ATI Capstone OB
1. A nurse is assessing a newborn and observes a bluish-tinged area on the
buttocks. The nurse should document this as:
A. Ecchymosis
B. Hemangioma
C. Mongolian spots
D. Port-wine stain
Answer: C. Mongolian spots
2. A nurse is assessing a newborn who is 10 hours old. Which clinical finding should
the nurse report to the provider?
A. Acrocyanosis
B. Nasal flaring
C. Milia on the nose
D. Irregular breathing pattern
Answer: B. Nasal flaring
3. A nurse is assessing a newborn born vaginally with vacuum extractor assistance
and notes swelling over the head that crosses the suture lines. The nurse should
identify this as:
A. Cephalhematoma
B. Hydrocephalus
C. Caput succedaneum
D. Craniosynostosis
Answer: C. Caput succedaneum
4. A nurse is assessing a patient who gave birth 1 week ago. The client states, "I
love my baby, but I feel so let down and cry for no reason." The nurse should identify
this as:
A. Postpartum psychosis
B. Postpartum depression
C. Postpartum blues
D. Adjustment disorder
Answer: C. Postpartum blues (occurs 1–10 days after birth; depression lasts 1–12
months)
, 5. A nurse is assessing a patient at 31 weeks of gestation receiving magnesium
sulfate via continuous IV infusion for preterm labor. Which finding should the nurse
report?
A. Urine output of 35 mL/hr
B. Deep tendon reflexes 2+
C. Respiratory rate of 11/min
D. Serum magnesium level of 6 mEq/L
Answer: C. Respiratory rate of 11/min
6. A nurse is assessing a patient receiving oxytocin via continuous IV infusion for
labor induction. What is the nurse's priority action?
A. Monitor intake and output hourly
B. Perform electronic fetal monitoring
C. Assess the cervix for dilation
D. Check maternal blood pressure every 15 minutes
Answer: B. Perform electronic fetal monitoring
7. A nurse is caring for a newborn with a blood glucose of 45 mg/dL. What action
should the nurse take?
A. Administer IV dextrose immediately
B. Recheck blood glucose in 4 hours
C. Encourage the mother to breastfeed the newborn
D. Notify the provider immediately
Answer: C. Encourage the mother to breastfeed the newborn
8. A nurse is caring for a newborn whose father voices concerns about bonding.
Which action should the nurse take? (Select all that apply — choose the BEST
single answer)
A. Leave the father alone with the baby to encourage bonding naturally
B. Point out that the newborn turns toward his voice, encourage him to touch the
newborn, and demonstrate diapering and swaddling
C. Reassure the father that bonding happens naturally over time
D. Suggest the father observe feeding without participating
Answer: B. Point out that the newborn turns toward his voice, encourage touching,
and demonstrate diapering and swaddling
1. A nurse is assessing a newborn and observes a bluish-tinged area on the
buttocks. The nurse should document this as:
A. Ecchymosis
B. Hemangioma
C. Mongolian spots
D. Port-wine stain
Answer: C. Mongolian spots
2. A nurse is assessing a newborn who is 10 hours old. Which clinical finding should
the nurse report to the provider?
A. Acrocyanosis
B. Nasal flaring
C. Milia on the nose
D. Irregular breathing pattern
Answer: B. Nasal flaring
3. A nurse is assessing a newborn born vaginally with vacuum extractor assistance
and notes swelling over the head that crosses the suture lines. The nurse should
identify this as:
A. Cephalhematoma
B. Hydrocephalus
C. Caput succedaneum
D. Craniosynostosis
Answer: C. Caput succedaneum
4. A nurse is assessing a patient who gave birth 1 week ago. The client states, "I
love my baby, but I feel so let down and cry for no reason." The nurse should identify
this as:
A. Postpartum psychosis
B. Postpartum depression
C. Postpartum blues
D. Adjustment disorder
Answer: C. Postpartum blues (occurs 1–10 days after birth; depression lasts 1–12
months)
, 5. A nurse is assessing a patient at 31 weeks of gestation receiving magnesium
sulfate via continuous IV infusion for preterm labor. Which finding should the nurse
report?
A. Urine output of 35 mL/hr
B. Deep tendon reflexes 2+
C. Respiratory rate of 11/min
D. Serum magnesium level of 6 mEq/L
Answer: C. Respiratory rate of 11/min
6. A nurse is assessing a patient receiving oxytocin via continuous IV infusion for
labor induction. What is the nurse's priority action?
A. Monitor intake and output hourly
B. Perform electronic fetal monitoring
C. Assess the cervix for dilation
D. Check maternal blood pressure every 15 minutes
Answer: B. Perform electronic fetal monitoring
7. A nurse is caring for a newborn with a blood glucose of 45 mg/dL. What action
should the nurse take?
A. Administer IV dextrose immediately
B. Recheck blood glucose in 4 hours
C. Encourage the mother to breastfeed the newborn
D. Notify the provider immediately
Answer: C. Encourage the mother to breastfeed the newborn
8. A nurse is caring for a newborn whose father voices concerns about bonding.
Which action should the nurse take? (Select all that apply — choose the BEST
single answer)
A. Leave the father alone with the baby to encourage bonding naturally
B. Point out that the newborn turns toward his voice, encourage him to touch the
newborn, and demonstrate diapering and swaddling
C. Reassure the father that bonding happens naturally over time
D. Suggest the father observe feeding without participating
Answer: B. Point out that the newborn turns toward his voice, encourage touching,
and demonstrate diapering and swaddling
