ATI Capstone - Maternal Newborn Assessment Questions
The nurse is assessing a new mother's efforts to bond with her newly born
infant. Identify three (3) factors that can impact effective bonding between mother and
infant?
• A client’s emotional and physical condition (unwanted pregnancy, adolescent
pregnancy, history of depression, difficult pregnancy and birth)
• The newborn’s physical condition (prematurity, congenital anomalies) after birth can
affect the family’s bonding process.
• Culture, age, and socioeconomic level are factors that can influence the bonding
process. Bonding can be delayed secondary to maternal or neonatal factors
A nurse is providing community education regarding risk factors for ovarian cancer.
Identify five (5) risk factors associated with the development of ovarian
cancer. (Review the Med Surg RM)
• Age greater than 40 years
• Nulliparity or first pregnancy after 30 years of age
• Family history of ovarian, breast, or genetic mutation for hereditary
nonpolyposis colon cancer (HNPCC)
• BRCA1 or BRCA2 gene mutations
• Diabetes mellitus
• Early menarche/late menopause
• History of dysmenorrhea or heavy bleeding
• Endometriosis
• High‑fat diet (possible risk)
• Hormone replacement therapy
• Use of infertility medications
• Older adult clients following surgery for cancer
What are risks/possible complications/contraindications for the use of intrauterine
contraceptive devices?
• Best used by women in a monogamous relationship due to the risks of STIs
• Can cause irregular menstrual bleeding
• Risk of bacterial vaginosis, uterine perforation, or uterine expulsion
• Must be removed in the event of pregnancy
• Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for
copper IUD also Wilson’s diseases and copper allergy
A pregnant client has a history of giving birth to one set of twin boys, one term girl and
2 early spontaneous abortions. What is her gravida and para?
, G P = TPAL G5, P1123
What are five (5) risk factors that affect female fertility?
AGE greater than 35 years can affect fertility.
DURATION OF INFERTILITY:More than 1 year of coitus without contraceptives. For women
over the age 35 or who have a known risk factor, the recommendation is for 6 months.
MEDICAL HISTORY: Atypical secondary sexual characteristic, such as abnormal body fat
distribution or hair growth, is indicative of an endocrine disorder. Assessment should include
hormonal and adrenal gland disorders, as these can contribute to infertility.
SURGICAL HISTORY: Particularly pelvic and abdominal procedures.
OBSTETRIC HISTORY: Past episodes of spontaneous abortions. Other obstetric
assessments should include an evaluation of hormone levels throughout the client’s
cycle. This can provide information about anovulation, amenorrhea, and premature ovarian
failure.
GYNECOLOGIC HISTORY: Abnormal uterine contours or any history of disorders that can
contribute to the formation of scar tissue that can cause blockage of ovum
or sperm.
SEXUAL HISTORY: Intercourse frequency, number of partners across the lifespan, and any
history of STIs
A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area
of the newborn male?
• A tub bath should not be given until the circumcision is healed. Until then, warm water
should be trickled gently over the penis.
• Notify the provider if there is any redness, discharge, swelling, strong odor,
tenderness, decrease in urination, or excessive crying from the newborn.
• Tell the parents that a film of yellowish mucus can form over the glans by day two, and
it is important not to wash it off.
• Teach the parents to avoid using premoistened towelettes to clean the penis because
they contain alcohol
A nurse is providing discharge teaching to a new parent regarding cord care. What
information should be provided?
• Before discharge, the cord clamp is removed.
The nurse is assessing a new mother's efforts to bond with her newly born
infant. Identify three (3) factors that can impact effective bonding between mother and
infant?
• A client’s emotional and physical condition (unwanted pregnancy, adolescent
pregnancy, history of depression, difficult pregnancy and birth)
• The newborn’s physical condition (prematurity, congenital anomalies) after birth can
affect the family’s bonding process.
• Culture, age, and socioeconomic level are factors that can influence the bonding
process. Bonding can be delayed secondary to maternal or neonatal factors
A nurse is providing community education regarding risk factors for ovarian cancer.
Identify five (5) risk factors associated with the development of ovarian
cancer. (Review the Med Surg RM)
• Age greater than 40 years
• Nulliparity or first pregnancy after 30 years of age
• Family history of ovarian, breast, or genetic mutation for hereditary
nonpolyposis colon cancer (HNPCC)
• BRCA1 or BRCA2 gene mutations
• Diabetes mellitus
• Early menarche/late menopause
• History of dysmenorrhea or heavy bleeding
• Endometriosis
• High‑fat diet (possible risk)
• Hormone replacement therapy
• Use of infertility medications
• Older adult clients following surgery for cancer
What are risks/possible complications/contraindications for the use of intrauterine
contraceptive devices?
• Best used by women in a monogamous relationship due to the risks of STIs
• Can cause irregular menstrual bleeding
• Risk of bacterial vaginosis, uterine perforation, or uterine expulsion
• Must be removed in the event of pregnancy
• Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for
copper IUD also Wilson’s diseases and copper allergy
A pregnant client has a history of giving birth to one set of twin boys, one term girl and
2 early spontaneous abortions. What is her gravida and para?
, G P = TPAL G5, P1123
What are five (5) risk factors that affect female fertility?
AGE greater than 35 years can affect fertility.
DURATION OF INFERTILITY:More than 1 year of coitus without contraceptives. For women
over the age 35 or who have a known risk factor, the recommendation is for 6 months.
MEDICAL HISTORY: Atypical secondary sexual characteristic, such as abnormal body fat
distribution or hair growth, is indicative of an endocrine disorder. Assessment should include
hormonal and adrenal gland disorders, as these can contribute to infertility.
SURGICAL HISTORY: Particularly pelvic and abdominal procedures.
OBSTETRIC HISTORY: Past episodes of spontaneous abortions. Other obstetric
assessments should include an evaluation of hormone levels throughout the client’s
cycle. This can provide information about anovulation, amenorrhea, and premature ovarian
failure.
GYNECOLOGIC HISTORY: Abnormal uterine contours or any history of disorders that can
contribute to the formation of scar tissue that can cause blockage of ovum
or sperm.
SEXUAL HISTORY: Intercourse frequency, number of partners across the lifespan, and any
history of STIs
A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area
of the newborn male?
• A tub bath should not be given until the circumcision is healed. Until then, warm water
should be trickled gently over the penis.
• Notify the provider if there is any redness, discharge, swelling, strong odor,
tenderness, decrease in urination, or excessive crying from the newborn.
• Tell the parents that a film of yellowish mucus can form over the glans by day two, and
it is important not to wash it off.
• Teach the parents to avoid using premoistened towelettes to clean the penis because
they contain alcohol
A nurse is providing discharge teaching to a new parent regarding cord care. What
information should be provided?
• Before discharge, the cord clamp is removed.
