ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which best represents the process of postpartum diuresis in a postpartum client?
Correct Answer: D
Rationale: Correct Answer: D - Loss of fluid from expulsion of the placenta and amniotic fluid Rationale: 1. During childbirth, the placenta and amniotic fluid are expelled, resulting in a sudden decrease in fluid volume in the body. 2. The body undergoes a physiological response known as postpartum diuresis to eliminate excess fluid accumulated during pregnancy. 3. This diuresis helps to restore the body's fluid balance and reduce the risk of postpartum edema. 4. Choices A, B, and C do not accurately represent the process of postpartum diuresis and are unrelated to the specific physiological changes following childbirth.
Question 5 of 5
The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?
Correct Answer: C
Rationale: The correct answer is C because washing hands before and after peri-care is crucial to prevent the spread of infection. Before performing peri-care, clean hands reduce the risk of introducing harmful bacteria to the perineal area. After peri-care, hand hygiene prevents potential contamination from the perineum to other body parts or surfaces. Explanation of why other choices are incorrect: A: Applying the peri-pad from back to front can introduce bacteria from the rectal area to the urethra, increasing the risk of urinary tract infections. B: While performing peri-care multiple times a day is important, it is not the best indicator of understanding peri-care principles. D: Mixing tap water and hydrogen peroxide in the peri-bottle may be harmful and is not a standard practice for peri-care.