ATI CAPSTONE MATERNAL NEWBORN ASSESSMENT Questions and Answers Updated 2026/2027 Version | Verified Answers

ATI CAPSTONE MATERNAL NEWBORN ASSESSMENT Questions and Answers Updated 2026/2027 Version | Verified Answers 1. A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "This shot may be given after birth to protect future pregnancies." 2. A nurse is teaching the parent of a newborn about car seat safety. Which of the following statements should the nurse make? - ANSWER "You should keep the car seat rear-facing until your baby is at least 2 years old." 3. A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus ß-hemolytic infection. Which of the following medications should the nurse plan to administer? - ANSWER Ampicillin 4. A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider? - ANSWER Platelets 140,000/m 5. A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following? - ANSWER Gravida 4, Para 2 6. A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first? - ANSWER Change the client's position. 7. A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility? - ANSWER Premature ovarian failure 8. A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility? - ANSWER Premature ovarian failure 9. A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer? - ANSWER Vitamin B6 10. A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a non-stress test. Which of the following statements should the nurse plan to make? - ANSWER "You should expect the test to take about 30 minutes." 11. A nurse is assessing a client who gave birth 12 hr ago and is experiencing excessive vaginal bleeding. Which of the following findings indicates the client is experiencing decreased cardiac output? - ANSWER Hypotension 12. A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication? (Select all that apply.) - ANSWER "Are you taking over-the-counter medications?" "Do you have a history of gastric problems?" "Are you being treated for high blood pressure?" 13. A nurse is planning care for a client who is 2 weeks postpartum and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.) - ANSWER Instruct the client to wash their hands prior to breastfeeding. Teach the client about proper latching-on techniques. Encourage the client to allow their nipples to air dry after feedings 14. A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication? - ANSWER Heart disease 15. A nurse is teaching a client who is to start using a diaphragm for contraception. Which of the following client statements indicate an understanding of the teaching? - ANSWER "I will place 2 teaspoons of spermicide on the inside of the diaphragm before inserting it." 16. A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the following information should the nurse include in the teaching? - ANSWER "Avoid having sexual intercourse for 24 hours prior to the Pap test." 17. A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR? - ANSWER Head compression 18. A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia? - ANSWER Jitteriness 19. A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include? - ANSWER Reposition the newborn every 2 to 3 hr. 20. A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include? - ANSWER "Wash the penis once per day with soap and water." 21. A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take? - ANSWER Assist the client into the knee-chest position. 22. A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect? - ANSWER Moderate tremors of the extremities. 23. A nurse is reviewing a client's medical record and notes that the client is takingta moxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions? - ANSWER Breast cancer 24. A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the