2025 RN ATI Capstone Content Review: Maternal
Newborn Post-Assessment | Focused &
Individualized Review Assignment
A nurse is caring for a client scheduled for a chorionic villus sampling (CVS) procedure. What
client education should the nurse provide prior to the procedure? The client education the
nurse should provide prior to the procedure for chorionic villus sampling are: Chorionic villus
sampling (CVS) is assessment of a portion of the developing placenta (chorionic villi), which is
aspirated through a thin sterile catheter or syringe that is inserted through the abdominal wall
or intravaginally through the cervix under ultrasound guidance. CVS is a first-trimester
alternative to amniocentesis with one of its advantages being finding an earlier diagnosis of any
abnormalities. CVS is ideally performed at 10 to 13 weeks of gestation. Identify potential
complications associated with CVS. Potential complications associated with CVS are:
Spontaneous abortion (higher risk with CVS than with amniocentesis) Risk for fetal limb loss
(greatest risk prior to 9 weeks of gestation) Miscarriage Chorioamnionitis and rupture of
membrane.
1. 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) Five (5) risk factors associated with the development of ovarian cancer are:
(1)Over 40 years of age, (2)-Nulliparity of first pregnancy after 30 years of age, (3)-Family
history of ovarian, breast or colon cancer (4)-History of dysmenorrhea or heavy bleeding
(5)Endometriosis
2. What are risks/possible complications/contraindications for the use of intrauterine
contraceptive devices? Risks/possible complications/contraindications for the use of
intrauterine contraceptive devices are: Risk of bacterial vaginosis, uterine perforation or
uterine expulsion. Possible complications are irregular menstrual bleeding and must be
removed in the event of pregnancy. Contraindicated in active pelvic infection, abnormal
1
, uterine bleeding, severe uterine distortion; for copper IUD also for Wilsons disease and
copper allergy.
3. A nurse is caring for a client who is considering use of a hormonal intrauterine system.
What information regarding the advantages of an Intrauterine Device (IUD) should the
nurse provide? IUD advantages the nurse should provide are: IUD is effective for 1-10 years
(35 if hormonal), can be inserted after childbirth/miscarriage/abortion, can be removed easily
and have no effect on fertility post-removal, safe for breastfeeding mothers and hormonal
IUDs may lessen bleeding/cramping during menstruation.
4. 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? Her gravida and para are:
4 Gravida, 2 Para
5. A nurse is caring for a client who was diagnosed with group B streptococcus during her
initial screening. What effects can this infection have on her pregnancy? The effects of
group B streptococcus on pregnancy are: Premature rupture of membranes, preterm labor
and delivery, chorioamnionitis, infection of the urinary tract and maternal sepsis.
6. A nurse is caring for a client undergoing infertility testing. The client asks why a
hysterosalpingography has been ordered. What is the nurse's best response? The nurse’s
best response would be to say it is a radiological procedure in which dye will be used to
assess the patency of your fallopian tubes.
7. What are five (5) risk factors that affect female fertility? Five (5) risk factors that affect
female fertility are (1) female 35 years or older, (2) history of pelvic and abdominal surgery,
(3) history of STI’s, (4) abnormal uterine contours and (5) Premature ovarian failure.
8. What behaviors are observed by the nurse in the client during the latent phase of the first
stage of labor? Behaviors observed by the nurse in the client during the latent phase of the
first stage of labor are talkative, eager, some dilation & effacement, mildly anxious and
coping with contractions.
9. 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? The information the nurse should provide during discharge regarding bathing
2
Newborn Post-Assessment | Focused &
Individualized Review Assignment
A nurse is caring for a client scheduled for a chorionic villus sampling (CVS) procedure. What
client education should the nurse provide prior to the procedure? The client education the
nurse should provide prior to the procedure for chorionic villus sampling are: Chorionic villus
sampling (CVS) is assessment of a portion of the developing placenta (chorionic villi), which is
aspirated through a thin sterile catheter or syringe that is inserted through the abdominal wall
or intravaginally through the cervix under ultrasound guidance. CVS is a first-trimester
alternative to amniocentesis with one of its advantages being finding an earlier diagnosis of any
abnormalities. CVS is ideally performed at 10 to 13 weeks of gestation. Identify potential
complications associated with CVS. Potential complications associated with CVS are:
Spontaneous abortion (higher risk with CVS than with amniocentesis) Risk for fetal limb loss
(greatest risk prior to 9 weeks of gestation) Miscarriage Chorioamnionitis and rupture of
membrane.
1. 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) Five (5) risk factors associated with the development of ovarian cancer are:
(1)Over 40 years of age, (2)-Nulliparity of first pregnancy after 30 years of age, (3)-Family
history of ovarian, breast or colon cancer (4)-History of dysmenorrhea or heavy bleeding
(5)Endometriosis
2. What are risks/possible complications/contraindications for the use of intrauterine
contraceptive devices? Risks/possible complications/contraindications for the use of
intrauterine contraceptive devices are: Risk of bacterial vaginosis, uterine perforation or
uterine expulsion. Possible complications are irregular menstrual bleeding and must be
removed in the event of pregnancy. Contraindicated in active pelvic infection, abnormal
1
, uterine bleeding, severe uterine distortion; for copper IUD also for Wilsons disease and
copper allergy.
3. A nurse is caring for a client who is considering use of a hormonal intrauterine system.
What information regarding the advantages of an Intrauterine Device (IUD) should the
nurse provide? IUD advantages the nurse should provide are: IUD is effective for 1-10 years
(35 if hormonal), can be inserted after childbirth/miscarriage/abortion, can be removed easily
and have no effect on fertility post-removal, safe for breastfeeding mothers and hormonal
IUDs may lessen bleeding/cramping during menstruation.
4. 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? Her gravida and para are:
4 Gravida, 2 Para
5. A nurse is caring for a client who was diagnosed with group B streptococcus during her
initial screening. What effects can this infection have on her pregnancy? The effects of
group B streptococcus on pregnancy are: Premature rupture of membranes, preterm labor
and delivery, chorioamnionitis, infection of the urinary tract and maternal sepsis.
6. A nurse is caring for a client undergoing infertility testing. The client asks why a
hysterosalpingography has been ordered. What is the nurse's best response? The nurse’s
best response would be to say it is a radiological procedure in which dye will be used to
assess the patency of your fallopian tubes.
7. What are five (5) risk factors that affect female fertility? Five (5) risk factors that affect
female fertility are (1) female 35 years or older, (2) history of pelvic and abdominal surgery,
(3) history of STI’s, (4) abnormal uterine contours and (5) Premature ovarian failure.
8. What behaviors are observed by the nurse in the client during the latent phase of the first
stage of labor? Behaviors observed by the nurse in the client during the latent phase of the
first stage of labor are talkative, eager, some dilation & effacement, mildly anxious and
coping with contractions.
9. 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? The information the nurse should provide during discharge regarding bathing
2
