ATI CAPSTONE MATERNAL NEWBORN ASSESSMENT
QUESTIONS AND ANSWERS ()
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.
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.
A nurse is reviewing a client's medical record and notes that the client is taking
tamoxifen. The nurse should identify that tamoxifen is used to treat which of the
following conditions? - ANSWER-Breast cancer
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 nurse should discontinue the infusion? - ANSWER-Contraction duration of 100
seconds.
A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has
phenylketonuria. Which of the following suggested foods should the nurse include in the teaching? -
ANSWER-A sliced apple and red grapes.
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has
preeclampsia. Which of the following laboratory results should the nurse report to the provider? -
ANSWER-BUN 35 mg/dL
A nurse is providing teaching about newborn safety to a client who is being admitted for induction of
labor. Which of the following client statements indicate and understanding of the teaching? -
ANSWER-I will check the identification badge of anyone who removes my baby from our room.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should
the nurse identify as an indication of a potential prenatal complication? - ANSWER-Blurred vision.
A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following
findings should the nurse report to the provider? - ANSWER-Hemoglobin 12 g/dL
A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the
following clinical manifestations is an adverse effect of epidural anesthesia? - ANSWER-Pruritus
A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the
following client statements indicate an understanding of the teaching? - ANSWER-I should check for
the string each month after menstruation.
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the nurse
report to the provider? - ANSWER-Nasal flaring.
A nurse is assessing a client who gave birth 1 week ago. The client states, "I don't know what's wrong.
I love my baby, but I feel so let down and I seem to cry for no reason. The nurse should identify the
client is experiencing which of the following responses to birth? - ANSWER-Postpartum blues
QUESTIONS AND ANSWERS ()
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.
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.
A nurse is reviewing a client's medical record and notes that the client is taking
tamoxifen. The nurse should identify that tamoxifen is used to treat which of the
following conditions? - ANSWER-Breast cancer
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 nurse should discontinue the infusion? - ANSWER-Contraction duration of 100
seconds.
A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has
phenylketonuria. Which of the following suggested foods should the nurse include in the teaching? -
ANSWER-A sliced apple and red grapes.
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has
preeclampsia. Which of the following laboratory results should the nurse report to the provider? -
ANSWER-BUN 35 mg/dL
A nurse is providing teaching about newborn safety to a client who is being admitted for induction of
labor. Which of the following client statements indicate and understanding of the teaching? -
ANSWER-I will check the identification badge of anyone who removes my baby from our room.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should
the nurse identify as an indication of a potential prenatal complication? - ANSWER-Blurred vision.
A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following
findings should the nurse report to the provider? - ANSWER-Hemoglobin 12 g/dL
A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the
following clinical manifestations is an adverse effect of epidural anesthesia? - ANSWER-Pruritus
A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the
following client statements indicate an understanding of the teaching? - ANSWER-I should check for
the string each month after menstruation.
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the nurse
report to the provider? - ANSWER-Nasal flaring.
A nurse is assessing a client who gave birth 1 week ago. The client states, "I don't know what's wrong.
I love my baby, but I feel so let down and I seem to cry for no reason. The nurse should identify the
client is experiencing which of the following responses to birth? - ANSWER-Postpartum blues
