ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 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 2 of 5
The nurse is palpating a patient's uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?
Correct Answer: D
Rationale: The correct answer is D: To prevent uterine inversion. Placing a hand just above the symphysis pubis during uterine palpation helps prevent uterine inversion by providing support to the lower segment of the uterus. Uterine prolapse (A) is the downward displacement of the uterus, which is not prevented by this action. Uterine movement (B) is a natural occurrence and not a concern during palpation. Uterine hemorrhage (C) is more related to postpartum bleeding management and is not directly impacted by the hand placement.
Question 3 of 5
The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system?
Correct Answer: B
Rationale: Step 1: Postpartum patients may have an increased WBC count due to the stress of delivery. Step 2: A WBC level of 30,000/mm postpartum indicates a normal physiological response. Step 3: This increase helps the body fight potential infections post-delivery. Step 4: Therefore, choice B is correct as it aligns with normal postpartum physiology. Summary: Choices A, C, and D are incorrect as they do not directly relate to postpartum physiology. A is more related to thermoregulation, C is about clotting factors, and D is about hemoglobin levels which may vary postpartum.
Question 4 of 5
A postpartum patient states, " am really in pain."For which sources of pain will the nurse not assess the patient?
Correct Answer: D
Rationale: The correct answer is D because general soreness is a vague and nonspecific term that does not provide any specific information on the source or type of pain. In contrast, uterine contractions, perineal trauma, and breast engorgement are common sources of postpartum pain with specific anatomical locations and characteristics. Assessing for general soreness would not lead to identifying potential underlying issues or appropriate interventions. It is important to focus on assessing specific sources of pain to provide targeted care for the postpartum patient.
Question 5 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 focuses on the importance of language and terminology used during the postpartum period. By implementing changes in the unit's terminology to be more supportive and empowering for mothers, the nurse can positively impact the culture of the unit. This can help create a more nurturing and understanding environment for new mothers. Incorrect choices: A: Satisfaction questionnaires are not directly related to changing the culture of the unit based on Rubin and Mercer's research. C: Decreasing nurse/patient ratios may improve patient care but is not specifically mentioned in the research as a way to change the unit's culture. D: Soliciting paternal expectations is not the focus of Rubin and Mercer's research, which is centered on the mother's response during the postpartum period.