ATI RN
Postpartum Care NCLEX Questions Questions
Question 1 of 5
The nurse is providing education to a postpartum woman about exercises to strengthen the pelvis musculature. Which instruction should be included?
Correct Answer: B
Rationale: The correct answer is B: "Perform Kegel exercises." Kegel exercises are specifically designed to strengthen the pelvic floor muscles, which can help improve bladder control and support the pelvic organs postpartum. Ambulating and aerobics classes focus on overall body movement but not specifically on pelvic muscle strengthening. Passive range-of-motion exercises are beneficial for joint flexibility but do not target the pelvic muscles directly. Therefore, instructing the postpartum woman to perform Kegel exercises is the most appropriate recommendation to address her specific needs for pelvic muscle strengthening.
Question 2 of 5
The nurse is preparing a postpartum patient for discharge. Which patient teaching is most important for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B: The signs and symptoms of secondary hemorrhage. This is the most important teaching for the nurse to provide because it is a potentially life-threatening complication that requires immediate medical attention. Secondary hemorrhage can occur after the initial postpartum period and can lead to severe bleeding. Understanding the signs and symptoms of secondary hemorrhage can help the patient seek prompt medical care if needed. Choice A: The signs and symptoms of uterine infection are important to know, but they are usually treated with antibiotics and are not as immediately life-threatening as secondary hemorrhage. Choice C: Postpartum depression is a serious concern but does not require immediate medical attention like secondary hemorrhage. Choice D: A boggy uterus is a sign of uterine atony, which can lead to hemorrhage, but teaching about secondary hemorrhage takes precedence because it directly addresses a more severe form of bleeding that requires urgent intervention.
Question 3 of 5
The nurse is performing a uterus assessment on a patient who is 20 hours postpartum. The nurse finds the fundus of the uterus to be soft and boggy. In addition, the uterus is displaced to the left and moderate bleeding is noted. If the uterus does respond to uterine massage, which actions does the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Place an emergency call to the HCP. In this scenario, the patient is showing signs of uterine atony, which is a common cause of postpartum hemorrhage. A soft, boggy fundus with displacement and moderate bleeding indicates inadequate uterine contractions. If uterine massage does not improve the condition, it is crucial to involve the healthcare provider immediately for further interventions such as administering uterotonic medications or considering manual removal of retained placental fragments. Options A and B are not the priority in this critical situation, and option C, administering oxytocin, can be done but the immediate action should be to seek guidance from the healthcare provider due to the severity of the condition.
Question 4 of 5
The nurse is aware that some parenting skills are acquired through the process of intentional learning. Which activity does the nurse associate with intentional learning?
Correct Answer: B
Rationale: The correct answer is B because attending hospital classes on newborn and infant care involves intentional learning by actively seeking out information and skills related to parenting. The couple is proactively engaging in a structured learning environment to acquire knowledge and techniques essential for parenting. A: Observing other individuals who are parents may provide some insight, but it is more passive and not as structured as intentional learning. C: Discussing how they were parented is reflective, but it does not necessarily involve seeking out new information or skills actively. D: Watching media containing parenting roles can provide some information passively, but it may not be as reliable or comprehensive as attending formal classes.
Question 5 of 5
The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal care?
Correct Answer: D
Rationale: The correct answer is D: Information must be presented on an age-appropriate level. This is crucial as adolescents may have limited knowledge and understanding of neonatal care. Teaching in a way they can comprehend ensures effective learning. Incorrect choices: A: The involvement of grandparents is important but not the most critical factor. B: Parental expectations are significant, but not directly related to neonatal care teaching. C: The father's involvement is valuable, but not the primary consideration for teaching about neonatal care. In summary, choosing answer D ensures effective communication and understanding for the adolescent mother and her family.