ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 of 5
The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system?
Correct Answer: B
Rationale: The correct answer is B: WBC laboratory level of 30,000/mm a few hours after delivery. Postpartum, a temporary increase in white blood cells (WBCs) is normal due to the body's response to delivery and potential inflammation. This increase is known as leukocytosis and helps the body combat potential infections. The other choices are incorrect because: A is more related to hypovolemia than to cardiovascular changes. C is incorrect as clotting factors increase postpartum to reduce the risk of hemorrhage. D is incorrect as a hemoglobin level less than 11 g/dL postpartum may indicate anemia, not normalcy.
Question 2 of 5
The nurse is researching for evidence-based practice related to a mother's response during the postpartum period. Based on research by Rubin and Mercer, which finding will the nurse be able to easily implement to change the culture of the unit?
Correct Answer: B
Rationale: The correct answer is B: Alterations in terminology. Rubin and Mercer's research emphasizes the importance of language in shaping attitudes and behaviors during the postpartum period. By changing the terminology used in the unit to promote positive and empowering language, the nurse can easily implement this finding to change the unit's culture. This can have a significant impact on how mothers perceive their experiences and how they are supported. Incorrect choices: A: Satisfaction questionnaires - While important for feedback, satisfaction questionnaires do not directly address changing the culture of the unit. C: Decrease nurse/patient ratios - This may improve patient care but does not specifically relate to changing the culture of the unit. D: Soliciting paternal expectations - While involving fathers is important, it does not directly address changing the language and culture of the unit.
Question 3 of 5
The nurse is observing a new mother interact with her baby and notices the mother holding the baby close to her body. However, the nurse also notices that the mother does not hold the baby in an enface position. Which question is most appropriate for the nurse to ask?
Correct Answer: B
Rationale: The correct answer is B: "What can you tell me about your family's beliefs with new babies?". This question is most appropriate as it opens up a dialogue about the mother's cultural or familial practices regarding infant care, which may explain why she is not holding the baby in an enface position. By asking about the family's beliefs, the nurse can gain insight into the mother's perspective and provide culturally sensitive care. Choice A is incorrect as it assumes the mother needs help without considering her cultural background. Choice C is incorrect as it may come off as judgmental and accusatory. Choice D is incorrect as it focuses on the action of looking into the baby's eyes rather than understanding the cultural context behind the mother's behavior.
Question 4 of 5
The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?
Correct Answer: D
Rationale: The correct answer is D because the father being in the military and not yet home on leave does not directly impact bonding/attachment between the parents and the neonate. Bonding issues are typically related to factors such as maternal health conditions (choice A), neonatal health complications (choice B), or labor complications experienced by the mother (choice C). In contrast, the father's absence due to military service, while potentially challenging emotionally, does not inherently cause bonding/attachment problems as the mother and baby can still form a strong attachment bond. Choices A, B, and C are incorrect as they can directly affect the bonding/attachment process due to physical health issues of the mother and baby during pregnancy and labor.
Question 5 of 5
The nurse is assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Fundus is firm and at midline: Indicates normal involution of the uterus post-delivery. 2. Lochia is moderate with rubra and small clots: Expected findings in the early postpartum period. 3. Overall assessment findings within normal range: Indicate normal postpartum recovery. Summary of why other choices are incorrect: B. Presence of infection would usually be indicated by abnormal signs such as foul-smelling lochia or fever, which are absent in this case. C. No abnormal findings are present that would necessitate physician notification. D. Fluid intake is important postpartum, but there are no signs in this scenario indicating a need for increased fluid intake.