ATI RN
Postpartum Nursing Assessment and Care Test Questions Questions
Question 1 of 5
The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful?
Correct Answer: A
Rationale: The correct answer is A because it promotes open communication and mutual understanding between the couple. By encouraging the couple to identify mutual expectations of the fathering role, the nurse helps establish a supportive environment for the father to understand his role with the neonate. This intervention fosters collaboration and shared responsibility, which are crucial for a healthy parent-child relationship. Incorrect choices: B: Critiquing the father's methods can be discouraging and may create tension between the parents. C: Providing written materials is informative but may not address the unique dynamics of the couple's relationship. D: Observing for a competitive attitude does not actively involve the nurse in facilitating the father's understanding of his role.
Question 2 of 5
The nurse is preparing to do a morning assessment on a 24-hour postpartum patient. Which nursing intervention is most appropriate initially?
Correct Answer: B
Rationale: The correct initial nursing intervention is to instruct the mother to void prior to the assessment (choice B). This is important as a full bladder can interfere with the accuracy of the fundal assessment. By ensuring the mother voids first, the nurse can accurately assess the fundus for any signs of excessive bleeding or abnormalities. This step is crucial in monitoring the postpartum patient's well-being. Choice A is incorrect as massaging the fundus should come after assessing the lochia flow to prevent potential complications. Choice C is also incorrect as assessing the lochia flow should occur before massaging the fundus. Choice D is incorrect as lowering the head of the bed and having the mother lie flat is not necessary for a postpartum assessment.
Question 3 of 5
The nurse is educating the postpartum client on lactation suppression. Which instructions to the client regarding lactation suppression should be included? Select all that apply.
Correct Answer: D
Rationale: Rationale: Option D is correct because wearing a well-fitting bra provides support and pressure on the breasts, which can help reduce milk production. The compression can help suppress lactation. Summary of Incorrect Choices: A: Taking warm showers can actually stimulate milk production, so it would not help in lactation suppression. B: Pumping each breast can also stimulate milk production, which is counterproductive for lactation suppression. C: Applying a heating pad can increase blood flow to the breasts, leading to increased milk production and is not recommended for lactation suppression.
Question 4 of 5
A G1P1 has just experienced a 24-hour labor that included a 3-hour second stage. The woman states to the nurse, "I just can't feed my baby now. All I want to do is sleep." What is the appropriate response from the nurse?
Correct Answer: D
Rationale: The correct answer is D: Reassure the woman that it is okay for her to rest at this time. After a long and exhausting labor, it is crucial for the woman to rest and recover. Encouraging rest will promote her well-being and ability to care for her baby later. Choice A is incorrect as it may add unnecessary pressure on the woman. Choice B is incorrect as it refers to a different stage of maternal adaptation. Choice C is incorrect as it labels the behavior negatively without considering the context of the situation.
Question 5 of 5
The nurse is collecting the urine of a postpartum patient who is passing large clots. For which reason does the nurse examine the large collected clots?
Correct Answer: B
Rationale: Step 1: The nurse examines the large collected clots to determine the presence of tissue. Step 2: Presence of tissue may indicate retained placental fragments, which can lead to postpartum hemorrhage. Step 3: Identifying tissue is crucial for proper management and prevention of complications. Step 4: Validating clotting (Choice A) is important but not the primary reason for examining the clots. Step 5: Obtaining an accurate description (Choice C) and documenting the number of clots (Choice D) are less critical compared to identifying tissue.