ATI RN
Postpartum Care NCLEX Questions Questions
Question 1 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.
Question 2 of 5
A postpartum patient comes to the clinic for her 6-week postpartum checkup. When assessing the patient's cervix, how should the nurse expect the cervix to appear?
Correct Answer: C
Rationale: The correct answer is C: Symmetrically round external os. At 6 weeks postpartum, the cervix should have healed and returned to its pre-pregnancy state. The external os should appear symmetrically round, indicating proper healing and involution. A: Noticeable small lacerations would indicate incomplete healing. B: Approximately 3 cm dilated is not expected in a postpartum patient. D: Firm and thick would not be typical findings at 6 weeks postpartum.
Question 3 of 5
A nurse is taking care of a G2P2 woman with a third-degree perineal tear during the fourth stage of labor. The nurse should include which intervention in the plan of care during her 12-hour shift?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Ice pack application reduces swelling and provides comfort to the perineal tear. 2. Ice packs help to decrease pain and promote healing in the perineal area. 3. Ice packs are a non-invasive and non-pharmacological method of pain relief. 4. Ice packs can be safely used without interfering with the wound healing process. Summary of Incorrect Choices: A: Assessing vital signs every 4 hours is important but not specific to managing perineal tear pain. B: Keeping the patient NPO is not necessary for perineal tear management unless indicated for other reasons. C: Catheterization prior to ambulation is not directly related to perineal tear care and may not be necessary during the fourth stage of labor.
Question 4 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 specifically target the pelvic floor muscles, which can help strengthen the pelvis musculature postpartum. This is important for improving pelvic floor support and preventing issues like urinary incontinence. Ambulating (A) is good for overall mobility but does not specifically target the pelvic muscles. Enrolling in an aerobics class (C) may be beneficial for overall fitness but does not address pelvic floor strengthening. Passive range-of-motion exercises (D) focus on joint flexibility rather than pelvic muscle strength.
Question 5 of 5
Which nursing care goal is the highest priority for a woman who had a vaginal delivery 3 hours earlier?
Correct Answer: C
Rationale: The correct answer is C because monitoring lochia flow is crucial post-vaginal delivery to assess for excessive bleeding, which could indicate postpartum hemorrhage. This goal takes precedence over other options as it pertains to the client's immediate health and well-being. A: Wearing a bra does not address any urgent postpartum concerns. B: Eating meals is important but does not take priority over assessing for hemorrhage. D: Ambulation is beneficial but not as critical as monitoring lochia flow for potential complications.