ATI Capstone Maternal Newborn
Assessment () Question
and Answer Grade A+
• 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? -
✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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.) -✓✓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? -✓✓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? -✓✓Administer the injection in the client's
abdomen.
Assessment () Question
and Answer Grade A+
• 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? -
✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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? -✓✓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.) -✓✓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? -✓✓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? -✓✓Administer the injection in the client's
abdomen.
