ATI CAPSTONE MATERNAL, NEWBORN, AND
WOMEN'S HEALTH EXAM WITH CORRECT
ANSWERS 2025
A nurse is caring for a newborn who has hydrocephalus. Which of the
following manifestations should the nurse expect to find?
i. Overriding suture lines
ii. Dilated scalp veins
iii. Hypertension
iv. A backward sloping appearance of the forehead - CORRECT-ANSWERS-
Dilated scalp veins;
Manifestations of hydrocephalus in newborns include dilated scalp veins,
separated sutures, and, in late infancy, frontal enlargement.
A nurse is caring for a preterm newborn who has a nasogastric tube and who
recently began intermittent gavage feedings of formula. The nurse notes
increased abdominal distention, lethargy, bloody stools, and increasing
gastric residuals before feedings. The nurse should suspect which of the
following?
I. Overstimulation
II. Necrotizing enterocolitis
III. Need for placement of a gastrostomy tube
IV. Intraventricular hemorrhage - CORRECT-ANSWERS- Necrotizing
enterocolitis;
Premature newborns who are formula fed are much more likely to contract
this acute inflammatory disease of the gastrointestinal mucosa.
A nurse is caring for a client who is in active labor and notes late
deceleration in the FHR. Which of the following actions should the nurse take
first?
I. Elevate the client's legs.
II. Position the client on her side.
III. Administer oxygen via face mask.
1
,IV. Increase the infusion rate of the IV fluid. - CORRECT-ANSWERS-
Position the client on her side;
Late decelerations stem from decreased blood perfusion to the placenta or
compression of the placenta. A position change should increase perfusion or
decrease compression, and it is the first intervention the nurse should try.
The greatest risk to the client is fetal hypoxia, so the priority action is the
one that has the best chance of improving fetal perfusion.
A nurse is admitting a client who is at 36 weeks gestation and has painless,
bright red vaginal bleeding. The nurse should recognize this finding as an
indication of which of the following conditions?
I. Abruptio placentae
II. Placenta previa
III. Precipitous labor
IV. Threatened abortion - CORRECT-ANSWERS- Placenta previa
Painless, bright red vaginal bleeding in the second or third trimester is a
manifestation of placenta previa.
A nurse is admitting a term newborn following a cesarean birth. The nurse
observes that the newborn's skin is slightly yellow. The finding indicates the
newborn is experiencing a complication related to which of the following?
I. Maternal/newborn blood group incompatibility
II. Absence of vitamin K
III. Physiologic jaundice
IV. Maternal cocaine abuse - CORRECT-ANSWERS- Maternal/newborn
blood group incompatibility;
Maternal/newborn blood group incompatibility is the most common form of
pathologic jaundice and the jaundice appears within the first 24 hr of life.
A nurse is planning care for a client who is 2 hrs postpartum following a
cesarean birth. The client has a history of thromboembolic disease. Which of
the following nursing interventions should be included in the plan of care?
2
, I. Apply warm, moist heat to the client's lower extremities.
II. Massage the client's posterior lower legs.
III. Place pillows under the client's knees when resting in bed.
IV. Have the client ambulate. - CORRECT-ANSWERS- Have the client
ambulate;
Venous stasis is a major cause of thrombophlebitis. To prevent clot formation,
have the client ambulate as soon as she can after delivery and as often as
possible.
A nurse is planning care for a newborn who has a new diagnosis of
phenylketonuria (PKU). Which of the following actions should be included in
the plan of care?
I. Initiate a controlled low-protein diet.
II. Educate parents on blood glucose monitoring.
III. Administer thyroid hormone replacement.
IV. Obtain a blood sample for blood type. - CORRECT-ANSWERS- Initiate
a controlled low-protein diet;
PKU is managed by eliminating phenylalanine from the diet. It is found in
most natural food proteins, such as milk and infant formulas. A special low-
protein, amino-acid formula that is low in phenylalanine is initiated and
included in the plan of care.
A nurse is preparing to administer oxygen via hood therapy to a newborn
who was born at 30 weeks of gestation. Which of the following is an
appropriate nursing action when providing care to this infant?
I. Remove the hood every hour for 10 min to facilitate bonding.
II. Insert an orogastric tube for decompression of the stomach.
III. Place the newborn in Trendelenburg position.
IV. Maintain oxygen saturations between 93% to 95%. - CORRECT-
ANSWERS- Rates of retinopathy of prematurity and
bronchopulmonary dysplasia in preterm newborns are reduced if
oxygen saturations are maintained between 93% and 95%.
