Capstone Maternal Newborn Pre-assessment EXAM 2025\CAPSTONE
Study online at https://quizlet.com/_hm0dxr
A nurse is caring for a newborn who has
hydrocephalus. Which of the following
Dilated scalp veins
manifestations should the nurse expect
find?
A nurse is caring for a preterm new-
born who has a nasogastric tube and
who recently began intermittent gavage
feedings of formula. The nurse notes
Necrotizing enterocolitis
increased abdominal distention, lethar-
gy, bloody stools, and increasing gas-
tric residuals before feedings. The should
suspect which of the following?
A nurse is caring for a client who is in ac-
tive labor and notes late decelerations on
Position the client on her side
the fetal monitor. Which of the following
is the priority nursing action?
A nurse is admitting a client who is at 36
weeks gestation and has painless, bright
red vaginal bleeding. The nurse should Placenta previa
recognize this finding as an indication of
which of the following conditions?
A nurse is admitting a term newborn fol-
lowing a cesarean birth. The nurse ob-
serves that the newborn's skin is slightly Maternal / Newborn blood group incom-
yellow. This finding indicates the new- patibility
born is experiencing a complication re-
lated to which of the following?
A nurse is planning care for a client who
is 2 hours postpartum following a ce-
sarean birth. The client has a history of
Have the client ambulate
thromboembolic disease. Which of the
following nursing interventions should be
included in the plan of care?
A nurse is planning care for a newborn
who has a new diagnosis of phenylke- Initiate a controlled low-protein diet
tonuria (PKU). Which of the following ac-
1/5
, Capstone Maternal Newborn Pre-assessment EXAM 2025\CAPSTONE
Study online at https://quizlet.com/_hm0dxr
tions should be included in the plan of
care?
A nurse is preparing to administer oxy-
gen via hood therapy to a newborn
who was born at 30 weeks of gestation. Maintain oxygen saturation between
Which of the following is an appropriate 93% to 95%
nursing action when providing care to the
infant?
A nurse is teaching a group of clients
who are in their first trimester about ex-
ercise during pregnancy. Which of the Moderate exercise improves circulation
following statements should the nurse in-
clude in the teaching?
A nurse is caring for a client who is
in labor and has an epidural anesthe-
sia block. The client's blood pressure is
Place the client in a lateral position
80/40 mm Hg and the fetal heart rate
is 140/min. Which of the following is the
priority nursing action?
A nurse is caring for a client who is
postpartum and finds the fundus slightly
boggy and displaced to the right. Based Assist the client to the bathroom to void
on these findings, which of the following
actions should the nurse take?
A nurse is teaching about fetal develop-
The baby's heartbeat is audible by a
ment to a group of clients in the antenatal
doppler stethoscope at 12 weeks of
clinic. Which of the following statements
pregnancy
should the nurse include in the teaching?
A nurse is caring for a client who is 4 hr
postpartum following a vaginal birth. The
client has saturated a perineal pad within Massage the client's fundus
10 min. Which of the following actions
should the nurse take first?
A nurse is caring for a client who has se-
vere preeclampsia and is receiving mag- Respiratory rate of 16
nesium sulfate IV at 2 g/hr. Which of the
2/5
Study online at https://quizlet.com/_hm0dxr
A nurse is caring for a newborn who has
hydrocephalus. Which of the following
Dilated scalp veins
manifestations should the nurse expect
find?
A nurse is caring for a preterm new-
born who has a nasogastric tube and
who recently began intermittent gavage
feedings of formula. The nurse notes
Necrotizing enterocolitis
increased abdominal distention, lethar-
gy, bloody stools, and increasing gas-
tric residuals before feedings. The should
suspect which of the following?
A nurse is caring for a client who is in ac-
tive labor and notes late decelerations on
Position the client on her side
the fetal monitor. Which of the following
is the priority nursing action?
A nurse is admitting a client who is at 36
weeks gestation and has painless, bright
red vaginal bleeding. The nurse should Placenta previa
recognize this finding as an indication of
which of the following conditions?
A nurse is admitting a term newborn fol-
lowing a cesarean birth. The nurse ob-
serves that the newborn's skin is slightly Maternal / Newborn blood group incom-
yellow. This finding indicates the new- patibility
born is experiencing a complication re-
lated to which of the following?
A nurse is planning care for a client who
is 2 hours postpartum following a ce-
sarean birth. The client has a history of
Have the client ambulate
thromboembolic disease. Which of the
following nursing interventions should be
included in the plan of care?
A nurse is planning care for a newborn
who has a new diagnosis of phenylke- Initiate a controlled low-protein diet
tonuria (PKU). Which of the following ac-
1/5
, Capstone Maternal Newborn Pre-assessment EXAM 2025\CAPSTONE
Study online at https://quizlet.com/_hm0dxr
tions should be included in the plan of
care?
A nurse is preparing to administer oxy-
gen via hood therapy to a newborn
who was born at 30 weeks of gestation. Maintain oxygen saturation between
Which of the following is an appropriate 93% to 95%
nursing action when providing care to the
infant?
A nurse is teaching a group of clients
who are in their first trimester about ex-
ercise during pregnancy. Which of the Moderate exercise improves circulation
following statements should the nurse in-
clude in the teaching?
A nurse is caring for a client who is
in labor and has an epidural anesthe-
sia block. The client's blood pressure is
Place the client in a lateral position
80/40 mm Hg and the fetal heart rate
is 140/min. Which of the following is the
priority nursing action?
A nurse is caring for a client who is
postpartum and finds the fundus slightly
boggy and displaced to the right. Based Assist the client to the bathroom to void
on these findings, which of the following
actions should the nurse take?
A nurse is teaching about fetal develop-
The baby's heartbeat is audible by a
ment to a group of clients in the antenatal
doppler stethoscope at 12 weeks of
clinic. Which of the following statements
pregnancy
should the nurse include in the teaching?
A nurse is caring for a client who is 4 hr
postpartum following a vaginal birth. The
client has saturated a perineal pad within Massage the client's fundus
10 min. Which of the following actions
should the nurse take first?
A nurse is caring for a client who has se-
vere preeclampsia and is receiving mag- Respiratory rate of 16
nesium sulfate IV at 2 g/hr. Which of the
2/5
