial for nurses providing postpartum care. Infant temperament refers to a baby's individual characteristics such as mood, adaptability, and intensity of reactions. Research by Davis, Schoppe-Sullivan, Mangelsdorf, and Brown (2009) highlights that a difficult or demanding infant temperament can significantly affect coparenting dynamics. Infant temperament can influence how parents interact, communicate, and support each other in their caregiving roles. A challenging infant temperament may lead to increased stress, disagreements, and conflicts between parents, affecting their ability to coparent effectively. Therefore, recognizing and addressing the impact of infant temperament on coparenting is essential for nurses to support new parents in developing positive and collaborative coparenting relationships. Regarding why the other options are incorrect: B) Father's interest: While the father's interest in coparenting is important, research suggests that infant temperament has a more significant impact on coparenting dynamics. C) Strength of support systems: Support systems can enhance coparenting, but they are not the primary factor highlighted in the research as impacting coparenting the most. D) Mother's expectations: While mothers' expectations can influence coparenting, the research emphasizes infant temperament as the key factor affecting coparenting relationships. Educationally, understanding the impact of infant temperament on coparenting allows healthcare providers to offer targeted support and interventions to help parents navigate the challenges of coparenting effectively. By focusing on evidence-based factors like infant temperament, nurses can better assist families in building strong and positive coparenting relationships for the well-being of both parents and the child.
Question 4 of 5
A woman who is 4 days postdelivery calls the nurse's station and states that she is feeling faint and dizzy. Which is an appropriate nursing action?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Instruct the woman to request help when getting up. This is the appropriate nursing action because the woman is experiencing symptoms of postural hypotension, which is common in the postpartum period due to changes in blood volume and distribution. Instructing the woman to ask for help when getting up ensures her safety and prevents falls or injuries. Option A) Notify the physician is not the most immediate action needed in this situation. Option B) Elevate the woman's legs is not indicated for faintness and dizziness. Option C) Administer oxygen is not necessary based on the symptoms described. Educationally, it is important for healthcare providers to understand the physiological changes that occur in the postpartum period and how to address common symptoms experienced by women during this time. Prompt recognition and appropriate intervention are essential in ensuring the well-being of postpartum women. Teaching women about the importance of asking for help and moving slowly after delivery can help prevent incidents like this.
Question 5 of 5
The nurse receives a telephone call from a woman who has given birth 3 days ago. The woman states, "I am afraid that something is wrong because I have not had a bowel movement since I had my baby. I usually go every day." Which response by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D) Encourage the woman to add dried fruits to cereals, yogurts, and salads. This response is appropriate because constipation is a common issue after childbirth due to factors like hormonal changes, dehydration, and reduced physical activity. Dried fruits are a good source of fiber, which can help alleviate constipation in a gentle and natural way. Option A is incorrect because simply instructing the woman to rest more often does not address the underlying issue of constipation. Option B is incorrect as it only provides reassurance without offering a practical solution. Option C is also incorrect because asking the woman to see a physician for a common postpartum issue like constipation may be premature before trying simple interventions like dietary changes. In an educational context, it is important for nurses to be knowledgeable about common postpartum issues like constipation and be able to provide evidence-based advice to promote the health and well-being of new mothers. By understanding the physiological changes that occur after childbirth, nurses can offer practical guidance to address common concerns and support women during the postpartum period.