ATI Capstone Maternal, Newborn, and Women's Health REAL 2025
Study online at https://quizlet.com/_hm0dqf
A nurse is caring for a newborn who has
hydrocephalus. Which of the following
manifestations should the nurse expect Dilated scalp veins;
to find?
Manifestations of hydrocephalus in new-
Over-riding suture lines borns include dilated scalp veins, sepa-
Dilated scalp veins rated sutures, and, in late infancy, frontal
Hypertension enlargement.
A backward sloping appearance of the
forehead
A nurse is caring for a preterm new-
born who has nasogastric tube and
who recently began intermittent gavage
feedings of formula. The nurse notes
increased abdominal distention, lethar- Necrotizing enterocolitis;
gy, bloody stools, and increasing gas-
tric residuals before feedings. The nurse Premature newborns who are formula
should suspect which of the following? fed are much more likely to contract this
acute inflammatory disease of the gas-
Overstimulation trointestinal mucosa.
Necrotizing enterocolitis
Need for placement of a gastrostomy
tube
Intraventricular hemorrhage
Position the client on her side;
A nurse is caring for a client who is in ac-
Late decelerations stem from decreased
tive labor and notes late deceleration in
blood perfusion to the placenta or com-
the FHR. Which of the following actions
pression of the placenta. A position
should the nurse take first?
change should increase perfusion or de-
crease compression, and it is the first
Elevate the client's legs.
intervention the nurse should try. The
Position the client on her side.
greatest risk to the client is fetal hypoxia,
Administer oxygen via face mask.
so the priority action is the one that has
Increase the infusion rate of the IV fluid.
the best chance of improving fetal perfu-
sion.
A nurse is admitting a client who is at 36
weeks gestation and has painless, bright
, ATI Capstone Maternal, Newborn, and Women's Health REAL 2025
Study online at https://quizlet.com/_hm0dqf
red vaginal bleeding. The nurse should
recognize this finding as an indication of
Placenta previa;
which of the following conditions?
Painless, bright red vaginal bleeding in
Abruptio placentae
the second or third trimester is a mani-
Placenta previa
festation of placenta previa.
Precipitous labor
Threatened abortion
A nurse is admitting a term newborn fol-
lowing a cesarean birth. The nurse ob-
serves that the newborn's skin is slightly
Maternal/newborn blood group incom-
yellow. The finding indicates the newborn
patibility;
is experiencing a complication related to
which of the following?
Maternal/newborn blood group incom-
patibility is the most common form of
Maternal/newborn blood group incom-
pathologic jaundice and the jaundice ap-
patibility
pears within the first 24 hr of life.
Absence of vitamin K
Physiologic jaundice
Maternal cocaine abuse
A nurse is planning care for a client who
is 2 hrs postpartum following a cesarean
birth. The client has a history of throm-
boembolic disease. Which of the follow-
Have the client ambulate;
ing nursing interventions should be in-
cluded in the plan of care?
Venous stasis is a major cause of throm-
bophlebitis. To prevent clot formation,
Apply warm, moist heat to the client's
have the client ambulate as soon as she
lower extremities.
can after delivery and as often as possi-
Massage the client's posterior lower
ble.
legs.
Place pillows under the client's knees
when resting in bed.
Have the client ambulate.
A nurse is planning care for a newborn
Initiate a controlled low-protein diet;
who has a new diagnosis of phenylke-
tonuria (PKU). Which of the following ac-
PKU is managed by eliminating pheny-
tions should be included in the plan of
, ATI Capstone Maternal, Newborn, and Women's Health REAL 2025
Study online at https://quizlet.com/_hm0dqf
care?
lalanine from the diet. It is found in most
Initiate a controlled low-protein diet. natural food proteins, such as milk and
Educate parents on blood glucose mon- infant formulas. A special low-protein,
itoring. amino-acid formula that is low in pheny-
Administer thyroid hormone replace- lalanine is initiated and included in the
ment. plan of care.
Obtain a blood sample for blood type.
A nurse is preparing to administer oxy-
gen 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? Rates of retinopathy of prematurity and
bronchopulmonary dysplasia in preterm
Remove the hood every hour for 10 min newborns are reduced if oxygen satura-
to facilitate bonding. tions are maintained between 93% and
Insert an orogastric tube for decompres- 95%.
sion of the stomach.
Place the newborn in Trendelenburg po-
sition.
Maintain oxygen saturations between
93% to 95%.
A nurse is teaching a group of clients
who are in their first trimester about ex-
ercise during pregnancy. Which of the
following statements should the nurse in- "Moderate exercise improves circula-
clude in the teaching? tion.";
"Refrain from exercises that include Improving circulation is just one of the
stretching." many benefits of moderate exercise dur-
"Moderate exercise improves circula- ing pregnancy. It enhances well-being,
tion." promotes rest and relaxation, and im-
"It is recommended to increase your proves muscle tone.
weight-bearing exercises."
