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ATI RN · ATI Maternal Newborn · Postpartum Care NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A postpartum patient comes to the clinic for her 6-week postpartum checkup. When assessing the patient's cervix, how should the nurse expect the cervix to appear?

A. Noticeable small lacerations
B. Approximately 3 cm dilated
C. Symmetrically round external os
D. Firm and thick

Expert Explanatory Rationale

Correct Answer: Symmetrically round external os

Question 2 of 5

A nurse is taking care of a G2P2 woman with a third-degree perineal tear during the fourth stage of labor. The nurse should include which intervention in the plan of care during her 12-hour shift?

A. Assess vital signs every 4 hours.
B. Keep patient NPO for first 12 hours.
C. Catheterize patient prior to first ambulation.
D. Prepare ice pack for application to perineal area.

Expert Explanatory Rationale

Correct Answer: Prepare ice pack for application to perineal area.

Question 3 of 5

The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal care?

A. The grandparents decided they want to be involved.
B. The parents need to discuss their expectations of each other.
C. The mother is determined the father should be involved.
D. Information must be presented on an age-appropriate level.

Expert Explanatory Rationale

Correct Answer: Information must be presented on an age-appropriate level.

Question 4 of 5

The nurse is preparing a postpartum patient for discharge. Which patient teaching is most important for the nurse to provide?

A. The signs and symptoms of uterine infection
B. The signs and symptoms of secondary hemorrhage
C. The signs and symptoms of postpartum depression
D. The signs and symptoms of a boggy uterus

Expert Explanatory Rationale

Correct Answer: The signs and symptoms of secondary hemorrhage

Question 5 of 5

The nurse is performing a uterus assessment on a patient who is 20 hours postpartum. The nurse finds the fundus of the uterus to be soft and boggy. In addition, the uterus is displaced to the left and moderate bleeding is noted. If the uterus does respond to uterine massage, which actions does the nurse implement?

A. Assist the patient to the bathroom to void.
B. Reassess to determine response to treatment.
C. Administer oxytocin as prescribed.
D. Place an emergency call to the HCP.

Expert Explanatory Rationale

Correct Answer: Place an emergency call to the HCP.

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