ATI Postpartum Practice Test

These questions are part of the practice quiz. Start practicing

• Which lochia characteristics suggest infection?
• How often should a healthy newborn be fed in the first 24 hours?
• On the first postpartum day, the fundus is typically at the level of which landmark?
• Which factors commonly contribute to postpartum constipation?
• What postpartum diuresis occurs, and why?
• On postpartum day 1, which finding would be a sign of a potential complication?
• Which action should the nurse implement first after notifying the provider during postpartum hemorrhage?
• Which of the following is a risk factor for postpartum hemorrhage in a client who delivered vaginally?
• Which screening is used to check for congenital heart defects in newborns?
• A nurse is assisting with the care of a client who is 2 hours postpartum and is exhibiting signs of hypovolemic shock. Which action should the nurse take?
• Which finding should the nurse report to the provider in a client with endometritis?
• Which contraception method should be avoided early postpartum due to estrogen-containing hormones?
• What is subinvolution and how might it present?
• In breastfeeding patients, which analgesic regimen is recommended for postpartum pain relief?
• A postpartum client data point should be reported to the provider because it suggests a potential problem: headache. Which option below presents this as a choice?
• A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states, 'I've heard that I can't use any birth control until I stop breastfeeding.' Which response should the nurse make?
• Which vital sign changes may indicate postpartum hemorrhage?
• A nurse is caring for a client who is 48 hours postpartum. The client expresses distress about her older children's acceptance of the new baby. Which of the following statements should the nurse make?
• What role does vitamin C play in postpartum iron therapy?
• A nurse is caring for a client who is 3 days postpartum and has chosen to bottle feed the newborn. During examination of the client's breasts, the nurse notes that they are warm and firm. Which of the following actions should the nurse plan to take?
• Which of the following describes typical signs of postpartum depression?
• To reduce risk of mastitis during breastfeeding, which instruction should the nurse include?
• Which finding would most urgently indicate postpartum infection requiring evaluation and intervention?
• Which statement describes the third step in the fundal massage sequence?
• Which of the following lists represents risk factors that increase postpartum hemorrhage risk?
• Postpartum non-lactating client with breast discomfort; which intervention should the nurse discuss?
• A nurse is caring for a client who is postpartum and reports abdominal pain due to flatus. Which action should the nurse take?
• Lochia alba typically begins around day 10 and lasts up to what duration?
• Which factor best describes how milk supply responds to infant demand?
• What care is appropriate after a circumcision?
• Which statement about a postpartum client on heparin prophylaxis is appropriate to include in the plan?
• Which instruction should the nurse include when teaching a client to use a perineal squeeze bottle?
• What is the first-line uterotonic given after delivery to prevent postpartum hemorrhage?
• How is postpartum hemorrhage initially managed in the hospital setting?
• How can engorgement be relieved for a breastfeeding mother?
• Which finding is a manifestation of endometritis?
• How do you differentiate physiologic jaundice from pathologic jaundice in a newborn?
• How should newborn dehydration be identified by parents?
• While collecting data from a postpartum client, a steady trickle of bright red blood is noted from the vagina. The uterus is firm and located 1 cm below the umbilicus. What should the nurse do?
• Which statement indicates understanding of breastfeeding frequency?
• At 12 hours postpartum, which location should the nurse expect to palpate the fundus?
• A postpartum client reports fatigue. Which statement should the nurse include?
• To breastfeeding postpartum, increase intake of which nutrient?
• During discharge teaching for a breastfeeding client, which statement indicates understanding of breast milk storage?
• Postpartum mastitis prevention teaching; which statement indicates understanding?
• What home-care instructions support newborn jaundice assessment?
• A postpartum client with a hearing impairment is being cared for. Which technique should the nurse use to facilitate communication?
• Which sleep safety practice is recommended for newborns?
• A postpartum client suddenly becomes restless and reports an inability to catch her breath. What should the nurse do first?
• Which activity should be avoided initially after childbirth unless advised otherwise by a provider?
• A nurse is caring for a client who reports cramping while trying to breastfeed her newborn. Which instruction should the nurse provide to the client?
• Postpartum depression education includes recognizing which finding as a concern?
• Lochia rubra is described as red and occurs during which days?
• Which statement about nipple shields in breastfeeding is correct?
• A postpartum client is receiving morphine via a PCA pump after a cesarean birth. Which finding should be reported to the provider?
• APGAR scoring is performed at which time points after birth?
• Which statement is appropriate for postpartum discharge instructions regarding venous thromboembolism?
• Which components are included in the APGAR scoring system?
• Two weeks postpartum, which discharge characteristic should the nurse expect?
• A nurse is reinforcing teaching about nutritional requirements during lactation for a client who is planning to breastfeed her newborn. Which of the following nutrients should nurse recommend the client increase during lactation?
