ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 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 helps support the uterus and prevent it from turning inside out. This is crucial postpartum to avoid complications such as hemorrhage and shock. Choices A, B, and C are incorrect as palpating the uterus in this manner is specifically aimed at preventing uterine inversion, not prolapse, movement, or hemorrhage.
Question 2 of 5
A postpartum patient states, " am really in pain."For which sources of pain will the nurse not assess the patient?
Correct Answer: D
Rationale: The correct answer is D because general soreness is not a typical source of pain that postpartum patients experience. Uterine contractions, perineal trauma, and breast engorgement are common sources of pain in postpartum patients due to the physiological changes and processes associated with childbirth. General soreness is too vague and nonspecific to specifically assess for in this context. It is important for the nurse to focus on assessing and managing the more common sources of postpartum pain to provide effective care and support for the patient's recovery.
Question 3 of 5
The nurse is researching for evidence-based practice related to a mother's response during the postpartum period. Based on research by Rubin and Mercer, which finding will the nurse be able to easily implement to change the culture of the unit?
Correct Answer: B
Rationale: The correct answer is B: Alterations in terminology. Rubin and Mercer's research emphasizes the importance of language in shaping postpartum experiences. By changing terminologies used in the unit to be more supportive and empowering, the nurse can easily implement this finding to positively change the culture. Satisfaction questionnaires (A) may not directly address cultural change. Decreasing nurse/patient ratios (C) may require significant resources and restructuring. Soliciting paternal expectations (D) focuses on a different aspect and may not directly impact unit culture.
Question 4 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 allows the nurse to gather valuable cultural information that may explain the mother's behavior of not holding the baby in an enface position. Understanding the family's beliefs helps the nurse provide culturally sensitive care. A: "Can I help you with a nice position in which to hold your baby?" - This question assumes the mother needs help with positioning, which may not be the case. It does not address the underlying reason for the mother's behavior. C: "Is there some reason that I have not seen you look into your baby's eyes?" - This question is accusatory and may make the mother defensive. It does not consider cultural reasons for the behavior. D: "Your baby is so expressive, have you looked into his eyes yet?" - This question assumes the mother has not looked into the baby's eyes, which may not be the case. It does not address the cultural
Question 5 of 5
The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?
Correct Answer: D
Rationale: The correct answer is D. The absence of the father due to military duty does not inherently cause bonding/attachment problems. Bonding issues are more commonly linked to factors like maternal health complications (choice A), neonatal health conditions (choice B), or labor complications (choice C). Military deployment may pose challenges, but it doesn't directly impede bonding. Therefore, option D is not a significant risk factor for bonding/attachment problems as compared to the other choices.