1
ATI Capstone Maternal Newborn
Assessment 2023 DETAILED Questions
and VERIFIED ANSWERS LATEST 2025-
2026.
A nurse is reinforcing teaching to a class of pregnant women about fetal development.
Which of the following statements should the nurse include in her teaching?
"The baby's heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy"
"The sex of the baby is determined by week 8 of pregnancy"
"Very fine hairs, called lanugo, cover your baby's entire body by week 36 of
pregnancy"
"You will first feel your baby move by week 24 of pregnancy" - ANSWERS-"The baby's
heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy"
A nurse who is administering vitamin K to a newborn understands that this is done to
decrease the newborn's risk of hemorrhagic disorders
decrease the newborn's risk of jaundice
decrease the newborn's risk of nosocomial infections
decrease the newborn's risk of complications from the Hepatitis B vaccine -
ANSWERS-Decrease the newborn's risk of hemorrhagic disorders; newborns cannot
,2
produce vitamin K until about 8 days after birth.
A nurse who is caring for a newborn observes signs of diaphoresis, jitteriness, and
lethargy. Which of the following is the appropriate nursing action?
obtain blood glucose by heel stick
initiate phototherapy
measure the newborn's blood pressure
place the newborn in a radiant warmer - ANSWERS-Obtain blood glucose by heel
stick; the newborn is exhibiting early signs of hypoglycemia. Other signs include poor
,feeding, tremors, hypothermia, flaccid muscle tone, irregular respirations, apnea,
cyanosis, and a weak shrill cry.
A nurse is caring for a client in the immediate postpartum period. The nurse realizes
that the client is at risk for postpartal hemorrhage due to uterine atony because she
had a
midline episiotomy
precipitous delivery
vaginal delivery
periurethral tear - ANSWERS-Precipitous deliver; the risk of uterine atony increases
whenever the uterus has been overstressed or overstretched, as with a precipitous
delivery (one that occurs in less than 2.5 hours).
A nurse is reinforcing discharge teaching to a group of clients who are 2 days
postpartum. Which of the following should the nurse include in the teaching?
"You should breastfeed your newborn 6-8 times daily
"If you give formula to your newborn, expect at least one stool every 24 hours"
"If you breastfeed your newborn, expect 2-3 stools per day
"You should feed your baby formula every 2 hours" - ANSWERS-"If you breastfeed
your newborn, expect two to three stools per day"
, A nurse is caring for a client at the prenatal clinic who is at 38 weeks gestation with
heavy, red vaginal bleeding without contractions that started spontaneously. She is in
no distress and states that she can "feel the baby moving". The nurse should explain
to the client that the stat ultrasound the provider prescribed will determine
fetal lung maturity
location of the placenta
fetal viability
biparietal diameter - ANSWERS-Location of the placenta; painless, spontaneous
vaginal bleeding may be an indication of placenta previa. The provider can identify the
location of the placenta and urgency of the delivery.
A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at
8 weeks of gestation. Which of the following is an expected finding for this client?
uterine enlargement greater than expected for gestational age
copious vaginal bleeding
severe nausea and vomiting
pelvic pain - ANSWERS-Pelvic pain; early sign of ectopic pregnancy.
Two hours after a spontaneous vaginal delivery, a client has saturated two perineal
pads with blood in a 30-min period. Which of the following actions is the priority for the
nurse to take at this time?
check the consistency of the client's uterine fundus.
have the client use the bedpan to urinate
ATI Capstone Maternal Newborn
Assessment 2023 DETAILED Questions
and VERIFIED ANSWERS LATEST 2025-
2026.
A nurse is reinforcing teaching to a class of pregnant women about fetal development.
Which of the following statements should the nurse include in her teaching?
"The baby's heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy"
"The sex of the baby is determined by week 8 of pregnancy"
"Very fine hairs, called lanugo, cover your baby's entire body by week 36 of
pregnancy"
"You will first feel your baby move by week 24 of pregnancy" - ANSWERS-"The baby's
heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy"
A nurse who is administering vitamin K to a newborn understands that this is done to
decrease the newborn's risk of hemorrhagic disorders
decrease the newborn's risk of jaundice
decrease the newborn's risk of nosocomial infections
decrease the newborn's risk of complications from the Hepatitis B vaccine -
ANSWERS-Decrease the newborn's risk of hemorrhagic disorders; newborns cannot
,2
produce vitamin K until about 8 days after birth.
A nurse who is caring for a newborn observes signs of diaphoresis, jitteriness, and
lethargy. Which of the following is the appropriate nursing action?
obtain blood glucose by heel stick
initiate phototherapy
measure the newborn's blood pressure
place the newborn in a radiant warmer - ANSWERS-Obtain blood glucose by heel
stick; the newborn is exhibiting early signs of hypoglycemia. Other signs include poor
,feeding, tremors, hypothermia, flaccid muscle tone, irregular respirations, apnea,
cyanosis, and a weak shrill cry.
A nurse is caring for a client in the immediate postpartum period. The nurse realizes
that the client is at risk for postpartal hemorrhage due to uterine atony because she
had a
midline episiotomy
precipitous delivery
vaginal delivery
periurethral tear - ANSWERS-Precipitous deliver; the risk of uterine atony increases
whenever the uterus has been overstressed or overstretched, as with a precipitous
delivery (one that occurs in less than 2.5 hours).
A nurse is reinforcing discharge teaching to a group of clients who are 2 days
postpartum. Which of the following should the nurse include in the teaching?
"You should breastfeed your newborn 6-8 times daily
"If you give formula to your newborn, expect at least one stool every 24 hours"
"If you breastfeed your newborn, expect 2-3 stools per day
"You should feed your baby formula every 2 hours" - ANSWERS-"If you breastfeed
your newborn, expect two to three stools per day"
, A nurse is caring for a client at the prenatal clinic who is at 38 weeks gestation with
heavy, red vaginal bleeding without contractions that started spontaneously. She is in
no distress and states that she can "feel the baby moving". The nurse should explain
to the client that the stat ultrasound the provider prescribed will determine
fetal lung maturity
location of the placenta
fetal viability
biparietal diameter - ANSWERS-Location of the placenta; painless, spontaneous
vaginal bleeding may be an indication of placenta previa. The provider can identify the
location of the placenta and urgency of the delivery.
A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at
8 weeks of gestation. Which of the following is an expected finding for this client?
uterine enlargement greater than expected for gestational age
copious vaginal bleeding
severe nausea and vomiting
pelvic pain - ANSWERS-Pelvic pain; early sign of ectopic pregnancy.
Two hours after a spontaneous vaginal delivery, a client has saturated two perineal
pads with blood in a 30-min period. Which of the following actions is the priority for the
nurse to take at this time?
check the consistency of the client's uterine fundus.
have the client use the bedpan to urinate