"It is recommended to rest for 30 minutes
before each new exercise."
Study online at https://quizlet.com/_hm0dqf
A nurse is caring for a newborn who has
hydrocephalus. Which of the following
manifestations should the nurse expect Dilated scalp veins;
to find?
Manifestations of hydrocephalus in new-
Over-riding suture lines borns include dilated scalp veins, sepa-
Dilated scalp veins rated sutures, and, in late infancy, frontal
Hypertension enlargement.
A backward sloping appearance of the
forehead
A nurse is caring for a preterm new-
born who has nasogastric tube and
who recently began intermittent gavage
feedings of formula. The nurse notes
increased abdominal distention, lethar- Necrotizing enterocolitis;
gy, bloody stools, and increasing gas-
tric residuals before feedings. The nurse Premature newborns who are formula
should suspect which of the following? fed are much more likely to contract this
acute inflammatory disease of the gas-
Overstimulation trointestinal mucosa.
Necrotizing enterocolitis
Need for placement of a gastrostomy
tube
Intraventricular hemorrhage
Position the client on her side;
A nurse is caring for a client who is in ac-
Late decelerations stem from decreased
tive labor and notes late deceleration in
blood perfusion to the placenta or com-
the FHR. Which of the following actions
pression of the placenta. A position
should the nurse take first?
change should increase perfusion or de-
crease compression, and it is the first
Elevate the client's legs.
intervention the nurse should try. The
Position the client on her side.
greatest risk to the client is fetal hypoxia,
Administer oxygen via face mask.
so the priority action is the one that has
Increase the infusion rate of the IV fluid.
the best chance of improving fetal perfu-
sion.
A nurse is admitting a client who is at 36
weeks gestation and has painless, bright
, ATI Capstone Maternal, Newborn, and Women's Health REAL 2025
Study online at https://quizlet.com/_hm0dqf
red vaginal bleeding. The nurse should
recognize this finding as an indication of
Placenta previa;
which of the following conditions?
Painless, bright red vaginal bleeding in
Abruptio placentae
the second or third trimester is a mani-
Placenta previa
festation of placenta previa.
Precipitous labor
Threatened abortion
A nurse is admitting a term newborn fol-
lowing a cesarean birth. The nurse ob-
serves that the newborn's skin is slightly
Maternal/newborn blood group incom-
yellow. The finding indicates the newborn
patibility;
is experiencing a complication related to
which of the following?
Maternal/newborn blood group incom-
patibility is the most common form of
Maternal/newborn blood group incom-
pathologic jaundice and the jaundice ap-
patibility
pears within the first 24 hr of life.
Absence of vitamin K
Physiologic jaundice
Maternal cocaine abuse
A nurse is planning care for a client who
is 2 hrs postpartum following a cesarean
birth. The client has a history of throm-
boembolic disease. Which of the follow-
Have the client ambulate;
ing nursing interventions should be in-
cluded in the plan of care?
Venous stasis is a major cause of throm-
bophlebitis. To prevent clot formation,
Apply warm, moist heat to the client's
have the client ambulate as soon as she
lower extremities.
can after delivery and as often as possi-
Massage the client's posterior lower
ble.
legs.
Place pillows under the client's knees
when resting in bed.
Have the client ambulate.
A nurse is planning care for a newborn
Initiate a controlled low-protein diet;
who has a new diagnosis of phenylke-
tonuria (PKU). Which of the following ac-
PKU is managed by eliminating pheny-
tions should be included in the plan of
, ATI Capstone Maternal, Newborn, and Women's Health REAL 2025
Study online at https://quizlet.com/_hm0dqf
care?
lalanine from the diet. It is found in most
Initiate a controlled low-protein diet. natural food proteins, such as milk and
Educate parents on blood glucose mon- infant formulas. A special low-protein,
itoring. amino-acid formula that is low in pheny-
Administer thyroid hormone replace- lalanine is initiated and included in the
ment. plan of care.
Obtain a blood sample for blood type.
A nurse is preparing to administer oxy-
gen 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? Rates of retinopathy of prematurity and
bronchopulmonary dysplasia in preterm
Remove the hood every hour for 10 min newborns are reduced if oxygen satura-
to facilitate bonding. tions are maintained between 93% and
Insert an orogastric tube for decompres- 95%.
sion of the stomach.
Place the newborn in Trendelenburg po-
sition.
Maintain oxygen saturations between
93% to 95%.
A nurse is teaching a group of clients
who are in their first trimester about ex-
ercise during pregnancy. Which of the
following statements should the nurse in- "Moderate exercise improves circula-
clude in the teaching? tion.";
"Refrain from exercises that include Improving circulation is just one of the
stretching." many benefits of moderate exercise dur-
"Moderate exercise improves circula- ing pregnancy. It enhances well-being,
tion." promotes rest and relaxation, and im-
"It is recommended to increase your proves muscle tone.
weight-bearing exercises."
"It is recommended to rest for 30 minutes
before each new exercise."
