ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
What type of lochia is bright to dark red and occurs on days 1–3 postpartum?
Correct Answer: A
Rationale: The correct answer is A: rubra. Lochia rubra is bright to dark red, typically occurring on days 1-3 postpartum. This is due to the presence of blood and decidual tissue. Serosa (B) is pinkish-brown and occurs around days 4-10, representing a mix of blood and mucus. Placental (C) is typically expelled within 30 minutes postpartum and consists of dark red blood. Alba (D) is whitish-yellow, appearing around day 10 and lasting up to 6 weeks, indicating the final stage of lochia consisting of leukocytes and decidual tissue.
Question 2 of 5
What is the nursing intervention for unilateral edema in a lower extremity and a hot, red area on the leg?
Correct Answer: A
Rationale: The correct answer is A: Contact the health-care provider. Unilateral edema along with a hot, red area on the leg can indicate a potential serious condition such as deep vein thrombosis (DVT). It is crucial to involve the healthcare provider immediately for further evaluation and treatment. Contacting the healthcare provider ensures timely diagnosis and appropriate management. Summary: B: Explaining this as a normal finding is incorrect as it could be a sign of a serious condition. C: Massaging the calf can potentially dislodge a clot in case of DVT, leading to severe complications. D: Offering pain medication without proper evaluation can mask the symptoms and delay necessary medical intervention.
Question 3 of 5
The nurse assesses the breasts. What is a warning sign?
Correct Answer: C
Rationale: The correct answer is C because redness, pain, and heat are warning signs of a possible breast infection or inflammation, such as mastitis. This indicates an abnormality that requires further assessment and intervention. A: Colostrum expressed is a normal occurrence during pregnancy or after delivery and is not a warning sign. B: Nipple everted is also a normal anatomical variation and not a warning sign. D: Filling with milk is expected during lactation and not necessarily indicative of a problem.
Question 4 of 5
The nurse assesses for signs of depression or postpartum blues. How can the nurse explain the difference?
Correct Answer: D
Rationale: The correct answer is D because postpartum blues typically involve symptoms like irritability and sadness, which are common and usually resolve within a few weeks. This is different from postpartum depression (PPD), which is more severe and may last longer. A is incorrect because PPD is typically more severe than postpartum blues. B is incorrect because postpartum blues usually resolve within a few weeks, not up to a year. C is incorrect because PPD is not considered a normal expectation of postpartum, as it requires intervention and treatment.
Question 5 of 5
The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
Correct Answer: A
Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.