ATI Capstone Maternal Newborn
Assessment Question and Answer A+
Verified
• A variant of gestational hypertension where hematologic conditions coexist with
severe preeclampsia and hepatic dysfunction. -✓✓HELLP syndrome
• Hypertension beginning after the 20th week of pregnancy with no proteinuria. -
✓✓Gestational Hypertension
• Impaired tolerance to glucose with the first onset or recognition during
pregnancy. -✓✓Gestational Diabetes
• Severe morning sickness with unrelenting, excessive nausea or vomiting that
prevents adequate intake of food and fluids. -✓✓Hyperemesis gravidum
• Hypertension beginning after the 20th week of pregnancy with 1 to 2+
proteinuria and a weight gain of more than 2 kg per week in the second and third
trimesters. -✓✓Mild preeclampsia
• 24-48 hours after birth: dependent, passive; focuses on own needs; excited,
talkative -✓✓taking in
• Focuses on family and individual roles. -✓✓letting go
• 2nd-10th day postpartum, or up to several weeks: focuses on maternal role and
care of the newborn; eager to learn; may develop blues. -✓✓taking hold
• A postpartum client's fundus is firm, 3 cm above the umbilicus and displaced to
the right. Which of the following interventions should the nurse take? -✓✓Assist
the client to void then reassess the fundus.
Correct
Displacement of the uterus is a sign of bladder distention. The nurse should assist
the client to void then reassess the fundus
, • Following delivery, the nurse places the newborn under a radiant heat warmer.
Which of the following is this action used to prevent? -✓✓Cold stress
Correct
The use of a radiant warmer following delivery prevents cold stress which can
lead to increased metabolism and physiological demands.
• A client has been prescribed raloxiphine. As the nurse you know that raloxiphine
is used to treat: -✓✓b. Osteoporosis
Correct
Raloxiphine (Evista) is used to prevent and treat bone loss (osteoporosis) in
women after menopause. It is not used for migraines, hypertension, or heart
disease.
• A nurse is caring for a laboring client and notes that the fetal heart rate begins
to decelerate after the contraction has started. The lowest point of deceleration
occurs after the peak of the contraction. What is the priority nursing action? -
✓✓Change the client's position.
Late decelerations are associated with insufficient placental perfusion which
requires immediate intervention to restore adequate blood flow. Changing the
client's position will displace the weight of the uterus off of the vena cava and
thus increase maternal circulation to the placenta.
• A nurse is caring for a newborn with hyperbilirubinemia. Which of the following
interventions should be taken during phototherapy? -✓✓Maintain an eye mask
over the newborn's eyes. CorrectThe nurse should maintain an eye mask over the
newborn's eye to protect the corneas and retinas from phototherapy.
• A pregnant client's last menstrual period was May 4th, 2013. What is this
client's estimated delivery date using Naegele's Rule? -✓✓d. February 11, 2014
CorrectCorrect. The estimated date of birth is February 11th, 2014. To determine
the due date using Naegele's rule, 3 months is subtracted from the date of the
last menstrual period then 7 days and 1 year are added.
• A laboring client received meperidine IV one hour prior to delivery. Which of the
following medications should the nurse have available to counteract the effects of
Assessment Question and Answer A+
Verified
• A variant of gestational hypertension where hematologic conditions coexist with
severe preeclampsia and hepatic dysfunction. -✓✓HELLP syndrome
• Hypertension beginning after the 20th week of pregnancy with no proteinuria. -
✓✓Gestational Hypertension
• Impaired tolerance to glucose with the first onset or recognition during
pregnancy. -✓✓Gestational Diabetes
• Severe morning sickness with unrelenting, excessive nausea or vomiting that
prevents adequate intake of food and fluids. -✓✓Hyperemesis gravidum
• Hypertension beginning after the 20th week of pregnancy with 1 to 2+
proteinuria and a weight gain of more than 2 kg per week in the second and third
trimesters. -✓✓Mild preeclampsia
• 24-48 hours after birth: dependent, passive; focuses on own needs; excited,
talkative -✓✓taking in
• Focuses on family and individual roles. -✓✓letting go
• 2nd-10th day postpartum, or up to several weeks: focuses on maternal role and
care of the newborn; eager to learn; may develop blues. -✓✓taking hold
• A postpartum client's fundus is firm, 3 cm above the umbilicus and displaced to
the right. Which of the following interventions should the nurse take? -✓✓Assist
the client to void then reassess the fundus.
Correct
Displacement of the uterus is a sign of bladder distention. The nurse should assist
the client to void then reassess the fundus
, • Following delivery, the nurse places the newborn under a radiant heat warmer.
Which of the following is this action used to prevent? -✓✓Cold stress
Correct
The use of a radiant warmer following delivery prevents cold stress which can
lead to increased metabolism and physiological demands.
• A client has been prescribed raloxiphine. As the nurse you know that raloxiphine
is used to treat: -✓✓b. Osteoporosis
Correct
Raloxiphine (Evista) is used to prevent and treat bone loss (osteoporosis) in
women after menopause. It is not used for migraines, hypertension, or heart
disease.
• A nurse is caring for a laboring client and notes that the fetal heart rate begins
to decelerate after the contraction has started. The lowest point of deceleration
occurs after the peak of the contraction. What is the priority nursing action? -
✓✓Change the client's position.
Late decelerations are associated with insufficient placental perfusion which
requires immediate intervention to restore adequate blood flow. Changing the
client's position will displace the weight of the uterus off of the vena cava and
thus increase maternal circulation to the placenta.
• A nurse is caring for a newborn with hyperbilirubinemia. Which of the following
interventions should be taken during phototherapy? -✓✓Maintain an eye mask
over the newborn's eyes. CorrectThe nurse should maintain an eye mask over the
newborn's eye to protect the corneas and retinas from phototherapy.
• A pregnant client's last menstrual period was May 4th, 2013. What is this
client's estimated delivery date using Naegele's Rule? -✓✓d. February 11, 2014
CorrectCorrect. The estimated date of birth is February 11th, 2014. To determine
the due date using Naegele's rule, 3 months is subtracted from the date of the
last menstrual period then 7 days and 1 year are added.
• A laboring client received meperidine IV one hour prior to delivery. Which of the
following medications should the nurse have available to counteract the effects of
