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ATI RN Maternal Newborn 2023 –
Series 3: Postpartum – Recovery and
Complications Proctored Exam
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Table of Contents
Chapter 17: Physiological Postpartum Adaptations
Chapter 18: Psychological Postpartum Adaptations
Chapter 19: Postpartum Assessment and Nursing Care
Chapter 20: Postpartum Hemorrhage
Chapter 21: Postpartum Infections
Chapter 22: Thromboembolic Disorders
Chapter 23: Postpartum Mood Disorders
Chapter 24: Breastfeeding and Lactation Support
Test Bank – 300 Multiple Choice Questions with Rationales
Chapter 17: Physiological Postpartum Adaptations
Quiz 1: A nurse is assessing a client who is 12 hours postpartum. Which
finding indicates normal involution of the uterus?
A) Fundus firm and located at the level of the umbilicus
B) Fundus boggy and located 2 cm above the umbilicus
C) Fundus firm and located 2 cm below the umbilicus
D) Fundus boggy and deviated to the right
Answer: A) Fundus firm and located at the level of the umbilicus
Rationale: At 12 hours postpartum, the fundus should be firm, midline,
and at the level of the umbilicus. The fundus descends approximately 1
cm per day thereafter.
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Quiz 2: A nurse is assessing a client who is 24 hours postpartum. The
nurse expects the fundus to be located at which level?
A) At the umbilicus
B) 1 cm below the umbilicus
C) 2 cm below the umbilicus
D) 3 cm below the umbilicus
Answer: B) 1 cm below the umbilicus
Rationale: The fundus descends approximately 1 cm per day. At 24
hours postpartum, the fundus is typically 1 cm below the umbilicus.
Quiz 3: A nurse is assessing a client who delivered 48 hours ago. The
nurse expects the fundus to be located at which level?
A) At the umbilicus
B) 1 cm below the umbilicus
C) 2 cm below the umbilicus
D) 3 cm below the umbilicus
Answer: C) 2 cm below the umbilicus
Rationale: The fundus descends approximately 1 cm per day. At 48
hours (2 days) postpartum, the fundus is typically 2 cm below the
umbilicus.
Quiz 4: A nurse is assessing a client's lochia on the second postpartum
day. Which finding is expected?
A) Lochia rubra with small clots
B) Lochia serosa
C) Lochia alba
D) Lochia with foul odor
Answer: A) Lochia rubra with small clots
Rationale: Lochia rubra is present for the first 1 to 3 days postpartum,
consisting of blood, decidual tissue, and small clots.
Quiz 5: A nurse is assessing a client who is 5 days postpartum. Which
lochia finding is expected?
A) Lochia rubra
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B) Lochia serosa
C) Lochia alba
D) Lochia with large clots
Answer: B) Lochia serosa
Rationale: Lochia serosa typically appears from day 3 to day 10
postpartum, consisting of pinkish-brown serous fluid.
Quiz 6: A nurse is assessing a client who is 12 days postpartum. Which
lochia finding is expected?
A) Lochia rubra
B) Lochia serosa
C) Lochia alba
D) Lochia with foul odor
Answer: C) Lochia alba
Rationale: Lochia alba appears from approximately day 10 to day 21
postpartum, consisting of yellowish-white discharge.
Quiz 7: A nurse is assessing a client who delivered 2 days ago. The
client reports afterpains. Which factor increases the intensity of
afterpains?
A) First pregnancy
B) Breastfeeding
C) Ambulation
D) Supine positioning
Answer: B) Breastfeeding
Rationale: Breastfeeding stimulates oxytocin release, which causes
uterine contractions and may intensify afterpains, especially in
multiparous clients.
Quiz 8: A nurse is assessing a client's perineum after a vaginal delivery
with an episiotomy. Which finding indicates proper healing?
