ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
Postpartal overdistention of the bladder and urinary retention can lead to which complication?
Correct Answer: C
Rationale: Rationale: Postpartal overdistention of the bladder and urinary retention can lead to urinary tract infection and uterine rupture. When the bladder is overdistended, it can cause urinary stasis, leading to bacterial growth and increasing the risk of urinary tract infections. Additionally, the pressure from the distended bladder can impede uterine contractions, potentially causing uterine rupture. Fever and increased blood pressure (Choice A) are not direct complications of bladder overdistention. Postpartum hemorrhage and eclampsia (Choice B) are not typically associated with bladder overdistention. Postpartum hemorrhage and urinary tract infection (Choice D) are not as directly related to the complications of bladder overdistention as urinary tract infection and uterine rupture are.
Question 2 of 5
Which measure is optimal in order to prevent abdominal distention following a cesarean birth?
Correct Answer: C
Rationale: The correct answer is C: Early and frequent ambulation. This measure is optimal to prevent abdominal distention following a cesarean birth because it helps promote bowel motility and gas expulsion. Ambulation stimulates peristalsis, preventing gas accumulation and reducing the risk of distention. Rectal suppositories (A) may help with constipation but do not address the root cause of distention. Carbonated beverages (B) can exacerbate bloating and gas production. Tightening and relaxing abdominal muscles (D) may provide some relief but are not as effective as promoting ambulation for preventing abdominal distention.
Question 3 of 5
The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount?
Correct Answer: B
Rationale: The correct answer is B (10 to 15 cm (4- to 6-inch) stain on the peripad) because a moderate amount of lochia typically indicates a blood stain of 10 to 15 cm within 1 hour postpartum. This amount of lochia signifies a normal postpartum bleeding pattern. Incorrect answers: A: Saturated peripad indicates a heavy amount of lochia, not moderate. C: 2.5 to 10 cm (1- to 4-inch) stain on the peripad is considered light, not moderate. D: Less than a 1-inch stain on the peripad is minimal lochia, not moderate.
Question 4 of 5
The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?
Correct Answer: A
Rationale: Correct Answer: A - Pulse rate of 50 Rationale: 1. A normal postpartum pulse rate is 60-100 bpm. 2. A pulse rate of 50 is below normal range, indicating potential bradycardia. 3. Bradycardia can be a sign of postpartum hemorrhage or other complications. 4. Reporting this finding promptly can help in early intervention. Summary: B: A temperature of 38C (100.4F) could indicate infection but is within normal postpartum range. C: A firm fundus with excessive lochia may indicate uterine atony, but is not as urgent as bradycardia. D: Feeling lightheaded when changing positions is common postpartum but not as concerning as a low pulse rate.
Question 5 of 5
When assessing the A of the acronym REEDA, the nurse should evaluate the
Correct Answer: C
Rationale: The correct answer is C. When assessing the A of REEDA (Redness, Edema, Ecchymosis, Discharge, and Approximation) in wound assessment, nurses should evaluate the edges of the episiotomy. This is important to ensure proper healing and closure of the incision site. Evaluating skin color (A) is important for overall wound assessment but not specifically for the edges of the episiotomy. Edema (B) refers to swelling, which is important to monitor but not specific to the edges of the episiotomy. Checking the episiotomy for discharge (D) is relevant for the "D" component of REEDA but not for the "A" component, which specifically focuses on the edges of the incision.