LATEST ATI CAPSTONE MATERNAL NEWBORN
ASSESSMENT ACTUAL QUESTIONS AND VERIFIED
ANSWERS GRADE A+.
A nurse is performing a vaginal exam on 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? - ANSWER: Assist the client into the knee-chest position.
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals.
Which of the following findings should the nurse expect? - ANSWER: Moderate tremors
of the extremities.
A nurse is reviewing a client's medical record and notes that the client is taking
tamoxifen. The nurse should identify that tamoxifen is used to treat which of the
following conditions? - ANSWER: Breast cancer
A nurse is caring for a client who is receiving 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? - ANSWER:
Contraction duration of 100 seconds.
A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has
phenylketonuria. Which of the following suggested foods should the nurse include in the
teaching? - ANSWER: A sliced apple and red grapes.
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider? - ANSWER: BUN 35 mg/dL
A nurse is providing teaching about newborn safety to a client who is being admitted for
induction of labor. Which of the following client statements indicate and understanding of the
teaching? - ANSWER: I will check the identification badge of anyone who removes my
baby from our room.
, 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? -
ANSWER: Blurred vision.
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? - ANSWER: Hemoglobin 12
g/dL
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? -
ANSWER: Pruritus
A nurse is teaching a client about using an intrauterine device (IUD) for contraception.
Which of the following client statements indicate an understanding of the teaching? -
ANSWER: I should check for the string each month after menstruation.
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the
nurse report to the provider? - ANSWER: Nasal flaring.
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 experiencing which of the following responses to birth? -
ANSWER: Postpartum blues
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.) -
ANSWER: Nulliparity
History of breast cancer
Hormone replacement therapy
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing
continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The
nurse should identify that the client is likely experiencing which of the following
complications? - ANSWER: Abruptio placentae
ASSESSMENT ACTUAL QUESTIONS AND VERIFIED
ANSWERS GRADE A+.
A nurse is performing a vaginal exam on 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? - ANSWER: Assist the client into the knee-chest position.
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals.
Which of the following findings should the nurse expect? - ANSWER: Moderate tremors
of the extremities.
A nurse is reviewing a client's medical record and notes that the client is taking
tamoxifen. The nurse should identify that tamoxifen is used to treat which of the
following conditions? - ANSWER: Breast cancer
A nurse is caring for a client who is receiving 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? - ANSWER:
Contraction duration of 100 seconds.
A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has
phenylketonuria. Which of the following suggested foods should the nurse include in the
teaching? - ANSWER: A sliced apple and red grapes.
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider? - ANSWER: BUN 35 mg/dL
A nurse is providing teaching about newborn safety to a client who is being admitted for
induction of labor. Which of the following client statements indicate and understanding of the
teaching? - ANSWER: I will check the identification badge of anyone who removes my
baby from our room.
, 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? -
ANSWER: Blurred vision.
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? - ANSWER: Hemoglobin 12
g/dL
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? -
ANSWER: Pruritus
A nurse is teaching a client about using an intrauterine device (IUD) for contraception.
Which of the following client statements indicate an understanding of the teaching? -
ANSWER: I should check for the string each month after menstruation.
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the
nurse report to the provider? - ANSWER: Nasal flaring.
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 experiencing which of the following responses to birth? -
ANSWER: Postpartum blues
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.) -
ANSWER: Nulliparity
History of breast cancer
Hormone replacement therapy
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing
continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The
nurse should identify that the client is likely experiencing which of the following
complications? - ANSWER: Abruptio placentae
