ATI Capstone Maternal Newborn Assessment with Complete Solutions
1. Assist the client into the A nurse is performing a vaginal exam on
knee-chest position. a client who is in active labor. The nurse
notes the umbilical cord protruding through
the cervix. Which of the following actions
should the nurse take?
2. Moderate tremors of the ex- A nurse is assessing a newborn who is
tremities. 48 hours old and is experiencing opioid
withdrawals. Which of the following findings
should the nurse expect?
3. Breast cancer A nurse is reviewing a client's medical record
and notes that the client is taking
tamoxifen. The nurse should identify that ta-
moxifen is used to treat which of the
following conditions?
4. Contraction duration of 100 A nurse is caring for a client who is receiving
seconds. oxytocin to augment labor. The client has an
intrauterine pressure catheter and an internal
fetal scalp electrode for monitoring. Which of
the following is an indication that the nurse
should discontinue the infusion?
5. A sliced apple and red A nurse providing dietary teaching for a client
grapes. who is at 29 weeks of gestation and has
phenylketonuria. Which of the following sug-
gested foods should the nurse include in the
teaching?
6. BUN 35 mg/dL A nurse is reviewing a laboratory report for
a client who is at 33 weeks of gestation and
has preeclampsia. Which of the following lab-
oratory results should the nurse report to the
provider?
7. I will check the identifica- A nurse is providing teaching about newborn
tion badge of anyone who safety to a client who is being admitted for
induction of labor. Which of the following client
1/8
, ATI Capstone Maternal Newborn Assessment with Complete Solutions
removes my baby from our statements indicate and understanding of the
room. teaching?
8. Blurred vision. A nurse is assessing a client who is at 31
weeks of gestation. Which of the following
findings should the nurse identify as an indi-
cation of a potential prenatal complication?
9. Hemoglobin 12 g/dL A nurse is reviewing the laboratory results of
a newborn who is 24 hr old. Which of the
following findings should the nurse report to
the provider?
10. Pruritus A nurse is caring for a client who is in labor
and has an epidural for pain control. Which
of the following clinical manifestations is an
adverse effect of epidural anesthesia?
11. I should check for the string A nurse is teaching a client about using an
each month after menstrua- intrauterine device (IUD) for contraception.
tion. Which of the following client statements indi-
cate an understanding of the teaching?
12. Nasal flaring. A nurse is assessing a newborn who is 10 hr
old. Which of the following findings should the
nurse report to the provider?
13. Postpartum blues A nurse is assessing a client who gave birth
1 week ago. The client states, "I don't know
what's wrong. I love my baby, but I feel so let
down and I seem to cry for no reason. The
nurse should identify the client is experienc-
ing which of the following responses to birth?
14. Nulliparity A nurse is providing teaching to a group of
History of breast cancer women about risk factors for ovarian cancer.
Hormone replacement thera- Which of the following risk factors should the
py nurse include? (Select all that apply.)
15. Abruptio placentae
2/8
1. Assist the client into the A nurse is performing a vaginal exam on
knee-chest position. a client who is in active labor. The nurse
notes the umbilical cord protruding through
the cervix. Which of the following actions
should the nurse take?
2. Moderate tremors of the ex- A nurse is assessing a newborn who is
tremities. 48 hours old and is experiencing opioid
withdrawals. Which of the following findings
should the nurse expect?
3. Breast cancer A nurse is reviewing a client's medical record
and notes that the client is taking
tamoxifen. The nurse should identify that ta-
moxifen is used to treat which of the
following conditions?
4. Contraction duration of 100 A nurse is caring for a client who is receiving
seconds. oxytocin to augment labor. The client has an
intrauterine pressure catheter and an internal
fetal scalp electrode for monitoring. Which of
the following is an indication that the nurse
should discontinue the infusion?
5. A sliced apple and red A nurse providing dietary teaching for a client
grapes. who is at 29 weeks of gestation and has
phenylketonuria. Which of the following sug-
gested foods should the nurse include in the
teaching?
6. BUN 35 mg/dL A nurse is reviewing a laboratory report for
a client who is at 33 weeks of gestation and
has preeclampsia. Which of the following lab-
oratory results should the nurse report to the
provider?
7. I will check the identifica- A nurse is providing teaching about newborn
tion badge of anyone who safety to a client who is being admitted for
induction of labor. Which of the following client
1/8
, ATI Capstone Maternal Newborn Assessment with Complete Solutions
removes my baby from our statements indicate and understanding of the
room. teaching?
8. Blurred vision. A nurse is assessing a client who is at 31
weeks of gestation. Which of the following
findings should the nurse identify as an indi-
cation of a potential prenatal complication?
9. Hemoglobin 12 g/dL A nurse is reviewing the laboratory results of
a newborn who is 24 hr old. Which of the
following findings should the nurse report to
the provider?
10. Pruritus A nurse is caring for a client who is in labor
and has an epidural for pain control. Which
of the following clinical manifestations is an
adverse effect of epidural anesthesia?
11. I should check for the string A nurse is teaching a client about using an
each month after menstrua- intrauterine device (IUD) for contraception.
tion. Which of the following client statements indi-
cate an understanding of the teaching?
12. Nasal flaring. A nurse is assessing a newborn who is 10 hr
old. Which of the following findings should the
nurse report to the provider?
13. Postpartum blues A nurse is assessing a client who gave birth
1 week ago. The client states, "I don't know
what's wrong. I love my baby, but I feel so let
down and I seem to cry for no reason. The
nurse should identify the client is experienc-
ing which of the following responses to birth?
14. Nulliparity A nurse is providing teaching to a group of
History of breast cancer women about risk factors for ovarian cancer.
Hormone replacement thera- Which of the following risk factors should the
py nurse include? (Select all that apply.)
15. Abruptio placentae
2/8