• Which statement indicates understanding how to prevent mastitis after starting breastfeeding?
• When is newborn hearing screening typically performed?
• A boggy uterus is best described as which, and how should it be managed initially?
• Which postpartum contraception is a long-acting reversible contraception option suitable for breastfeeding mothers?
• Which statement about postpartum ovulation timing for lactating clients is true?
• Which statement describes the fourth step in the fundal massage sequence?
• Which contraception options are suitable postpartum for a breastfeeding mother?
• Which plan best supports mood during postpartum blues?
• A nurse is caring for a client who is 32 hours postpartum and reports nipple soreness and breast engorgement. Which recommendation should the nurse provide?
• Which statement reflects understanding about cramping during breastfeeding?
• Which nutrient should a breastfeeding client increase during lactation?
• For a postpartum client who has hearing impairment, which of the following is an effective communication strategy?
• Which are signs of endometritis after delivery?
• A nurse is collecting data from a client who is 2 days postpartum. In which location should the nurse expect to locate the fundus?
• Which statement is NOT a listed postpartum hemorrhage risk factor?
• Hypertension or preeclampsia contraindicates the use of which uterotonic?
• What are key aspects of perineal hygiene after vaginal birth?
• A client is 2 hours postpartum and is on an oxytocin IV. The client asks, 'Why is there so little bleeding?' Which response is best?
• Which finding after a cesarean birth involving PCA morphine use would require clinical attention?
• If the fundus is midline but remains boggy after massage, what is the next step?
• Which of the following statements best explains why the IV oxytocin postpartum affects bleeding?
• A postpartum client has a urinary tract infection. Which finding is a manifestation?
• How should the umbilical cord stump be cared for?
• At 48 hours postpartum, which finding should be reported to the provider when the client experiences pelvic and uterine pain at rest?
• By about which days is the uterus usually no longer palpable due to involution?
• Which factor is a risk factor for postpartum depression?
• A postpartum client is 24 hours after delivery and fundus is 2 cm above the umbilicus. Which action is most appropriate to address this finding?
• For a postpartum client with a history of pulmonary embolus who is prescribed heparin prophylaxis, which interventions should be included in the plan?
• A client 6 hours postpartum following a dysfunctional labor says, 'I think I have changed my pad every 15 minutes.' This indicates:
• A nurse is reinforcing discharge instructions with a client who had a cesarean birth 4 days ago. The client's hemoglobin level is 9.2 g/dL, and the provider has prescribed an iron supplement. Which of the following foods should the nurse recommend to help increase the client's iron intake?
• Which analgesics are preferred for postpartum pain relief in a breastfeeding patient?
• Discharge teaching regarding infant safety includes which topic?
• In discharge teaching about elimination after childbirth, which statement should the nurse include?
• Which sequence correctly lists the steps for performing a fundal massage?
• Discharge teaching after birth should include which topics?
• How should breastfeeding influence postpartum mood management?
• A nurse is caring for a client who is postpartum and non-lactating. The client reports breast pain. Which statement should the nurse make?
• Which statement about postpartum mood disorders screening is accurate?
• What is a normal pattern of newborn weight change in the first few days?
• How is a normal postpartum vaginal bleed described in terms of flow?
• Which statement demonstrates understanding about swaddling a newborn?
• Which statement about CCHD screening is true?
• To help older children adjust to newborn, which nursing suggestion is appropriate?
• Postpartum mood changes can include recognizing which warning sign?
• The nurse is reinforcing teaching with a client who is postpartum about the rubella vaccine. Which statement should the nurse include?
• A client who is 24 hours postpartum is receiving rubella immunization counseling. Which statement indicates understanding?
• What is a typical dosing option for misoprostol (Cytotec) in postpartum hemorrhage management?
• Postpartum rubella immunization: If nonimmune, administer rubella vaccine postpartum and avoid pregnancy for at least 1 month after vaccination.
• Which instruction best supports preventing mastitis in a breastfeeding client?
• During the postpartum period, lactating clients ovulate on average in which timeframe?
• The lactational amenorrhea method (LAM) is described as what in postpartum contraception?
• Which timeframe describes when mature milk is typically established?
• Which pelvic floor exercise is recommended postpartum?
• A postpartum client who delivered vaginally 8 hours ago has a fundus 2 fingerbreadths above the umbilicus and displaced to the left with heavy lochia rubra. Which action should the nurse take first?
• What is advised regarding resuming activity postpartum?
• A postpartum client reports excessive sweating during the first night after delivery. The nurse should explain that this is a(n):
• What screening tool is commonly used for postpartum mood disorders?
• A client with hemorrhoids after vaginal birth should be instructed to do which?
• Two hours postpartum, the perineal pad shows a large amount of lochia rubra with several clots. What action should the nurse take first?
• Reinforcing breastfeeding education, which statement indicates understanding?