A) Edema, erythema, and purulent drainage
B) Edges well-approximated with minimal edema
C) Separation of edges with bleeding
ATI RN Maternal Newborn 2023 –
Series 3: Postpartum – Recovery and
Complications Proctored Exam
, Page 2 of 97
Table of Contents
Chapter 17: Physiological Postpartum Adaptations
Chapter 18: Psychological Postpartum Adaptations
Chapter 19: Postpartum Assessment and Nursing Care
Chapter 20: Postpartum Hemorrhage
Chapter 21: Postpartum Infections
Chapter 22: Thromboembolic Disorders
Chapter 23: Postpartum Mood Disorders
Chapter 24: Breastfeeding and Lactation Support
Test Bank – 300 Multiple Choice Questions with Rationales
Chapter 17: Physiological Postpartum Adaptations
Quiz 1: A nurse is assessing a client who is 12 hours postpartum. Which
finding indicates normal involution of the uterus?
A) Fundus firm and located at the level of the umbilicus
B) Fundus boggy and located 2 cm above the umbilicus
C) Fundus firm and located 2 cm below the umbilicus
D) Fundus boggy and deviated to the right
Answer: A) Fundus firm and located at the level of the umbilicus
Rationale: At 12 hours postpartum, the fundus should be firm, midline,
and at the level of the umbilicus. The fundus descends approximately 1
cm per day thereafter.
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Quiz 2: A nurse is assessing a client who is 24 hours postpartum. The
nurse expects the fundus to be located at which level?
A) At the umbilicus
B) 1 cm below the umbilicus
C) 2 cm below the umbilicus
D) 3 cm below the umbilicus
Answer: B) 1 cm below the umbilicus
Rationale: The fundus descends approximately 1 cm per day. At 24
hours postpartum, the fundus is typically 1 cm below the umbilicus.
Quiz 3: A nurse is assessing a client who delivered 48 hours ago. The
nurse expects the fundus to be located at which level?
A) At the umbilicus
B) 1 cm below the umbilicus
C) 2 cm below the umbilicus
D) 3 cm below the umbilicus
Answer: C) 2 cm below the umbilicus
Rationale: The fundus descends approximately 1 cm per day. At 48
hours (2 days) postpartum, the fundus is typically 2 cm below the
umbilicus.
Quiz 4: A nurse is assessing a client's lochia on the second postpartum
day. Which finding is expected?
A) Lochia rubra with small clots
B) Lochia serosa
C) Lochia alba
D) Lochia with foul odor
Answer: A) Lochia rubra with small clots
Rationale: Lochia rubra is present for the first 1 to 3 days postpartum,
consisting of blood, decidual tissue, and small clots.
Quiz 5: A nurse is assessing a client who is 5 days postpartum. Which
lochia finding is expected?
A) Lochia rubra
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B) Lochia serosa
C) Lochia alba
D) Lochia with large clots
Answer: B) Lochia serosa
Rationale: Lochia serosa typically appears from day 3 to day 10
postpartum, consisting of pinkish-brown serous fluid.
Quiz 6: A nurse is assessing a client who is 12 days postpartum. Which
lochia finding is expected?
A) Lochia rubra
B) Lochia serosa
C) Lochia alba
D) Lochia with foul odor
Answer: C) Lochia alba
Rationale: Lochia alba appears from approximately day 10 to day 21
postpartum, consisting of yellowish-white discharge.
Quiz 7: A nurse is assessing a client who delivered 2 days ago. The
client reports afterpains. Which factor increases the intensity of
afterpains?
A) First pregnancy
B) Breastfeeding
C) Ambulation
D) Supine positioning
Answer: B) Breastfeeding
Rationale: Breastfeeding stimulates oxytocin release, which causes
uterine contractions and may intensify afterpains, especially in
multiparous clients.
Quiz 8: A nurse is assessing a client's perineum after a vaginal delivery
with an episiotomy. Which finding indicates proper healing?
A) Edema, erythema, and purulent drainage
B) Edges well-approximated with minimal edema
C) Separation of edges with bleeding
