ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 of 5
The nurse is providing care for a new mother during a follow-up visit 6 weeks after a vaginal delivery. The mother begins to cry and reports difficulty with eating and sleeping. The nurse identifies postpartum blues and cites which reason as the most likely cause?
Correct Answer: C
Rationale: The correct answer is C: Changes in hormonal levels. Postpartum blues are typically attributed to hormonal fluctuations after childbirth, leading to mood swings and emotional distress. During the postpartum period, the sudden drop in estrogen and progesterone levels can affect a mother's emotional well-being. This can manifest as feelings of sadness, crying spells, difficulty sleeping, and changes in appetite. The other answer choices are incorrect because fatigue related to a 'fussy' baby (A), frustration over physical appearance (B), and stress related to the new mother role (D) do not directly address the physiological changes in hormonal levels that are primarily responsible for postpartum blues.
Question 2 of 5
The nurse is educating the postpartum client on lactation suppression. Which instructions to the client regarding lactation suppression should be included? Select all that apply.
Correct Answer: D
Rationale: Rationale: Option D is correct because wearing a well-fitting bra provides support and pressure on the breasts, which can help reduce milk production. The compression can help suppress lactation. Summary of Incorrect Choices: A: Taking warm showers can actually stimulate milk production, so it would not help in lactation suppression. B: Pumping each breast can also stimulate milk production, which is counterproductive for lactation suppression. C: Applying a heating pad can increase blood flow to the breasts, leading to increased milk production and is not recommended for lactation suppression.
Question 3 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. After a long and exhausting labor, it is crucial for the woman to rest and recover. Encouraging rest will promote her well-being and ability to care for her baby later. Choice A is incorrect as it may add unnecessary pressure on the woman. Choice B is incorrect as it refers to a different stage of maternal adaptation. Choice C is incorrect as it labels the behavior negatively without considering the context of the situation.
Question 4 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: Step 1: The nurse examines the large collected clots to determine the presence of tissue. Step 2: Presence of tissue may indicate retained placental fragments, which can lead to postpartum hemorrhage. Step 3: Identifying tissue is crucial for proper management and prevention of complications. Step 4: Validating clotting (Choice A) is important but not the primary reason for examining the clots. Step 5: Obtaining an accurate description (Choice C) and documenting the number of clots (Choice D) are less critical compared to identifying tissue.
Question 5 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 couple wants to avoid pregnancy for at least 2 years. Depo-Provera is a highly effective long-acting reversible contraceptive that only requires an injection every 3 months, providing reliable contraception for an extended period. It does not rely on daily adherence like the oral pill (B) or emergency contraceptives (A). Natural family planning (D) may not be the best choice for a couple wanting to avoid pregnancy with certainty for 2 years due to its reliance on tracking menstrual cycles and abstinence during fertile periods.