ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 of 5
A postpartum patient states, " am really in pain."For which sources of pain will the nurse not assess the patient?
Correct Answer: D
Rationale: The correct answer is D: General soreness. Postpartum pain assessment typically focuses on specific sources such as uterine contractions, perineal trauma, and breast engorgement. General soreness is too vague and does not provide specific information for targeted intervention. By ruling out general soreness, the nurse can prioritize assessment and management of more specific sources of pain to provide appropriate care for the postpartum patient.
Question 2 of 5
The nurse is observing a new mother interact with her baby and notices the mother holding the baby close to her body. However, the nurse also notices that the mother does not hold the baby in an enface position. Which question is most appropriate for the nurse to ask?
Correct Answer: B
Rationale: The correct answer is B: "What can you tell me about your family's beliefs with new babies?". This question is most appropriate as it opens up a dialogue about the mother's cultural or familial practices regarding infant care, which may explain why she is not holding the baby in an enface position. By asking about the family's beliefs, the nurse can gain insight into the mother's perspective and provide culturally sensitive care. Choice A is incorrect as it assumes the mother needs help without considering her cultural background. Choice C is incorrect as it may come off as judgmental and accusatory. Choice D is incorrect as it focuses on the action of looking into the baby's eyes rather than understanding the cultural context behind the mother's behavior.
Question 3 of 5
The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?
Correct Answer: D
Rationale: The correct answer is D because the father being in the military and not yet home on leave does not directly impact bonding/attachment between the parents and the neonate. Bonding issues are typically related to factors such as maternal health conditions (choice A), neonatal health complications (choice B), or labor complications experienced by the mother (choice C). In contrast, the father's absence due to military service, while potentially challenging emotionally, does not inherently cause bonding/attachment problems as the mother and baby can still form a strong attachment bond. Choices A, B, and C are incorrect as they can directly affect the bonding/attachment process due to physical health issues of the mother and baby during pregnancy and labor.
Question 4 of 5
The nurse is assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Fundus is firm and at midline: Indicates normal involution of the uterus post-delivery. 2. Lochia is moderate with rubra and small clots: Expected findings in the early postpartum period. 3. Overall assessment findings within normal range: Indicate normal postpartum recovery. Summary of why other choices are incorrect: B. Presence of infection would usually be indicated by abnormal signs such as foul-smelling lochia or fever, which are absent in this case. C. No abnormal findings are present that would necessitate physician notification. D. Fluid intake is important postpartum, but there are no signs in this scenario indicating a need for increased fluid intake.
Question 5 of 5
Which best represents the process of postpartum diuresis in a postpartum client?
Correct Answer: D
Rationale: Correct Answer: D - Loss of fluid from expulsion of the placenta and amniotic fluid Rationale: 1. During childbirth, the placenta and amniotic fluid are expelled, resulting in a sudden decrease in fluid volume in the body. 2. The body undergoes a physiological response known as postpartum diuresis to eliminate excess fluid accumulated during pregnancy. 3. This diuresis helps to restore the body's fluid balance and reduce the risk of postpartum edema. 4. Choices A, B, and C do not accurately represent the process of postpartum diuresis and are unrelated to the specific physiological changes following childbirth.