ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 of 5
As a result of the previously mentioned research study, the nurses in a postpartum facility will implement which evidence-based change?
Correct Answer: D
Rationale: The correct answer is D because promoting strategies to decrease fatigue during both prenatal and postnatal periods aligns with evidence-based practice to improve maternal health outcomes. This approach acknowledges the importance of preventive measures to address fatigue before and after childbirth. Option A focuses solely on assessing fatigue without addressing interventions to mitigate it. Option B, while relevant, does not directly impact maternal fatigue. Option C overlooks the father's role in supporting the mother and infant. In summary, option D is the most appropriate as it addresses fatigue proactively throughout the perinatal period.
Question 2 of 5
The nurse is providing care for a new mother during a follow-up visit 6 weeks after a vaginal delivery. The mother begins to cry and reports difficulty with eating and sleeping. The nurse identifies postpartum blues and cites which reason as the most likely cause?
Correct Answer: C
Rationale: Correct Answer: C - Changes in hormonal levels Rationale: 1. Postpartum blues typically occur due to fluctuating hormone levels after childbirth. 2. Estrogen and progesterone levels drop significantly after delivery, leading to mood changes. 3. Symptoms like crying, difficulty eating, and sleeping align with hormonal imbalance postpartum. Summary: A: Fatigue related to a 'fussy' baby - Not directly related to hormonal changes causing postpartum blues. B: Frustration over physical appearance - Not a primary cause of postpartum blues, which is more hormone-related. D: Stress related to new mother role - While stress can contribute, hormonal changes are the primary cause.
Question 3 of 5
The nurse is preparing to do a morning assessment on a 24-hour postpartum patient. Which nursing intervention is most appropriate initially?
Correct Answer: B
Rationale: Correct Answer: B - Instruct the mother to void prior to the assessment. Rationale: 1. Voiding before assessment prevents inaccurate findings due to bladder distension. 2. Empty bladder facilitates fundal assessment and reduces discomfort. 3. Ensures accurate assessment of postpartum lochia flow. 4. Promotes patient comfort and satisfaction. Summary of Other Choices: A - Massaging the fundus is important but should not be the initial step. C - Assessing lochia flow is crucial, but voiding should be prioritized first. D - Lowering the head of the bed is unnecessary and may cause discomfort.
Question 4 of 5
The nurse is educating the postpartum client on lactation suppression. Which instructions to the client regarding lactation suppression should be included? Select all that apply.
Correct Answer: D
Rationale: Correct Answer: D Rationale: - Wearing a well-fitting bra provides support and pressure on the breasts, which can help decrease milk production and relieve discomfort during lactation suppression. - Warm showers, pumping, and applying a heating pad can actually stimulate milk production rather than suppress it, so they are not appropriate instructions for lactation suppression. - Therefore, option D is the correct choice as it promotes effective lactation suppression by providing proper breast support.
Question 5 of 5
A G1P1 has just experienced a 24-hour labor that included a 3-hour second stage. The woman states to the nurse, "I just can't feed my baby now. All I want to do is sleep." What is the appropriate response from the nurse?
Correct Answer: D
Rationale: The correct answer is D: Reassure the woman that it is okay for her to rest at this time. Rationale: 1. The woman has just undergone a 24-hour labor with a 3-hour second stage, which is physically and emotionally exhausting. 2. It is important for the nurse to prioritize the woman's well-being and allow her to rest to recover. 3. Rest is crucial for the woman's recovery and ability to care for her baby effectively. 4. By reassuring her that it is okay to rest, the nurse promotes self-care and maternal well-being. Other choices: A: Discuss with the woman that the needs of her infant should come first - This is not the appropriate response as the woman's well-being should also be considered. B: Recognize this as a behavior of the taking-hold stage - This is incorrect as the woman's exhaustion is likely due to the physically demanding labor. C: Record the behavior as ineffective bonding/attachment - This is not appropriate