ATI CAPSTONE MATERNAL NEWBORN
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ Uterine fibroid. Answer: Can increase the risk for postpartum
hemorrhage due to the increase in blood supply to the uterus, which
supports the fibroid.
Will undergo serial US examinations during pregnancy to monitor
because they are likely to grow during pregnancy in response to the
increased circulating estrogen.
Can have a vaginal delivery if it is small and not near the cervical os.
⩥ Hydatidiform mole. Answer: AKA a molar pregnancy.
A benign proliferative growth of the chorionic villi, which gives rise to
multiple cysts.
The products of conception transform into a large number of edematous,
fluid-filled vesicles.
,As cells slough off the uterine wall, vaginal discharge is usually dark
brown and can contain grape-like clusters.
⩥ Alleviating lower back pain during the latent phase of labor Answer:
Counter-pressure applied to the client's sacral area during contractions.
This lifts the fetal head away from the sacral nerves, which decreases
pain.
⩥ Preterm labor - which medication should the nurse plan to administer?
Answer: Betamethasone IM
A glucocorticoid that stimulates fetal lung maturity and thereby prevents
respiratory depression.
⩥ Methylergonovine Answer: An ergot alkaloid.
For patients experiencing postpartum hemorrhage.
Stimulates uterine contractions.
⩥ Poractant alfa Answer: A synthetic lung surfactant.
,Administer to a preterm newborn who is experiencing respiratory
distress.
⩥ Misoprostol Answer: Stimulates uterine contractions for a client who
is undergoing labor induction.
⩥ Oligohydramnios Answer: A volume of amniotic fluid less than 300
mL during the third trimester.
Occurs when there is a renal system dysfunction or obstructive uropathy.
Absence of fetal kidneys will cause this.
⩥ What causes late decelerations? Answer: Fetal hypoxemia due to
insufficient placental perfusion.
⩥ Treatment of late decelerations Answer: Reposition the client, initiate
oxygen, and increase the infusion rate of IVF to enhance placental
perfusion.
⩥ What causes early decelerations? Answer: Fetal head compression.
⩥ What causes variable decelerations? Answer: Compression of the
umbilical cord.
, Often occurs after ROM.
⩥ Nagele's rule Answer: Count back 3 months from the first day of the
LMP, then add 7 days.
⩥ Most accurate means of obtaining client's F&E status? Answer: Daily
weights!
⩥ Placenta previa Answer: The placenta implants in the lower part of
uterus and obstructs the cervical os.
Avoid vaginal examinations, which can cause tearing of the placenta and
increased bleeding.
⩥ What should you do if a client that is in labor has moderate bright red
vaginal bleeding? Answer: Obtain blood samples for baseline laboratory
values (Hgb and Hct).
The patient should be on strict pelvic rest (no vaginal exams or
ultrasounds).
⩥ Early manifestation of gestation HTN or pre-eclampsia Answer:
Blurred or double vision
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ Uterine fibroid. Answer: Can increase the risk for postpartum
hemorrhage due to the increase in blood supply to the uterus, which
supports the fibroid.
Will undergo serial US examinations during pregnancy to monitor
because they are likely to grow during pregnancy in response to the
increased circulating estrogen.
Can have a vaginal delivery if it is small and not near the cervical os.
⩥ Hydatidiform mole. Answer: AKA a molar pregnancy.
A benign proliferative growth of the chorionic villi, which gives rise to
multiple cysts.
The products of conception transform into a large number of edematous,
fluid-filled vesicles.
,As cells slough off the uterine wall, vaginal discharge is usually dark
brown and can contain grape-like clusters.
⩥ Alleviating lower back pain during the latent phase of labor Answer:
Counter-pressure applied to the client's sacral area during contractions.
This lifts the fetal head away from the sacral nerves, which decreases
pain.
⩥ Preterm labor - which medication should the nurse plan to administer?
Answer: Betamethasone IM
A glucocorticoid that stimulates fetal lung maturity and thereby prevents
respiratory depression.
⩥ Methylergonovine Answer: An ergot alkaloid.
For patients experiencing postpartum hemorrhage.
Stimulates uterine contractions.
⩥ Poractant alfa Answer: A synthetic lung surfactant.
,Administer to a preterm newborn who is experiencing respiratory
distress.
⩥ Misoprostol Answer: Stimulates uterine contractions for a client who
is undergoing labor induction.
⩥ Oligohydramnios Answer: A volume of amniotic fluid less than 300
mL during the third trimester.
Occurs when there is a renal system dysfunction or obstructive uropathy.
Absence of fetal kidneys will cause this.
⩥ What causes late decelerations? Answer: Fetal hypoxemia due to
insufficient placental perfusion.
⩥ Treatment of late decelerations Answer: Reposition the client, initiate
oxygen, and increase the infusion rate of IVF to enhance placental
perfusion.
⩥ What causes early decelerations? Answer: Fetal head compression.
⩥ What causes variable decelerations? Answer: Compression of the
umbilical cord.
, Often occurs after ROM.
⩥ Nagele's rule Answer: Count back 3 months from the first day of the
LMP, then add 7 days.
⩥ Most accurate means of obtaining client's F&E status? Answer: Daily
weights!
⩥ Placenta previa Answer: The placenta implants in the lower part of
uterus and obstructs the cervical os.
Avoid vaginal examinations, which can cause tearing of the placenta and
increased bleeding.
⩥ What should you do if a client that is in labor has moderate bright red
vaginal bleeding? Answer: Obtain blood samples for baseline laboratory
values (Hgb and Hct).
The patient should be on strict pelvic rest (no vaginal exams or
ultrasounds).
⩥ Early manifestation of gestation HTN or pre-eclampsia Answer:
Blurred or double vision
