ATI CAPSTONE MATERNAL NEWBORN
FULL STUDY GUIDE 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ 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. Answer: 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.. Answer: 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. Answer: 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. Answer: 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.. Answer: Have the client ambulate;
FULL STUDY GUIDE 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ 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. Answer: 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.. Answer: 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. Answer: 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. Answer: 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.. Answer: Have the client ambulate;