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: The correct answer is D because postpartum diuresis occurs due to the loss of fluid from the expulsion of the placenta and amniotic fluid. This process helps the body eliminate excess fluid retained during pregnancy. A is incorrect as it refers to a nervous response, not a physiological process. B is incorrect as diuresis involves elimination through urine, not the skin. C is incorrect as underarm perspiration is not directly related to postpartum diuresis. In summary, D is the best representation as it directly links the process to the expulsion of placenta and amniotic fluid.
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: Step 1: Palpating the uterus 12 hours after delivery is to assess for proper involution. Step 2: Placing a hand above the symphysis pubis helps to prevent uterine inversion. Step 3: Uterine inversion is a rare but serious complication post-delivery. Step 4: By supporting the uterus, the nurse prevents the risk of inversion. Summary: A is incorrect as palpation doesn't prevent prolapse. B is incorrect as some uterine movement is normal. C is incorrect as palpation doesn't prevent hemorrhage at this stage.
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: The correct answer is B: WBC laboratory level of 30,000/mm a few hours after delivery. Postpartum, a temporary increase in white blood cells (WBCs) is normal due to the body's response to delivery and potential inflammation. This increase is known as leukocytosis and helps the body combat potential infections. The other choices are incorrect because: A is more related to hypovolemia than to cardiovascular changes. C is incorrect as clotting factors increase postpartum to reduce the risk of hemorrhage. D is incorrect as a hemoglobin level less than 11 g/dL postpartum may indicate anemia, not normalcy.
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: General soreness. Postpartum pain assessment typically focuses on specific sources such as uterine contractions, perineal trauma, and breast engorgement. General soreness is too vague and does not provide specific information for targeted intervention. By ruling out general soreness, the nurse can prioritize assessment and management of more specific sources of pain to provide appropriate 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 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.