ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 of 4
The nurse is collecting the urine of a postpartum patient who is passing large clots. For which reason does the nurse examine the large collected clots?
Correct Answer: B
Rationale: Step 1: The nurse examines the large collected clots to determine the presence of tissue. Step 2: Presence of tissue may indicate retained placental fragments, which can lead to postpartum hemorrhage. Step 3: Identifying tissue is crucial for proper management and prevention of complications. Step 4: Validating clotting (Choice A) is important but not the primary reason for examining the clots. Step 5: Obtaining an accurate description (Choice C) and documenting the number of clots (Choice D) are less critical compared to identifying tissue.
Question 2 of 4
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 3 of 4
The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful?
Correct Answer: A
Rationale: The correct answer is A because it fosters open communication between the couple, allowing them to discuss and align their expectations regarding the father's role with the newborn. This intervention promotes mutual understanding and collaboration, which are crucial for successful parenting. Choice B is incorrect as critiquing the father's methods may be perceived as judgmental and could hinder his confidence in caring for the baby. Choice C is also incorrect because providing written materials alone may not effectively address the unique needs and dynamics of the couple's relationship and may not encourage active involvement from the father. Choice D is incorrect as it focuses on potential conflicts between the parents rather than facilitating a supportive and cooperative environment for the father to establish his role with the neonate.
Question 4 of 4
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.