3
WOMEN'S HEALTH EXAM WITH CORRECT
ANSWERS 2025
A nurse is caring for a newborn who has hydrocephalus. Which of the
following manifestations should the nurse expect to find?
i. Overriding suture lines
ii. Dilated scalp veins
iii. Hypertension
iv. A backward sloping appearance of the forehead - CORRECT-ANSWERS-
Dilated scalp veins;
Manifestations of hydrocephalus in newborns include dilated scalp veins,
separated sutures, and, in late infancy, frontal enlargement.
A nurse is caring for a preterm newborn who has a nasogastric tube and who
recently began intermittent gavage feedings of formula. The nurse notes
increased abdominal distention, lethargy, bloody stools, and increasing
gastric residuals before feedings. The nurse should suspect which of the
following?
I. Overstimulation
II. Necrotizing enterocolitis
III. Need for placement of a gastrostomy tube
IV. Intraventricular hemorrhage - CORRECT-ANSWERS- Necrotizing
enterocolitis;
Premature newborns who are formula fed are much more likely to contract
this acute inflammatory disease of the gastrointestinal mucosa.
A nurse is caring for a client who is in active labor and notes late
deceleration in the FHR. Which of the following actions should the nurse take
first?
I. Elevate the client's legs.
II. Position the client on her side.
III. Administer oxygen via face mask.
1
,IV. Increase the infusion rate of the IV fluid. - CORRECT-ANSWERS-
Position the client on her side;
Late decelerations stem from decreased blood perfusion to the placenta or
compression of the placenta. A position change should increase perfusion or
decrease compression, and it is the first intervention the nurse should try.
The greatest risk to the client is fetal hypoxia, so the priority action is the
one that has the best chance of improving fetal perfusion.
A nurse is admitting a client who is at 36 weeks gestation and has painless,
bright red vaginal bleeding. The nurse should recognize this finding as an
indication of which of the following conditions?
I. Abruptio placentae
II. Placenta previa
III. Precipitous labor
IV. Threatened abortion - CORRECT-ANSWERS- Placenta previa
Painless, bright red vaginal bleeding in the second or third trimester is a
manifestation of placenta previa.
A nurse is admitting a term newborn following a cesarean birth. The nurse
observes that the newborn's skin is slightly yellow. The finding indicates the
newborn is experiencing a complication related to which of the following?
I. Maternal/newborn blood group incompatibility
II. Absence of vitamin K
III. Physiologic jaundice
IV. Maternal cocaine abuse - CORRECT-ANSWERS- Maternal/newborn
blood group incompatibility;
Maternal/newborn blood group incompatibility is the most common form of
pathologic jaundice and the jaundice appears within the first 24 hr of life.
A nurse is planning care for a client who is 2 hrs postpartum following a
cesarean birth. The client has a history of thromboembolic disease. Which of
the following nursing interventions should be included in the plan of care?
2
, I. Apply warm, moist heat to the client's lower extremities.
II. Massage the client's posterior lower legs.
III. Place pillows under the client's knees when resting in bed.
IV. Have the client ambulate. - CORRECT-ANSWERS- Have the client
ambulate;
Venous stasis is a major cause of thrombophlebitis. To prevent clot formation,
have the client ambulate as soon as she can after delivery and as often as
possible.
A nurse is planning care for a newborn who has a new diagnosis of
phenylketonuria (PKU). Which of the following actions should be included in
the plan of care?
I. Initiate a controlled low-protein diet.
II. Educate parents on blood glucose monitoring.
III. Administer thyroid hormone replacement.
IV. Obtain a blood sample for blood type. - CORRECT-ANSWERS- Initiate
a controlled low-protein diet;
PKU is managed by eliminating phenylalanine from the diet. It is found in
most natural food proteins, such as milk and infant formulas. A special low-
protein, amino-acid formula that is low in phenylalanine is initiated and
included in the plan of care.
A nurse is preparing to administer oxygen via hood therapy to a newborn
who was born at 30 weeks of gestation. Which of the following is an
appropriate nursing action when providing care to this infant?
I. Remove the hood every hour for 10 min to facilitate bonding.
II. Insert an orogastric tube for decompression of the stomach.
III. Place the newborn in Trendelenburg position.
IV. Maintain oxygen saturations between 93% to 95%. - CORRECT-
ANSWERS- Rates of retinopathy of prematurity and
bronchopulmonary dysplasia in preterm newborns are reduced if
oxygen saturations are maintained between 93% and 95%.
3
