ATI CAPSTONE Maternal Newborn Study Guide Questions and Answers Updated 2026/2027 Version | Verified Answers

ATI CAPSTONE Maternal Newborn Study Guide Questions and Answers Updated 2026/2027 Version | Verified Answers 1. leopold maneuvers - ANSWER - performing external palpations of the maternal uterus through the abdominal wall to determine the number of fetuses, the presenting part, fetal lie, fetal attitude, degree of descent of the presenting part into the pelvis, and the location of the fetus's back to assess the fetal heart tones 2. vertex presentation - ANSWER Fetal heart tones should be assessed below the mother's umbilicus in either the right or left lower quadrant of the abdomen 3. breech presentation - ANSWER Fetal heart tones should be assessed above the mother's umbilicus in either the right- or left-upper quadrant of the abdomen. 4. nursing interventions for early decels of FHR - ANSWER - no interventions required 5. late decels of FHR - ANSWER - slowing of FHR after contraction has started w/ return of FHR to baseline well after contraction has ended a. causes of late decels of FHR - ANSWER - uteroplacental insufficiency causing inadequate fetal oxygenation b. insert an IV catheter if not in place, and increase rate of IV fluid admin c. discontinue oxytocin d. admin oxygen by mask at 8 L/min via nonrebreather face mask e. elevate client's legs f. notify HCP g. prep for assisted vaginal vaginal birth or c-section 6. variable decels of FHR - ANSWER - transitory, abrupt slowing of FHR 15/min or more below baseline for at least 15 seconds, variable in duration, intensity, and timing in relation to uterine contractions 7. causes of variable decels of FHR - ANSWER - umbilical cord prolapse a. short cord b. prolapsed cord c. nuchal cord (around fetal neck) 8. nursing interventions for variable decels of FHR - ANSWER - reposition client from side to side or into knee-chest a. discontinue oxytocin b. admin oxygen by mask at 8 L/min via nonrebreather face mask c. perform or assist w/ vaginal exam d. assist w/ amnioinfusion if prescribed 9. continuous internal fetal monitoring - ANSWER - with scalp electrode is performed by attaching a small spiral electrode to the presenting part of fetus to monitor the FHR a. wires attached to a leg plate thats placed on the client's thigh and then attached to fetal monitor 10. indications for continuous internal fetal monitoring - ANSWER - can be used in junction with IUPC a. to detect abnormal FHR patterns b. accurate assessment of FHR variability c. accurate measurement of uterine contraction intensity d. allows greater maternal freedom of movement bc tracing is not affected by fetal activity, maternal position changed, or obesity 11. disadvantages of continuous internal fetal monitoring - ANSWER - membranes must be ruptured to use a. cervix must be adequately dilated to min of 2-3 cm b. presenting part must have descended to place electrode c. potential risk of injury to fetus if electrode is not properly applied d. HCP, NP, RN, or midwife must perform it e. risk of infection 12. complications of continuous internal fetal monitoring - ANSWER - misinterpretation of patterns a. maternal or fetal infection b. fetal trauma if fetal monitoring electrode of IUPC are inserted into th vagina improperly c. supine hypotension secondary to internal monitor placement 13. discharge teaching includes - ANSWER - newborn care a. bathing b. umbilical cord care c. circumcision d. car seat safety e. environmental safety f. newborn behaviors g. feeding h. elimination i. clinical findings of illness 14. quieting techniques for newborn crying - ANSWER - swaddling a. skin to skin contact b. nonnutritive sucking w/ pacifier c. rhythmic noises to stimulate utero sounds d. movement (car ride, chair, infant swing) e. bounce legs on lap f. stimulation 15. cradle hold - ANSWER - Cradle the newborn's head in the bend of the elbow. This permits eye‑to‑eye contact and is a good position for feeding 16. upright hold - ANSWER - hold the newborn upright, and face them toward the holder while supporting the head, upper back, and buttocks a. football hold - ANSWER - Support half of the newborn's body in the holder's forearm with the newborn's head and neck resting in the palm of the hand b. This is a good position for breastfeeding and when shampooing the newborn's hair 17. how many BMs should the breast-fed newborn have a day? - ANSWER - 3 or more 18. how many wet diapers should the breast-fed newborn have a day? - ANSWER - 6 or more 19. cord care - ANSWER - sponge baths given until cord falls off a. fold cord underneath the top of the diaper b. keep it dry