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. The rationale is as follows: 1. Depo-Provera is a long-acting reversible contraceptive method that provides effective contraception for up to 3 months. 2. The couple's certainty about avoiding pregnancy for at least 2 years aligns with the duration of protection offered by Depo-Provera. 3. Compared to other methods, such as emergency contraceptives, oral estrogen/progesterone pill, and natural family planning, Depo-Provera provides a more reliable and sustained contraceptive effect. 4. Emergency contraceptives are not suitable for long-term contraception. The oral pill requires daily adherence, which may not be ideal for the couple's situation. Natural family planning relies on cycle tracking and may not provide the desired level of effectiveness for the couple's goal.
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 it promotes open communication and mutual understanding between the couple. By encouraging the couple to identify mutual expectations of the fathering role, the nurse helps establish a supportive environment for the father to understand his role with the neonate. This intervention fosters collaboration and shared responsibility, which are crucial for a healthy parent-child relationship. Incorrect choices: B: Critiquing the father's methods can be discouraging and may create tension between the parents. C: Providing written materials is informative but may not address the unique dynamics of the couple's relationship. D: Observing for a competitive attitude does not actively involve the nurse in facilitating the father's understanding of 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. Postpartum blues are typically attributed to hormonal fluctuations after childbirth, leading to mood swings and emotional distress. During the postpartum period, the sudden drop in estrogen and progesterone levels can affect a mother's emotional well-being. This can manifest as feelings of sadness, crying spells, difficulty sleeping, and changes in appetite. The other answer choices are incorrect because fatigue related to a 'fussy' baby (A), frustration over physical appearance (B), and stress related to the new mother role (D) do not directly address the physiological changes in hormonal levels that are primarily responsible for postpartum blues.
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 initial nursing intervention is to instruct the mother to void prior to the assessment (choice B). This is important as a full bladder can interfere with the accuracy of the fundal assessment. By ensuring the mother voids first, the nurse can accurately assess the fundus for any signs of excessive bleeding or abnormalities. This step is crucial in monitoring the postpartum patient's well-being. Choice A is incorrect as massaging the fundus should come after assessing the lochia flow to prevent potential complications. Choice C is also incorrect as assessing the lochia flow should occur before massaging the fundus. Choice D is incorrect as lowering the head of the bed and having the mother lie flat is not necessary for a postpartum 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 pressure on the breasts, which can help reduce milk production. The compression can help suppress lactation. Summary of Incorrect Choices: A: Taking warm showers can actually stimulate milk production, so it would not help in lactation suppression. B: Pumping each breast can also stimulate milk production, which is counterproductive for lactation suppression. C: Applying a heating pad can increase blood flow to the breasts, leading to increased milk production and is not recommended for lactation suppression.