ATI RN
Postpartum Care NCLEX Questions Questions
Question 1 of 5
The nurse is performing a uterus assessment on a patient who is 20 hours postpartum. The nurse finds the fundus of the uterus to be soft and boggy. In addition, the uterus is displaced to the left and moderate bleeding is noted. If the uterus does respond to uterine massage, which actions does the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Place an emergency call to the HCP. In this scenario, the findings of a soft, boggy fundus, left displacement, and moderate bleeding indicate uterine atony, a common cause of postpartum hemorrhage. If uterine massage doesn't improve the situation, immediate intervention is crucial. Calling the healthcare provider allows for rapid assessment and potential interventions like administering uterotonics or other necessary treatments to address the postpartum hemorrhage promptly. Choices A (assisting the patient to void) and C (administering oxytocin) are important interventions but not the priority in this critical situation. Choice B (reassessing) can delay necessary interventions for managing postpartum hemorrhage.
Question 2 of 5
The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal care?
Correct Answer: D
Rationale: The correct answer is D because presenting information on an age-appropriate level is crucial for effective teaching. Adolescents may have limited knowledge and experience, so tailoring the information to their level ensures understanding and compliance. Choice A focuses on grandparents' involvement, which is important but not the primary consideration. Choice B addresses parental expectations, which is relevant but not as critical as providing age-appropriate information. Choice C emphasizes the father's involvement, which is valuable but not the top priority compared to ensuring the information is understandable for the adolescent mother.
Question 3 of 5
The nurse on a postpartum unit is acutely aware that cultural influences impact the patient's process of 'becoming a mother.' For which isn't a cultural influence does the nurse assess?
Correct Answer: C
Rationale: The correct answer is C because physical recovery from labor and delivery is a biological process rather than a cultural influence. The nurse assesses cultural influences, such as beliefs and practices, which shape the mother's experience of motherhood. Choices A, B, and D are influenced by cultural factors, such as time spent in each phase, expectations related to rest, and involvement in decision-making, respectively. These aspects reflect how cultural norms, values, and traditions impact the transition to motherhood.
Question 4 of 5
A postpartum patient comes to the clinic for her 6-week postpartum checkup. When assessing the patient's cervix, how should the nurse expect the cervix to appear?
Correct Answer: C
Rationale: The correct answer is C: Symmetrically round external os. At 6 weeks postpartum, the cervix should have returned to its normal appearance, which is symmetrically round. This indicates proper healing and involution of the cervix after childbirth. Noticeable small lacerations (A) would suggest incomplete healing or trauma. Approximately 3 cm dilated (B) is not expected at 6 weeks postpartum as the cervix should be closed. Firm and thick (D) would indicate a cervix that has not undergone involution as expected by this time.
Question 5 of 5
A nurse is taking care of a G2P2 woman with a third-degree perineal tear during the fourth stage of labor. The nurse should include which intervention in the plan of care during her 12-hour shift?
Correct Answer: D
Rationale: The correct answer is D: Prepare ice pack for application to perineal area. This intervention is crucial for managing pain and reducing swelling in the perineal area post third-degree tear. Ice packs help vasoconstriction, decreasing blood flow and minimizing inflammation. It also provides comfort to the patient. A: Assess vital signs every 4 hours - This is important but not the priority in this situation. Monitoring vital signs is essential, but immediate comfort measures should be prioritized for the patient with a perineal tear. B: Keep patient NPO for first 12 hours - There is no indication to keep the patient NPO for 12 hours. Adequate hydration and nutrition are important for postpartum recovery. C: Catheterize patient prior to first ambulation - Catheterization may not be necessary unless there are specific indications. It is not a routine intervention for a perineal tear during the fourth stage of labor.