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ATI Capstone Maternal, Newborn, and
Women's Health Questions with Answers
A nurse is caring for a newborn who has hydrocephalus. Which of the following
manifestations should the nurse expect to find?
Over-riding suture lines
Dilated scalp veins
Hypertension
A backward sloping appearance of the forehead
Ans: 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 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?
Overstimulation
Necrotizing enterocolitis
Need for placement of a gastrostomy tube
Intraventricular hemorrhage
Ans: 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?
Elevate the client's legs.
Position the client on her side.
Administer oxygen via face mask.
Increase the infusion rate of the IV fluid.
Q&A
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Ans: 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?
Abruptio placentae
Placenta previa
Precipitous labor
Threatened abortion
Ans: 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?
Maternal/newborn blood group incompatibility
Absence of vitamin K
Physiologic jaundice
Maternal cocaine abuse
Ans: 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?
Apply warm, moist heat to the client's lower extremities.
Massage the client's posterior lower legs.
Place pillows under the client's knees when resting in bed.
Have the client ambulate.
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: 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?
Initiate a controlled low-protein diet.
Educate parents on blood glucose monitoring.
Administer thyroid hormone replacement.
Obtain a blood sample for blood type.
Ans: 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?
Remove the hood every hour for 10 min to facilitate bonding.
Insert an orogastric tube for decompression of the stomach.
Place the newborn in Trendelenburg position.
Maintain oxygen saturations between 93% to 95%.
Ans: Rates of retinopathy of prematurity and bronchopulmonary dysplasia in preterm
newborns are reduced if oxygen saturations are maintained between 93% and 95%.
A nurse is teaching a group of clients who are in their first trimester about exercise
during pregnancy. Which of the following statements should the nurse include in the
teaching?
"Refrain from exercises that include stretching."
"Moderate exercise improves circulation."
"It is recommended to increase your weight-bearing exercises."
"It is recommended to rest for 30 minutes before each new exercise."
Q&A
ATI Capstone Maternal, Newborn, and
Women's Health Questions with Answers
A nurse is caring for a newborn who has hydrocephalus. Which of the following
manifestations should the nurse expect to find?
Over-riding suture lines
Dilated scalp veins
Hypertension
A backward sloping appearance of the forehead
Ans: 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 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?
Overstimulation
Necrotizing enterocolitis
Need for placement of a gastrostomy tube
Intraventricular hemorrhage
Ans: 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?
Elevate the client's legs.
Position the client on her side.
Administer oxygen via face mask.
Increase the infusion rate of the IV fluid.
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: 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?
Abruptio placentae
Placenta previa
Precipitous labor
Threatened abortion
Ans: 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?
Maternal/newborn blood group incompatibility
Absence of vitamin K
Physiologic jaundice
Maternal cocaine abuse
Ans: 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?
Apply warm, moist heat to the client's lower extremities.
Massage the client's posterior lower legs.
Place pillows under the client's knees when resting in bed.
Have the client ambulate.
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: 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?
Initiate a controlled low-protein diet.
Educate parents on blood glucose monitoring.
Administer thyroid hormone replacement.
Obtain a blood sample for blood type.
Ans: 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?
Remove the hood every hour for 10 min to facilitate bonding.
Insert an orogastric tube for decompression of the stomach.
Place the newborn in Trendelenburg position.
Maintain oxygen saturations between 93% to 95%.
Ans: Rates of retinopathy of prematurity and bronchopulmonary dysplasia in preterm
newborns are reduced if oxygen saturations are maintained between 93% and 95%.
A nurse is teaching a group of clients who are in their first trimester about exercise
during pregnancy. Which of the following statements should the nurse include in the
teaching?
"Refrain from exercises that include stretching."
"Moderate exercise improves circulation."
"It is recommended to increase your weight-bearing exercises."
"It is recommended to rest for 30 minutes before each new exercise."
Q&A
