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 patient is showing signs of uterine atony, which is a common cause of postpartum hemorrhage. A soft, boggy fundus with displacement and moderate bleeding indicates inadequate uterine contractions. If uterine massage does not improve the condition, it is crucial to involve the healthcare provider immediately for further interventions such as administering uterotonic medications or considering manual removal of retained placental fragments. Options A and B are not the priority in this critical situation, and option C, administering oxytocin, can be done but the immediate action should be to seek guidance from the healthcare provider due to the severity of the condition.
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: Information must be presented on an age-appropriate level. This is crucial as adolescents may have limited knowledge and understanding of neonatal care. Teaching in a way they can comprehend ensures effective learning. Incorrect choices: A: The involvement of grandparents is important but not the most critical factor. B: Parental expectations are significant, but not directly related to neonatal care teaching. C: The father's involvement is valuable, but not the primary consideration for teaching about neonatal care. In summary, choosing answer D ensures effective communication and understanding for the adolescent mother and her family.
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 how a mother physically recovers from labor and delivery is primarily influenced by biological and physiological factors rather than cultural influences. The mother's physical recovery is guided by medical interventions, individual health conditions, and postpartum care practices. On the other hand, choices A, B, and D are all influenced by cultural factors. Choice A pertains to cultural variations in rituals or customs related to the duration of each phase of becoming a mother. Choice B involves cultural beliefs around postpartum rest and support systems. Choice D addresses cultural norms regarding maternal autonomy and decision-making in the early stages of 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 healed and returned to its pre-pregnancy state. The external os should appear symmetrically round, indicating proper healing and involution. A: Noticeable small lacerations would indicate incomplete healing. B: Approximately 3 cm dilated is not expected in a postpartum patient. D: Firm and thick would not be typical findings at 6 weeks postpartum.
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: Correct Answer: D Rationale: 1. Ice pack application reduces swelling and provides comfort to the perineal tear. 2. Ice packs help to decrease pain and promote healing in the perineal area. 3. Ice packs are a non-invasive and non-pharmacological method of pain relief. 4. Ice packs can be safely used without interfering with the wound healing process. Summary of Incorrect Choices: A: Assessing vital signs every 4 hours is important but not specific to managing perineal tear pain. B: Keeping the patient NPO is not necessary for perineal tear management unless indicated for other reasons. C: Catheterization prior to ambulation is not directly related to perineal tear care and may not be necessary during the fourth stage of labor.