ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 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: Correct Answer: D Rationale: - Wearing a well-fitting bra provides support and pressure on the breasts, which can help decrease milk production and relieve discomfort during lactation suppression. - Warm showers, pumping, and applying a heating pad can actually stimulate milk production rather than suppress it, so they are not appropriate instructions for lactation suppression. - Therefore, option D is the correct choice as it promotes effective lactation suppression by providing proper breast support.
Question 2 of 5
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: The correct answer is B: To determine the presence of tissue. By examining the large collected clots, the nurse can differentiate between clots and actual tissue, which is crucial for identifying any potential complications postpartum. This step ensures accurate assessment and appropriate intervention if necessary. Incorrect choices: A: To validate the presence of clotting - This is not necessary as the presence of large clots already indicates clotting. C: To obtain an accurate description - While important, the primary purpose of examining large clots in this context is to differentiate tissue from clots. D: To document the number of clots - While documenting the number of clots is important, it is not the main reason for examining them in this scenario.
Question 3 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 4 of 5
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 the goal of improving maternal well-being and outcomes. This approach focuses on preventive measures to address fatigue before and after childbirth, which can positively impact the mother's recovery and overall health. Assessing fatigue (Option A) is important but addressing strategies to decrease it is more proactive. Assisting fathers (Option B) is valuable, but the primary focus should be on the mother's well-being in a postpartum facility. Encouraging the father to rest (Option C) may not address the mother's needs or promote her recovery effectively.
Question 5 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.