Postpartum ATI Test Questions and Answers 100% Pass
What is decreased estrogen associated with? Correct Ans-Breast engorgement, diaphoresis
and diuresis of excess extracellular fluid accumulated during pregnancy. Also diminishes
vaginal lubrication so local dryness and intercourse discomfot may persist until ovarian
function returns and menstruation resumes
What is decreased progesterone associated with? Correct Ans-Increase in muscle tone
throughout the body
What is decreased placental enzyme insulinase associated with? Correct Ans-Reversal of
the diabetogenic effects of pregnancy, which lowers blood glucose levels immediately in the
puerpium
Is there a difference between lactating and non-lactating women regarding menstruation?
Correct Ans-Yes, they differ in the timing of the first ovulation and the resumption of
menstruation.
, Postpartum ATI Test Questions and Answers 100% Pass
What are the differences between lactating and non-lactating women regarding prolactin
levels? Correct Ans-Lactating: serum prolactin levels remain elevated and suppress
ovulation.
Non-lactating: prolactin declines and reaches the prepregnant level by the third week
postpartum
What are the differences between lactating and non-lactating women regarding the return of
ovulation? Correct Ans-Lactating: the return of ovulation is influenced by breastfeeding
frequency, the length of each feeding and the use of supplementation
Non-lactating: ovulation occurs 27-75 days after birth
When does menses resume in non-lactating women? Correct Ans-Lactating: length of time
to the first postpartum ovulation is approximately 6 months
Non-lactating: menses resume by 4-6 weeks postpartum
What affects prolactin levels in lactating women? Correct Ans-The infant's suck is believed
to affect prolactin levels
, Postpartum ATI Test Questions and Answers 100% Pass
Why is RhoGAM administered? Correct Ans-It is an RH(D) immune globulin administered
within 72 hrs to women who are Rh-negative and give birth to infants who are Rh-positive to
prevent sensitization in future pregnancies
What is the fourth stage of labor? Correct Ans-The maternal recovery period starting with
the delivery of the placenta and lasts from 1-4 hours. This is when parent-newborn bonding
should start to occur.
1) What is the main of of goal during the immediate postpartum period?
2) What are the other goals during this time? Correct Ans-1) Prevent postpartum
hemorrhage.
2) Assist in pt's recovery, identify deviations in expected recovery process, provide comfort
measures & pharmacologic pain relief as prescribed, provide pt education about newborn and
self-care, provide baby-friendly activities to promote infant/family bonding
What is the puerperium? Correct Ans-The postpartum period; includes physiological and
psychological adjustments; begins after delivery of placenta and ends when the body returns
to the prepregnant state which takes about 6 weeks.
, Postpartum ATI Test Questions and Answers 100% Pass
What physiological changes do mom's experience postpartum? Correct Ans-Uterine
involution (shrinkage), lochia flow, cervical involution, decrease in vaginal distention,
alteration in ovarian function and menstruation, cardiovascular/urinary tract/breast/GI tract
changes
What are the greatest risks during the postpartum period? Correct Ans-Hemorrhage,
shock, infection
What is oxytocin? Correct Ans-A hormone released from the pituitary gland that
coordinates and strengthens uterine contractions
What stimulates the release of endogenous oxytocin from the pituitary gland? Correct
Ans-Breastfeeding
What is pitocin (exogenous oxytocin) administered for? Correct Ans-May be administered
postpartum to improve the quality of uterine contractions.
What prevents excessive bleeding and hemorrhaging postpartum? Correct Ans-A firm and
contracted uterus
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