ATI RN
Postpartum Body Changes Questions
Question 1 of 5
Which fundal assessment finding at 12 hours after birth requires further assessment?
Correct Answer: A
Rationale: Rationale: - A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments. - B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment. Summary: - Choice A is correct because it indicates a potential issue with uterine involution. - Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.
Question 2 of 5
If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?
Correct Answer: D
Rationale: The correct answer is D because the rubella vaccine contains live virus and poses a risk to the fetus if the patient becomes pregnant within 28 days of receiving the vaccine. Providing instructions about the risks of pregnancy after vaccination is crucial to prevent potential harm to the fetus. A: Incorrect - Specific instructions are necessary due to the live virus in the vaccine. B: Incorrect - Drinking fluids does not address the specific risks associated with pregnancy after vaccination. C: Incorrect - Stopping breastfeeding is not necessary after receiving the rubella vaccine.
Question 3 of 5
To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?
Correct Answer: D
Rationale: The correct answer is D. Gently palpating the fundus is the appropriate technique after cesarean birth to assess fundal contraction. This technique is recommended to prevent causing discomfort or dislodging the uterus. Assessing lochial flow (A) does not directly evaluate fundal contraction. Palpating forcefully through the abdominal dressing (B) can be painful and may not provide an accurate assessment. Placing hands on both sides of the abdomen and pressing downward (C) is not a recommended technique as it can potentially cause uterine displacement.
Question 4 of 5
The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?
Correct Answer: B
Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy. Explanation: 1. Breastfeeding alone is not a foolproof method of contraception. 2. The combination of breastfeeding and formula feeding does not guarantee contraception. 3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met. 4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy. Summary: A: Correct statement about the timing of bowel movements postpartum. C: Incorrect statement about the normal pattern of bowel elimination postpartum. D: Correct statement about the need for birth control if not breastfeeding.
Question 5 of 5
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
Correct Answer: D
Rationale: The correct answer is D, teaching the patient to perform pelvic floor exercises to combat potential stress incontinence. This intervention strengthens pelvic floor muscles, aiding in bladder control postpartum. Choice A is incorrect as carbonated beverages can irritate the bladder. Choice B is incorrect as postpartum diuresis increases fluid loss, increasing the risk of dehydration. Choice C is incorrect as limiting fluid intake can lead to dehydration and hinder urinary elimination.