ATI Capstone Maternal, Newborn & Women's
Health Questions with Answers Graded A+
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 - Answer 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 - 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;
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. - Answer 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.
Health Questions with Answers Graded A+
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 - Answer 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 - 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;
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. - Answer 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.
