ATI RN
Postpartum Care Nursing Questions Questions
Question 1 of 5
The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient's uterus?
Correct Answer: C
Rationale: The correct answer is C: Ask the patient to void. This action is performed prior to assessing the patient's uterus because a full bladder can displace the uterus, leading to inaccurate assessment of uterine size and position. By asking the patient to void, the nurse ensures an accurate assessment of the uterus. Placing the patient on the left side (choice A) is important for preventing supine hypotension but is not directly related to assessing the uterus. Assessing the passage of lochia (choice B) is important postpartum, but it can be done after checking the uterus. Administering a dose of oxytocin (choice D) may be indicated to prevent postpartum hemorrhage, but it is not the first step in assessing the patient's uterus.
Question 2 of 5
In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the AWHONN acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Thoughts of hurting self or baby. This teaching point requires the patient to call for 911 assistance because it indicates a serious mental health emergency that needs immediate intervention to ensure the safety of the patient and the baby. Thoughts of harming oneself or the baby are signs of a potential crisis that requires urgent professional help. Other choices: A: Bleeding that soaks a pad per hour - This is a concerning sign but does not necessarily require 911 assistance unless it is accompanied by other severe symptoms. B: A bad headache with vision changes - This could indicate a serious condition like preeclampsia, but it does not always require immediate 911 assistance unless it is severe and life-threatening. D: Signs an incision is not healing - While this may require medical attention, it does not typically necessitate calling 911 unless there are signs of infection or severe complications.
Question 3 of 5
The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother–infant bonding?
Correct Answer: C
Rationale: The correct answer is C because the mother focusing the visit on her physical recovery and concerns suggests a lack of emotional connection or bonding with the baby. This could indicate a potential problem with mother-infant bonding. Choice A is incorrect because the mother being pleased to have the nurse visit her home and baby shows positive engagement. Choice B is incorrect because the baby's grandmother being present and involved with mother/baby care indicates social support and family involvement, which can enhance bonding. Choice D is incorrect because the baby's father being on 'paternity leave' and involved with the baby also demonstrates active participation in caregiving and bonding activities.
Question 4 of 5
A new mother expresses frustration about how to know what her baby wants. The mother states, 'I don't know what I expect, but then, the baby doesn't know either.' Which situation does the nurse use as an example of neonate communication?
Correct Answer: D
Rationale: The correct answer is D because rooting reflex is a clear example of neonate communication. When the baby's cheek is stroked, the baby turns its head in the direction of the touch, indicating a desire for feeding. This reflexive behavior demonstrates the baby's ability to communicate its needs for nourishment. A: The baby being content to lie still on the mother's abdomen does not directly relate to communication. B: Being easily awakened by loud noises is a sensory response but not specifically a form of communication. C: Resisting eye contact if bored or disinterested involves more complex social cues and is not typically seen in neonatal communication. In summary, choice D is correct as it directly involves a neonatal communication reflex, while the other choices do not demonstrate clear communication cues in the context of a newborn baby.
Question 5 of 5
The physician has ordered the rubella vaccine to be given to a postpartum woman who is being discharged. Which should be included when providing education about the vaccine to the woman?
Correct Answer: B
Rationale: The correct answer is B because rubella vaccine contains live attenuated virus, which can pose a risk to a developing fetus if the woman becomes pregnant shortly after vaccination. This information is crucial for the woman to avoid pregnancy for a certain period after receiving the vaccine. Choice A is incorrect because breastfeeding is not contraindicated after receiving the rubella vaccine. Choice C is incorrect because the rubella vaccine should not be given to individuals with a severe allergy to eggs. Choice D is incorrect because there is no need for the woman to be separated from her infant after receiving the rubella vaccine.