ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?
Correct Answer: C
Rationale: The correct answer is C because washing hands before and after peri-care is crucial to prevent the spread of infection. Before performing peri-care, clean hands reduce the risk of introducing harmful bacteria to the perineal area. After peri-care, hand hygiene prevents potential contamination from the perineum to other body parts or surfaces. Explanation of why other choices are incorrect: A: Applying the peri-pad from back to front can introduce bacteria from the rectal area to the urethra, increasing the risk of urinary tract infections. B: While performing peri-care multiple times a day is important, it is not the best indicator of understanding peri-care principles. D: Mixing tap water and hydrogen peroxide in the peri-bottle may be harmful and is not a standard practice for peri-care.
Question 4 of 5
The nurse is palpating a patient's uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?
Correct Answer: D
Rationale: The correct answer is D: To prevent uterine inversion. Placing a hand just above the symphysis pubis during uterine palpation helps prevent uterine inversion by providing support to the lower segment of the uterus. Uterine prolapse (A) is the downward displacement of the uterus, which is not prevented by this action. Uterine movement (B) is a natural occurrence and not a concern during palpation. Uterine hemorrhage (C) is more related to postpartum bleeding management and is not directly impacted by the hand placement.
Question 5 of 5
The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system?
Correct Answer: B
Rationale: Step 1: Postpartum patients may have an increased WBC count due to the stress of delivery. Step 2: A WBC level of 30,000/mm postpartum indicates a normal physiological response. Step 3: This increase helps the body fight potential infections post-delivery. Step 4: Therefore, choice B is correct as it aligns with normal postpartum physiology. Summary: Choices A, C, and D are incorrect as they do not directly relate to postpartum physiology. A is more related to thermoregulation, C is about clotting factors, and D is about hemoglobin levels which may vary postpartum.