ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 of 5
The nurse is preparing to do a morning assessment on a 24-hour postpartum patient. Which nursing intervention is most appropriate initially?
Correct Answer: B
Rationale: The correct answer is B: Instruct the mother to void prior to the assessment. This is the most appropriate initial nursing intervention because a full bladder can impede proper assessment of the fundus and lochia flow. Voiding before assessment ensures accurate findings and reduces the risk of discomfort for the patient. A: Massaging the fundus until it is firm is important but should not be the initial step as assessing the bladder status is crucial first. C: Assessing the lochia flow while massaging the fundus is important but should come after ensuring the bladder is empty. D: Lowering the head of the bed and having the mother lie flat does not address the immediate need to empty the bladder for accurate assessment.
Question 2 of 5
A G1P1 has just experienced a 24-hour labor that included a 3-hour second stage. The woman states to the nurse, "I just can't feed my baby now. All I want to do is sleep." What is the appropriate response from the nurse?
Correct Answer: D
Rationale: The correct answer is D because after a long labor, it is crucial for the woman to rest and recover. By reassuring her that it is okay to rest, the nurse acknowledges the importance of self-care for the mother's well-being, which ultimately benefits the baby. This response promotes maternal mental health and physical recovery, which are essential for successful breastfeeding and bonding with the baby. Choice A is incorrect as it may create unnecessary guilt and pressure on the mother. Choice B is incorrect as the behavior described does not specifically align with the taking-hold stage. Choice C is incorrect as labeling the behavior as ineffective bonding/attachment without further assessment could be harmful and premature.
Question 3 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: The correct answer is B: To determine the presence of tissue. By examining the large collected clots, the nurse can identify if there is any tissue present, which could indicate a potential complication like retained placental tissue. This is crucial for the patient's health and further management. Incorrect choices: A: To validate the presence of clotting - This is not the primary reason for examining the clots in this scenario. C: To obtain an accurate description - While important, the main focus is on identifying tissue presence. D: To document the number of clots - The primary concern is not the number of clots but rather the presence of tissue.
Question 4 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 rationale is as follows: 1. Depo-Provera is a long-acting reversible contraceptive method that provides effective contraception for up to 3 months. 2. The couple's certainty about avoiding pregnancy for at least 2 years aligns with the duration of protection offered by Depo-Provera. 3. Compared to other methods, such as emergency contraceptives, oral estrogen/progesterone pill, and natural family planning, Depo-Provera provides a more reliable and sustained contraceptive effect. 4. Emergency contraceptives are not suitable for long-term contraception. The oral pill requires daily adherence, which may not be ideal for the couple's situation. Natural family planning relies on cycle tracking and may not provide the desired level of effectiveness for the couple's goal.
Question 5 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. By addressing fatigue proactively, nurses can support the well-being of mothers before and after childbirth. Choice A focuses solely on assessing fatigue without addressing strategies for improvement. Choice B, assisting fathers with stress and depressive symptoms, although important, is not directly related to the research study's findings. Choice C, encouraging the father to go home and rest, does not address the mother's needs or provide strategies to reduce fatigue. Overall, Choice D is the most appropriate as it directly addresses the research findings and promotes maternal health.