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 fosters open communication between the couple, allowing them to discuss and align their expectations regarding the father's role with the newborn. This intervention promotes mutual understanding and collaboration, which are crucial for successful parenting. Choice B is incorrect as critiquing the father's methods may be perceived as judgmental and could hinder his confidence in caring for the baby. Choice C is also incorrect because providing written materials alone may not effectively address the unique needs and dynamics of the couple's relationship and may not encourage active involvement from the father. Choice D is incorrect as it focuses on potential conflicts between the parents rather than facilitating a supportive and cooperative environment for the father to establish his role with the neonate.
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: Correct Answer: B - Instruct the mother to void prior to the assessment. Rationale: 1. Voiding before assessment prevents inaccurate findings due to bladder distension. 2. Empty bladder facilitates fundal assessment and reduces discomfort. 3. Ensures accurate assessment of postpartum lochia flow. 4. Promotes patient comfort and satisfaction. Summary of Other Choices: A - Massaging the fundus is important but should not be the initial step. C - Assessing lochia flow is crucial, but voiding should be prioritized first. D - Lowering the head of the bed is unnecessary and may cause discomfort.
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: Correct Answer: D Rationale: - Wearing a well-fitting bra provides support and pressure on the breasts, which can help decrease milk production and relieve discomfort during lactation suppression. - Warm showers, pumping, and applying a heating pad can actually stimulate milk production rather than suppress it, so they are not appropriate instructions for lactation suppression. - Therefore, option D is the correct choice as it promotes effective lactation suppression by providing proper breast support.
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. Rationale: 1. The woman has just undergone a 24-hour labor with a 3-hour second stage, which is physically and emotionally exhausting. 2. It is important for the nurse to prioritize the woman's well-being and allow her to rest to recover. 3. Rest is crucial for the woman's recovery and ability to care for her baby effectively. 4. By reassuring her that it is okay to rest, the nurse promotes self-care and maternal well-being. Other choices: A: Discuss with the woman that the needs of her infant should come first - This is not the appropriate response as the woman's well-being should also be considered. B: Recognize this as a behavior of the taking-hold stage - This is incorrect as the woman's exhaustion is likely due to the physically demanding labor. C: Record the behavior as ineffective bonding/attachment - This is not appropriate
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: The correct answer is B: To determine the presence of tissue. By examining the large collected clots, the nurse can differentiate between clots and actual tissue, which is crucial for identifying any potential complications postpartum. This step ensures accurate assessment and appropriate intervention if necessary. Incorrect choices: A: To validate the presence of clotting - This is not necessary as the presence of large clots already indicates clotting. C: To obtain an accurate description - While important, the primary purpose of examining large clots in this context is to differentiate tissue from clots. D: To document the number of clots - While documenting the number of clots is important, it is not the main reason for examining them in this scenario.