2026 ATI CAPSTONE MATERNAL NEWBORN RETAKE 2 EXAM
170 RELIABLE & VERIFIED QUESTIONS & ANSWERS
1) Which of the following assessment findings in an infant should indicate to a nurse that suctioning of the nasopharynx
is needed?
A) The infant is beginning to cough
B) The newborns pulse oximetry is 91
C) The infant's respiratory rate is 32/min.
D) The infant's respiratory rate is irregular
2) A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Which
of the following instructions should the nurse give to the client?
A) Take more insulin with each meal that you did prior to pre pregnancy
B) Maintain scheduled mealtimes for yourself
C) Check your blood glucose levels every 8 hours
D) Limit your carbohydrate intake to 30 grams per day
3) A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concerns
about preparing her 2-year-old for a new sibling.
A) Move your toddler to his new bed 2 months before the baby comes home
B) Avoid bringing your toddler to prenatal visits
C) Require scheduled interactions between the toddler and the baby
D) Let your toddler see you carry the baby into the home for the first time
4) A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses.
Which of the following instructions should the nurse manager include in the teaching?
A) Place newborn bassinets at least 3 feet apart
B) Maintain airborne precautions
C) Allow parents to enter the nursery if wearing a mask
D) Place the newborns foot on a sterile field during a heel stick
5) A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse
observes a drop in the client’s blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged
bradycardia. Which of the following complications should the nurse expect?
A) Placenta Previa
B) Amniotic fluid embolism
C) Uterine rupture
D) Umbilical cord prolapse
6) A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes. Which of the
following medications should the nurse expect to administer?
A) Nifedipine
B) Chlorpromazine
C) Glyburide
D) Levothyroxine
7) 1) assess the newborn for reflex bradycardia 2) compress the bulb syringe 3) place bulb in mouth 4) use the bulb
syringe to suction nose
8) A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the
nurse report to the provider?
A) Urine protein of 3+
B) Deep tendon reflexes of 2+
C) Hemoglobin 13
D) Blood glucose 110
9) A nurse is admitting a client who is at 38 weeks gestation following spontaneous rupture of membranes. The nurse
performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take
first?
A) Request that the provider insert an intrauterine pressure catheter
B) Initiate oxytocin via continuous IV infusion
, C) Place the client in a left lateral position
D) Exert continuous upward pressure on the presenting parts
10) A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the
client?
A) An urge to have a bowel movement during contractions
B) Progressive sacral discomfort during contractions
C) A sense of excitement and warm, flushed skin
D) Intense contractions lasting 45 to 60 seconds
11) A charge curse is teaching a newly licensed nurse about Rh immune globulin administration. Which of the following
should the charge nurse include as an indication for the administration of Rh immune globulin?
A) Hyperemesis gravidarum
B) Rh-positive blood test results
C) Prescription for amniocentesis
D) Anemia
12) A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior
position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum
impulse of the fetal heart rate?
A) LLQ
B) LUQ
C) RLQ
D) RUQ
13) A nurse is assessing the reflexes of a term newborn. After placing the newborn in a supine position, which
of thefollowing would the nurse use to elicit the Moro reflex
A) Turn the newborn’s head to one side
B) Make a loud noise above the newborn
C) Tap the newborns forehead with a finger
D) Touch the newborns cheek with a finger
14) A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the
followingactions should the nurse include in the plan?
A) Give the newborn 1 oz of glucose water every 4 hours
B) Apply a thin layer of lotion to the newborns skin every 8 hours
C) Dress the newborn in a thin layer of clothing during the therapy
D) Ensure the newborns eyes are closed beneath the shield
15) A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients
shouldthe nurse asses first?
A) A client who has hyperemesis gravidarum and a sodium level of 110
B) A client who has preeclampsia and a creatine level of 1.1
C) A client who has diabetes mellitus and an HbA1c of 5.8
D) A client who has placenta previa a hematocrit of 36
16) A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes. The test
reveals noaccelerations of the fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
A) Perform vibroacoustic stimulation
B) Collect a specimen for an indirect Coomb’s test
C) Conduct a vaginal exam
D) Place the client in the Trendelenburg position
17) A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has pelvic inflammatory disease and
weighs132 lb. Available is gentamycin injection 40 mg/ml. How many ml should the nurse administer? 3 mL
18) A nurse is caring for a client who is 1-day post-partum and breastfeeding her newborn. The client reports sore
nipples.Which of the following actions should the nurse take?
