ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 of 5
The nurse is discussing contraception with a couple before discharge following the birth of a first child. The couple are uncertain about the method but are certain about avoiding pregnancy for at least 2 years. Which method does the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Depo-Provera. Rationale: 1. Long-acting: Depo-Provera is a highly effective contraceptive method lasting for 3 months. 2. High efficacy: It has a very low failure rate (<1%). 3. Reversible: Fertility returns after discontinuation. 4. Patient certainty: The couple's certainty about avoiding pregnancy for 2 years aligns well with the 3-month duration of Depo-Provera. Summary: A: Emergency contraceptives are for immediate post-coital use, not long-term contraception. B: Oral estrogen/progesterone pills require daily adherence, not suitable for long-term certainty. D: Natural family planning relies on timing of ovulation, not as reliable for couples seeking certainty.
Question 2 of 5
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 encouraging the couple to identify mutual expectations of the fathering role promotes open communication and mutual understanding. This intervention fosters collaboration and unity in parenting. Choice B is incorrect because critiquing the father's methods may create tension and hinder his confidence. Choice C is incorrect because providing written materials alone may not address the unique dynamics of the couple's relationship. Choice D is incorrect as it focuses on potential conflict rather than fostering a positive and supportive environment for the father to identify his role.
Question 3 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 4 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 5 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.