ESTUDY
MATERNITY CAPSTONE EXAM 2024-2025 ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
1. **A nurse is conducting an infertility assessment for a newly admitted client. Which of the following
factors should the nurse identify as affecting the client's fertility?**
- A) Premature ovarian failure
- B) Hypothyroidism
- C) Asthma
- D) High blood pressure
**ANSWER: A) Premature ovarian failure**
2. **A nurse is assessing a newborn who is 48 hours old and experiencing opioid withdrawals. Which of
the following findings should the nurse expect?**
- A) Moderate tremors of the extremities
- B) Decreased muscle tone
- C) Quiet demeanor
- D) Normal feeding patterns
**ANSWER: A) Moderate tremors of the extremities**
3. **A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the
following is an adverse effect of epidural anesthesia?**
- A) Pruritus (itching)
- B) Hyperactivity
- C) Increased appetite
- D) Insomnia
**ANSWER: A) Pruritus (itching)**
4. **A nurse is caring for a client who is in active labor and notes late decelerations in the fetal heart
rate (FHR) on the external fetal monitor. Which of the following actions should the nurse take first?**
- A) Change the client's position
- B) Increase IV fluids
- C) Administer oxygen
- D) Notify the provider
**ANSWER: A) Change the client's position**
, ESTUDY
5. **A nurse is providing teaching to a group of women about risk factors for ovarian cancer. Which of
the following risk factors should the nurse include? (Select all that apply.)**
- A) Nulliparity (never having given birth)
- B) History of breast cancer
- C) Hormone replacement therapy
- D) Regular physical exercise
- E) High calcium intake
**ANSWER: A) Nulliparity, B) History of breast cancer, C) Hormone replacement therapy**
6. **A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse
notes swelling over the newborn's head that crosses the suture line. The nurse should identify the
swelling as which of the following findings?**
- A) Caput succedaneum
- B) Cephalohematoma
- C) Subgaleal hemorrhage
- D) Hydrocephalus
**ANSWER: A) Caput succedaneum**
7. **A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent
variable decelerations of the FHR. Which of the following actions should the nurse take first?**
- A) Discontinue the infusion of oxytocin
- B) Increase the rate of IV fluids
- C) Administer oxygen
- D) Reposition the client
**ANSWER: A) Discontinue the infusion of oxytocin**
8. **A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first?**
- A) A client who gave birth 8 hours ago and is saturating a perineal pad every hour
- B) A client who is experiencing postpartum blues
- C) A client who is breastfeeding and has sore nipples
- D) A client who had a cesarean birth and is requesting pain medication
**ANSWER: A) A client who gave birth 8 hours ago and is saturating a perineal pad every hour**
9. **A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should
the nurse identify as an indication of a potential prenatal complication?**
- A) Blurred vision
- B) Increased appetite
MATERNITY CAPSTONE EXAM 2024-2025 ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
1. **A nurse is conducting an infertility assessment for a newly admitted client. Which of the following
factors should the nurse identify as affecting the client's fertility?**
- A) Premature ovarian failure
- B) Hypothyroidism
- C) Asthma
- D) High blood pressure
**ANSWER: A) Premature ovarian failure**
2. **A nurse is assessing a newborn who is 48 hours old and experiencing opioid withdrawals. Which of
the following findings should the nurse expect?**
- A) Moderate tremors of the extremities
- B) Decreased muscle tone
- C) Quiet demeanor
- D) Normal feeding patterns
**ANSWER: A) Moderate tremors of the extremities**
3. **A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the
following is an adverse effect of epidural anesthesia?**
- A) Pruritus (itching)
- B) Hyperactivity
- C) Increased appetite
- D) Insomnia
**ANSWER: A) Pruritus (itching)**
4. **A nurse is caring for a client who is in active labor and notes late decelerations in the fetal heart
rate (FHR) on the external fetal monitor. Which of the following actions should the nurse take first?**
- A) Change the client's position
- B) Increase IV fluids
- C) Administer oxygen
- D) Notify the provider
**ANSWER: A) Change the client's position**
, ESTUDY
5. **A nurse is providing teaching to a group of women about risk factors for ovarian cancer. Which of
the following risk factors should the nurse include? (Select all that apply.)**
- A) Nulliparity (never having given birth)
- B) History of breast cancer
- C) Hormone replacement therapy
- D) Regular physical exercise
- E) High calcium intake
**ANSWER: A) Nulliparity, B) History of breast cancer, C) Hormone replacement therapy**
6. **A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse
notes swelling over the newborn's head that crosses the suture line. The nurse should identify the
swelling as which of the following findings?**
- A) Caput succedaneum
- B) Cephalohematoma
- C) Subgaleal hemorrhage
- D) Hydrocephalus
**ANSWER: A) Caput succedaneum**
7. **A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent
variable decelerations of the FHR. Which of the following actions should the nurse take first?**
- A) Discontinue the infusion of oxytocin
- B) Increase the rate of IV fluids
- C) Administer oxygen
- D) Reposition the client
**ANSWER: A) Discontinue the infusion of oxytocin**
8. **A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first?**
- A) A client who gave birth 8 hours ago and is saturating a perineal pad every hour
- B) A client who is experiencing postpartum blues
- C) A client who is breastfeeding and has sore nipples
- D) A client who had a cesarean birth and is requesting pain medication
**ANSWER: A) A client who gave birth 8 hours ago and is saturating a perineal pad every hour**
9. **A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should
the nurse identify as an indication of a potential prenatal complication?**
- A) Blurred vision
- B) Increased appetite
