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: Correct Answer: B - Instruct the mother to void prior to the assessment. Rationale: 1. Voiding before assessment prevents inaccurate findings due to bladder distension. 2. Empty bladder facilitates fundal assessment and reduces discomfort. 3. Ensures accurate assessment of postpartum lochia flow. 4. Promotes patient comfort and satisfaction. Summary of Other Choices: A - Massaging the fundus is important but should not be the initial step. C - Assessing lochia flow is crucial, but voiding should be prioritized first. D - Lowering the head of the bed is unnecessary and may cause discomfort.
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: Reassure the woman that it is okay for her to rest at this time. Rationale: 1. The woman has just undergone a 24-hour labor with a 3-hour second stage, which is physically and emotionally exhausting. 2. It is important for the nurse to prioritize the woman's well-being and allow her to rest to recover. 3. Rest is crucial for the woman's recovery and ability to care for her baby effectively. 4. By reassuring her that it is okay to rest, the nurse promotes self-care and maternal well-being. Other choices: A: Discuss with the woman that the needs of her infant should come first - This is not the appropriate response as the woman's well-being should also be considered. B: Recognize this as a behavior of the taking-hold stage - This is incorrect as the woman's exhaustion is likely due to the physically demanding labor. C: Record the behavior as ineffective bonding/attachment - This is not appropriate
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 differentiate between clots and actual tissue, which is crucial for identifying any potential complications postpartum. This step ensures accurate assessment and appropriate intervention if necessary. Incorrect choices: A: To validate the presence of clotting - This is not necessary as the presence of large clots already indicates clotting. C: To obtain an accurate description - While important, the primary purpose of examining large clots in this context is to differentiate tissue from clots. D: To document the number of clots - While documenting the number of clots is important, it is not the main reason for examining them in this scenario.
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. Rationale: 1. Long-acting: Depo-Provera is a highly effective contraceptive method lasting for 3 months. 2. High efficacy: It has a very low failure rate (<1%). 3. Reversible: Fertility returns after discontinuation. 4. Patient certainty: The couple's certainty about avoiding pregnancy for 2 years aligns well with the 3-month duration of Depo-Provera. Summary: A: Emergency contraceptives are for immediate post-coital use, not long-term contraception. B: Oral estrogen/progesterone pills require daily adherence, not suitable for long-term certainty. D: Natural family planning relies on timing of ovulation, not as reliable for couples seeking certainty.
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 the goal of improving maternal well-being and outcomes. This approach focuses on preventive measures to address fatigue before and after childbirth, which can positively impact the mother's recovery and overall health. Assessing fatigue (Option A) is important but addressing strategies to decrease it is more proactive. Assisting fathers (Option B) is valuable, but the primary focus should be on the mother's well-being in a postpartum facility. Encouraging the father to rest (Option C) may not address the mother's needs or promote her recovery effectively.