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 the goal of improving maternal well-being and outcomes. This approach focuses on preventive measures to address fatigue before and after childbirth, which can positively impact the mother's recovery and overall health. Assessing fatigue (Option A) is important but addressing strategies to decrease it is more proactive. Assisting fathers (Option B) is valuable, but the primary focus should be on the mother's well-being in a postpartum facility. Encouraging the father to rest (Option C) may not address the mother's needs or promote her recovery effectively.
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: The correct answer is C: Changes in hormonal levels. During the postpartum period, there is a significant drop in estrogen and progesterone levels, which can contribute to mood swings, emotional instability, and feelings of sadness. This is known as postpartum blues. The other choices are incorrect because fatigue related to a 'fussy' baby (A), frustration over physical appearance (B), and stress related to new mother role (D) are factors that can contribute to postpartum depression, not postpartum blues specifically.
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: The correct answer is B: Instruct the mother to void prior to the assessment. This is the most appropriate initial nursing intervention because a full bladder can impede proper assessment of the fundus and lochia flow. Voiding before assessment ensures accurate findings and reduces the risk of discomfort for the patient. A: Massaging the fundus until it is firm is important but should not be the initial step as assessing the bladder status is crucial first. C: Assessing the lochia flow while massaging the fundus is important but should come after ensuring the bladder is empty. D: Lowering the head of the bed and having the mother lie flat does not address the immediate need to empty the bladder for accurate assessment.
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: Rationale: Option D is correct because wearing a well-fitting bra provides support and helps reduce stimulation to the breasts, aiding in lactation suppression. Warm showers, pumping, and applying heating pads can all increase milk production, which is counterproductive to lactation suppression. Therefore, options A, B, and C are incorrect.
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 because after a long labor, it is crucial for the woman to rest and recover. By reassuring her that it is okay to rest, the nurse acknowledges the importance of self-care for the mother's well-being, which ultimately benefits the baby. This response promotes maternal mental health and physical recovery, which are essential for successful breastfeeding and bonding with the baby. Choice A is incorrect as it may create unnecessary guilt and pressure on the mother. Choice B is incorrect as the behavior described does not specifically align with the taking-hold stage. Choice C is incorrect as labeling the behavior as ineffective bonding/attachment without further assessment could be harmful and premature.