A) Have the client limit the length of breastfeeding to 5 minutes per breast
B) Assess the newborns latch while breastfeeding
C) Offer supplemental formula between the newborn’s feedings
D) Instruct the client to wait 4 hours between daytime feedings
170 RELIABLE & VERIFIED QUESTIONS & ANSWERS
1) Which of the following assessment findings in an infant should indicate to a nurse that suctioning of the nasopharynx
is needed?
A) The infant is beginning to cough
B) The newborns pulse oximetry is 91
C) The infant's respiratory rate is 32/min.
D) The infant's respiratory rate is irregular
2) A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Which
of the following instructions should the nurse give to the client?
A) Take more insulin with each meal that you did prior to pre pregnancy
B) Maintain scheduled mealtimes for yourself
C) Check your blood glucose levels every 8 hours
D) Limit your carbohydrate intake to 30 grams per day
3) A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concerns
about preparing her 2-year-old for a new sibling.
A) Move your toddler to his new bed 2 months before the baby comes home
B) Avoid bringing your toddler to prenatal visits
C) Require scheduled interactions between the toddler and the baby
D) Let your toddler see you carry the baby into the home for the first time
4) A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses.
Which of the following instructions should the nurse manager include in the teaching?
A) Place newborn bassinets at least 3 feet apart
B) Maintain airborne precautions
C) Allow parents to enter the nursery if wearing a mask
D) Place the newborns foot on a sterile field during a heel stick
5) A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse
observes a drop in the client’s blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged
bradycardia. Which of the following complications should the nurse expect?
A) Placenta Previa
B) Amniotic fluid embolism
C) Uterine rupture
D) Umbilical cord prolapse
6) A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes. Which of the
following medications should the nurse expect to administer?
A) Nifedipine
B) Chlorpromazine
C) Glyburide
D) Levothyroxine
7) 1) assess the newborn for reflex bradycardia 2) compress the bulb syringe 3) place bulb in mouth 4) use the bulb
syringe to suction nose
8) A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the
nurse report to the provider?
A) Urine protein of 3+
B) Deep tendon reflexes of 2+
C) Hemoglobin 13
D) Blood glucose 110
9) A nurse is admitting a client who is at 38 weeks gestation following spontaneous rupture of membranes. The nurse
performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take
first?
A) Request that the provider insert an intrauterine pressure catheter
B) Initiate oxytocin via continuous IV infusion
, C) Place the client in a left lateral position
D) Exert continuous upward pressure on the presenting parts
10) A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the
client?
A) An urge to have a bowel movement during contractions
B) Progressive sacral discomfort during contractions
C) A sense of excitement and warm, flushed skin
D) Intense contractions lasting 45 to 60 seconds
11) A charge curse is teaching a newly licensed nurse about Rh immune globulin administration. Which of the following
should the charge nurse include as an indication for the administration of Rh immune globulin?
A) Hyperemesis gravidarum
B) Rh-positive blood test results
C) Prescription for amniocentesis
D) Anemia
12) A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior
position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum
impulse of the fetal heart rate?
A) LLQ
B) LUQ
C) RLQ
D) RUQ
13) A nurse is assessing the reflexes of a term newborn. After placing the newborn in a supine position, which
of thefollowing would the nurse use to elicit the Moro reflex
A) Turn the newborn’s head to one side
B) Make a loud noise above the newborn
C) Tap the newborns forehead with a finger
D) Touch the newborns cheek with a finger
14) A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the
followingactions should the nurse include in the plan?
A) Give the newborn 1 oz of glucose water every 4 hours
B) Apply a thin layer of lotion to the newborns skin every 8 hours
C) Dress the newborn in a thin layer of clothing during the therapy
D) Ensure the newborns eyes are closed beneath the shield
15) A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients
shouldthe nurse asses first?
A) A client who has hyperemesis gravidarum and a sodium level of 110
B) A client who has preeclampsia and a creatine level of 1.1
C) A client who has diabetes mellitus and an HbA1c of 5.8
D) A client who has placenta previa a hematocrit of 36
16) A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes. The test
reveals noaccelerations of the fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
A) Perform vibroacoustic stimulation
B) Collect a specimen for an indirect Coomb’s test
C) Conduct a vaginal exam
D) Place the client in the Trendelenburg position
17) A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has pelvic inflammatory disease and
weighs132 lb. Available is gentamycin injection 40 mg/ml. How many ml should the nurse administer? 3 mL
18) A nurse is caring for a client who is 1-day post-partum and breastfeeding her newborn. The client reports sore
nipples.Which of the following actions should the nurse take?
A) Have the client limit the length of breastfeeding to 5 minutes per breast
B) Assess the newborns latch while breastfeeding
C) Offer supplemental formula between the newborn’s feedings
D) Instruct the client to wait 4 hours between daytime feedings
