ATI Capstone Maternal Newborn
Assessment Exam 2026 All Possible
Questions and Answers with complete
solution ||
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
A nurse is providing teaching to a group of women about risk factors for ovarian cancer.
Which of the following risk factors should the nurse include? (Select all that apply.) -
ANSWER Nulliparity
History of breast cancer
Hormone replacement therapy
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing
continuous abdominal pain and vaginal bleeding. The client has a history of cocaine
use. The nurse should identify that the client is likely experiencing which of the following
complications? -ANSWER Abruptio placentae
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is
receiving heparin therapy via subcutaneous injections. Which of the following actions
should the nurse take? -ANSWER Administer the injection in the client's abdomen.
A nurse is caring for a newborn whose father voices concerns about his ability to bond
with his baby. Which of the following actions should the nurse take to facilitate bonding?
(Select all that apply.) -ANSWER Point out to the father that the newborn turns toward his
voice.
Encourage the father to touch and stroke the newborn's skin.
Demonstrate diapering and swaddling techniques for the father.
A nurse is providing teaching to a client who has fibrocystic breast changes and is
experiencing breast discomfort during menstruation. Which of the following instructions
should the nurse include? -ANSWER Decrease sodium intake before menstruation.
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild
vaginal bleeding due to placenta previa. Which of the following actions should the nurse
plan to take? -ANSWER Initiate continuous monitoring of the FHR.
Assessment Exam 2026 All Possible
Questions and Answers with complete
solution ||
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
A nurse is providing teaching to a group of women about risk factors for ovarian cancer.
Which of the following risk factors should the nurse include? (Select all that apply.) -
ANSWER Nulliparity
History of breast cancer
Hormone replacement therapy
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing
continuous abdominal pain and vaginal bleeding. The client has a history of cocaine
use. The nurse should identify that the client is likely experiencing which of the following
complications? -ANSWER Abruptio placentae
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is
receiving heparin therapy via subcutaneous injections. Which of the following actions
should the nurse take? -ANSWER Administer the injection in the client's abdomen.
A nurse is caring for a newborn whose father voices concerns about his ability to bond
with his baby. Which of the following actions should the nurse take to facilitate bonding?
(Select all that apply.) -ANSWER Point out to the father that the newborn turns toward his
voice.
Encourage the father to touch and stroke the newborn's skin.
Demonstrate diapering and swaddling techniques for the father.
A nurse is providing teaching to a client who has fibrocystic breast changes and is
experiencing breast discomfort during menstruation. Which of the following instructions
should the nurse include? -ANSWER Decrease sodium intake before menstruation.
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild
vaginal bleeding due to placenta previa. Which of the following actions should the nurse
plan to take? -ANSWER Initiate continuous monitoring of the FHR.
