1
Custom Postpartum care Assessment ATI
ACTUAL EXAM TEST QUESTIONS AND
100% VERIFIED ANSWERS
What are the key standards and guidelines for Licensed Practical Nurses (LPNs) in
postpartum care?
ANSWER: Standards, Limits and Conditions (BCCNP, 2017), Entry-to-Practice
Competencies for LPNs (BCCNP, 2013), Professional Standards for LPNs
(BCCNP, 2014), and Practice Standards (BCCNP, current editions).
What nursing considerations should be taken into account for specific patient
groups in postpartum care?
ANSWER: Considerations for adolescents, single women, families at or below the
poverty level, Aboriginal mothers, refugees, and immigrants.
What is the focus of the Maternal Postpartum Nursing Care Pathway?
ANSWER: It identifies the goals and needs of postpartum women and serves as the
foundation for documentation on the British Columbia Postpartum Clinical Care
Path.
What are the three main sections of the Maternal Postpartum Nursing Care
Pathway?
ANSWER: Physiological Health, Psychosocial Health, and Changes: Family
Strengths and Challenges.
What criteria define postpartum physiological stability for vaginal delivery at
term?
,2
ANSWER: Stable vital signs (T, P, R, BP), intact or repaired perineum, no
postpartum complications requiring ongoing observation, adequate bladder
function, and skin-to-skin contact with the baby.
A multiparous patient reports severe uterine cramps the first day after a vaginal
delivery. The nurse is aware the patient is breastfeeding and associates the patient's
pain primarily with which occurrence?
1. An increase in oxytocin release related to the newborn suckling
2. The presence of intense afterbirth pains related to multiparity
3. An expected response to the daily administration of oxytocin
4. The efforts of the uterus to return to a prepregnancy condition
ANSWER: Ans 1
The suckling of a newborn during breastfeeding will stimulate an increased release
of oxytocin, which in turn stimulates the uterus to remain contracted.
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?
1. To prevent uterine prolapse. 2. To prevent uterine movement
3. To prevent uterine hemorrhage
4. To prevent uterine inversion
ANSWER: ANS 4
When palpating the patient's uterus 12 hours postpartum, the nurse supports the
lower uterine segment by placing one hand just above the symphysis pubis.
Pregnancy stretches the ligaments that hold the uterus in place, and fundal pressure
could result in uterine inversion
, 3
The nurse is providing postpartum care to a patient 24 hours after a vaginal
delivery. Which action does the nurse perform prior to assessing the patient's
uterus? 1. Place the patient on the left side.
2. Assess the passage of lochia.
3. Ask the patient to void.
4. Administer a dose of oxytocin.
ANSWER: ANS 3
The nurse needs to have the patient void prior to palpating the uterus in order to
accurately assess uterine placement and tone. An overdistended bladder can result
in uterine displacement and atony.
A postpartum patient calls the OB office 8 days following a vaginal delivery. The
patient reports concern regarding vaginal bleeding. Which patient-reported
symptom causes the nurse concern?
1. Increased flow noticed with physical activity
2. A description of the lochia as being red in color
3. Discharge that is noted to have a fleshy odor
4. Bleeding that is described as scant
ANSWER: ANS 2
The lochia during the period of 4 to 10 days is described as lochia serosa (pink or
brown color). The nurse will be concerned if the patient reports lochia that is red in
color, which is indicative of bleeding.
The nurse is collecting the urine of a postpartum patient who is passing large clots.
For which reason does the nurse examine the large collected clots?
1. To validate the presence of clotting
Custom Postpartum care Assessment ATI
ACTUAL EXAM TEST QUESTIONS AND
100% VERIFIED ANSWERS
What are the key standards and guidelines for Licensed Practical Nurses (LPNs) in
postpartum care?
ANSWER: Standards, Limits and Conditions (BCCNP, 2017), Entry-to-Practice
Competencies for LPNs (BCCNP, 2013), Professional Standards for LPNs
(BCCNP, 2014), and Practice Standards (BCCNP, current editions).
What nursing considerations should be taken into account for specific patient
groups in postpartum care?
ANSWER: Considerations for adolescents, single women, families at or below the
poverty level, Aboriginal mothers, refugees, and immigrants.
What is the focus of the Maternal Postpartum Nursing Care Pathway?
ANSWER: It identifies the goals and needs of postpartum women and serves as the
foundation for documentation on the British Columbia Postpartum Clinical Care
Path.
What are the three main sections of the Maternal Postpartum Nursing Care
Pathway?
ANSWER: Physiological Health, Psychosocial Health, and Changes: Family
Strengths and Challenges.
What criteria define postpartum physiological stability for vaginal delivery at
term?
,2
ANSWER: Stable vital signs (T, P, R, BP), intact or repaired perineum, no
postpartum complications requiring ongoing observation, adequate bladder
function, and skin-to-skin contact with the baby.
A multiparous patient reports severe uterine cramps the first day after a vaginal
delivery. The nurse is aware the patient is breastfeeding and associates the patient's
pain primarily with which occurrence?
1. An increase in oxytocin release related to the newborn suckling
2. The presence of intense afterbirth pains related to multiparity
3. An expected response to the daily administration of oxytocin
4. The efforts of the uterus to return to a prepregnancy condition
ANSWER: Ans 1
The suckling of a newborn during breastfeeding will stimulate an increased release
of oxytocin, which in turn stimulates the uterus to remain contracted.
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?
1. To prevent uterine prolapse. 2. To prevent uterine movement
3. To prevent uterine hemorrhage
4. To prevent uterine inversion
ANSWER: ANS 4
When palpating the patient's uterus 12 hours postpartum, the nurse supports the
lower uterine segment by placing one hand just above the symphysis pubis.
Pregnancy stretches the ligaments that hold the uterus in place, and fundal pressure
could result in uterine inversion
, 3
The nurse is providing postpartum care to a patient 24 hours after a vaginal
delivery. Which action does the nurse perform prior to assessing the patient's
uterus? 1. Place the patient on the left side.
2. Assess the passage of lochia.
3. Ask the patient to void.
4. Administer a dose of oxytocin.
ANSWER: ANS 3
The nurse needs to have the patient void prior to palpating the uterus in order to
accurately assess uterine placement and tone. An overdistended bladder can result
in uterine displacement and atony.
A postpartum patient calls the OB office 8 days following a vaginal delivery. The
patient reports concern regarding vaginal bleeding. Which patient-reported
symptom causes the nurse concern?
1. Increased flow noticed with physical activity
2. A description of the lochia as being red in color
3. Discharge that is noted to have a fleshy odor
4. Bleeding that is described as scant
ANSWER: ANS 2
The lochia during the period of 4 to 10 days is described as lochia serosa (pink or
brown color). The nurse will be concerned if the patient reports lochia that is red in
color, which is indicative of bleeding.
The nurse is collecting the urine of a postpartum patient who is passing large clots.
For which reason does the nurse examine the large collected clots?
1. To validate the presence of clotting
