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. During the postpartum period, there is a significant drop in estrogen and progesterone levels, which can contribute to mood swings, emotional instability, and feelings of sadness. This is known as postpartum blues. The other choices are incorrect because fatigue related to a 'fussy' baby (A), frustration over physical appearance (B), and stress related to new mother role (D) are factors that can contribute to postpartum depression, not postpartum blues specifically.
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 helps reduce stimulation to the breasts, aiding in lactation suppression. Warm showers, pumping, and applying heating pads can all increase milk production, which is counterproductive to lactation suppression. Therefore, options A, B, and C are incorrect.
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 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 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: 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 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 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.