• What are signs of mastitis and initial management?
• Which scenario would necessitate scheduling a postpartum visit sooner than the typical 4–6 weeks?
• A nurse is assessing a client 24 hours after delivery and notes the fundus is 2 cm above the umbilicus. Which action should the nurse take first?
• A postpartum client reports abdominal cramping. Which action should the nurse take?
• How should fundal height be documented postpartum?
• If a boggy fundus persists after massage and the bladder has been checked, what is the next step?
• When should Rh immune globulin be given postpartum?
• A client is 1 week postpartum and reports lochia discharge that is pinkish-brown and decreasing in amount. Which lochia description is most consistent with this stage?
• A postpartum client is experiencing mood changes consistent with postpartum blues. Which instruction should the nurse include?
• Which labs should be monitored for a postpartum client on heparin prophylaxis?
• Which action should be taken if jaundice persists beyond day 7 in term infants?
• A nurse assisting with the plan of care for a client who is postpartum. Which of the following strategies should the nurse include in the plan to prevent bladder distention?
• Postpartum constipation is commonly caused by opioid analgesics, dehydration, and decreased activity. Which prevention measure should be used?
• When reinforcing education about continuous heparin therapy for a client 18 hours postpartum with a DVT, which statement should the nurse include?
• Postpartum care includes a standard expectation that the fundus descends how much per day during involution?
• A nurse is caring for a client who is postpartum and is having difficulty voiding. Which action should the nurse take first?
• What car seat safety instructions are essential before leaving the hospital?
• Which signs suggest a postpartum venous thromboembolism?
• For a postpartum client with a displaced fundus to the right, which action should the nurse take?
• A postpartum client at 4 hours post-birth has a painful third-degree perineal laceration. Which intervention should the nurse implement?
• Which newborn screening tests are routinely performed?
• Which description correctly lists the three stages of lochia and their typical timeframes?
• A client 72 hours postpartum has a fundus that is soft and a fingerbreadth below the umbilicus. Which action is appropriate?
• How should bathing be performed for a newborn with an umbilical stump?
• At 72 hours postpartum, which fundal finding should prompt reporting to the provider?
• A client is 6 weeks postpartum and is explaining involution. Which statement indicates understanding of the expected progress of the uterus?
• Tdap recommended postpartum?
• A nonlactating postpartum client seeks relief from breast discomfort. Which intervention aligns with recommended care?
• Which newborn sleep practice is recommended to reduce SIDS risk?
• How should nipple shields be considered in breastfeeding?
• A nurse is caring for a client who is postpartum. The nurse should identify which of the following findings as a manifestation of a urinary tract infection?
• Eight hours after a vaginal delivery, the nurse observes the fundus is 2 fingerbreadths above the umbilicus, displaced to the left, with a large amount of lochia rubra on the perineal pad. Which action should the nurse take first?
• A postpartum client reports that her episiotomy incision is pulling and stinging. The nurse should perform which action?
• A postpartum client reports blurred vision. Which action should the nurse take?
• Which statement about elimination after childbirth is correct?
• Which describes the typical pattern of breast milk production after birth?
• A routine postpartum plan generally recommends a follow-up visit around which timeframe?
• Which strategy is part of postpartum iron deficiency anemia management?
• Which statement describes the second step in the fundal massage sequence?
• A postpartum client on warfarin therapy should be instructed about contraception. Which statement is correct?
• A postpartum client who has DVT and is on anticoagulation should be counseled about contraception. Which statement is accurate?
• A nurse is reinforcing teaching about the process of involution with a client who is postpartum. Which of the following pieces of information should the nurse provide?
• Which condition is specifically screened for by newborn heel-prick metabolic screening?
• Which statement demonstrates correct understanding of Kegel exercises for pelvic floor strengthening?
• Which intervention is appropriate for a postpartum client with a painful third-degree perineal laceration in the early postpartum period?
• A postpartum client who is 32 hours postpartum reports nipple soreness and engorgement. Which statement aligns with nursing guidance to address latch?
• Which statement describes the correct technique for performing Kegel exercises?
• On the first postpartum day, the fundus is firm and located 1 fingerbreadth above and to the right of the umbilicus, with moderate lochia rubra and small clots, temperature 99.2°F, and pulse 52/min. Which action should the nurse take?
• Which statement describes the final step in the fundal massage sequence?
• When examining the uterus at 3 days postpartum, which technique should the nurse use?
• A nurse is reinforcing discharge teaching with a client who is postpartum. Which of the following statements should the nurse make?
• Which statement should be included in discharge instructions for a postpartum client regarding leg swelling?
• When assessing the fundus 2 days postpartum, which statement describes the typical fundal position?
• When teaching about a disposable sitz bath, which instruction should the nurse include?
• Which symptom should prompt postpartum evaluation due to potential danger signs?