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: 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.
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: 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 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. The couple wants to avoid pregnancy for at least 2 years. Depo-Provera is a highly effective long-acting reversible contraceptive that only requires an injection every 3 months, providing reliable contraception for an extended period. It does not rely on daily adherence like the oral pill (B) or emergency contraceptives (A). Natural family planning (D) may not be the best choice for a couple wanting to avoid pregnancy with certainty for 2 years due to its reliance on tracking menstrual cycles and abstinence during fertile periods.
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 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 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 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.