ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 of 5
The nurse is observing a new mother interact with her baby and notices the mother holding the baby close to her body. However, the nurse also notices that the mother does not hold the baby in an enface position. Which question is most appropriate for the nurse to ask?
Correct Answer: B
Rationale: The correct answer is B: "What can you tell me about your family's beliefs with new babies?". This question is most appropriate as it opens up a dialogue about the mother's cultural or familial practices regarding infant care, which may explain why she is not holding the baby in an enface position. By asking about the family's beliefs, the nurse can gain insight into the mother's perspective and provide culturally sensitive care. Choice A is incorrect as it assumes the mother needs help without considering her cultural background. Choice C is incorrect as it may come off as judgmental and accusatory. Choice D is incorrect as it focuses on the action of looking into the baby's eyes rather than understanding the cultural context behind the mother's behavior.
Question 2 of 5
The nurse is assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Fundus is firm and at midline: Indicates normal involution of the uterus post-delivery. 2. Lochia is moderate with rubra and small clots: Expected findings in the early postpartum period. 3. Overall assessment findings within normal range: Indicate normal postpartum recovery. Summary of why other choices are incorrect: B. Presence of infection would usually be indicated by abnormal signs such as foul-smelling lochia or fever, which are absent in this case. C. No abnormal findings are present that would necessitate physician notification. D. Fluid intake is important postpartum, but there are no signs in this scenario indicating a need for increased fluid intake.
Question 3 of 5
Which best represents the process of postpartum diuresis in a postpartum client?
Correct Answer: D
Rationale: Correct Answer: D - Loss of fluid from expulsion of the placenta and amniotic fluid Rationale: 1. During childbirth, the placenta and amniotic fluid are expelled, resulting in a sudden decrease in fluid volume in the body. 2. The body undergoes a physiological response known as postpartum diuresis to eliminate excess fluid accumulated during pregnancy. 3. This diuresis helps to restore the body's fluid balance and reduce the risk of postpartum edema. 4. Choices A, B, and C do not accurately represent the process of postpartum diuresis and are unrelated to the specific physiological changes following childbirth.
Question 4 of 5
The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?
Correct Answer: C
Rationale: The correct answer is C because washing hands before and after peri-care is crucial to prevent the spread of infection. Before performing peri-care, clean hands reduce the risk of introducing harmful bacteria to the perineal area. After peri-care, hand hygiene prevents potential contamination from the perineum to other body parts or surfaces. Explanation of why other choices are incorrect: A: Applying the peri-pad from back to front can introduce bacteria from the rectal area to the urethra, increasing the risk of urinary tract infections. B: While performing peri-care multiple times a day is important, it is not the best indicator of understanding peri-care principles. D: Mixing tap water and hydrogen peroxide in the peri-bottle may be harmful and is not a standard practice for peri-care.
Question 5 of 5
The nurse is palpating a patient's uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?
Correct Answer: D
Rationale: The correct answer is D: To prevent uterine inversion. Placing a hand just above the symphysis pubis during uterine palpation helps prevent uterine inversion by providing support to the lower segment of the uterus. Uterine prolapse (A) is the downward displacement of the uterus, which is not prevented by this action. Uterine movement (B) is a natural occurrence and not a concern during palpation. Uterine hemorrhage (C) is more related to postpartum bleeding management and is not directly impacted by the hand placement.