COURSE CODE: ATI Capstone EXAM DATE TIME
COURSE TITLE: Maternal Newborn Nursing — Comprehensive
—/—/ ALLOWED
Review
—— 120 Minutes
INSTRUCTOR: —
◇
ATI Capstone — Maternal
Newborn
Comprehensive Final Examination Review
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (100 Marks)
Choose the single best answer for each question unless "Select All That Apply" is indicated. Write the correct letter(s) in the
space provided.
1. A nurse is reinforcing teaching about newborn home safety precautions with a group of
new mothers. Which of the following instructions should the nurse include?
A. "Crib slats should be no more than 4 inches apart."
B. "Crib slats should be no more than 2.25 inches apart."
C. "Place the newborn's crib near a window for ventilation."
D. "Use soft bedding and pillows to keep the newborn comfortable."
✦ CORRECT ANSWER: B — "Crib slats should be no more than 2.25 inches apart."
The Consumer Product Safety Commission recommends crib slats be no more than 2.25 inches (approximately 6
cm) apart to prevent the infant's head from becoming entrapped between the slats, which could cause suffocation
or strangulation. Soft bedding, pillows, and proximity to windows with blind cords all pose additional suffocation or
injury risks. A firm mattress with a fitted sheet is the only recommended bedding.
,2. A nurse is reinforcing teaching with a client who is at 16 weeks of gestation, has diabetes
mellitus, and has a BMI of 31. Which of the following statements should the nurse identify
as an indication that the client understands the teaching?
A. "I should consume at least 35 calories per kilogram of my body weight each day."
B. "My intake should be 25 calories per kilogram of my body weight or less per day."
C. "I do not need to monitor my blood glucose as closely during pregnancy."
D. "Weight loss during pregnancy is recommended for clients with a high BMI."
✦ CORRECT ANSWER: B — "My intake should be 25 calories per kilogram of my body weight or less per day."
For pregnant clients with a BMI ≥30, the recommended caloric intake is approximately 25 kcal/kg/day or less,
balancing adequate nutrition for fetal growth with avoidance of excessive gestational weight gain. Higher caloric
intake (A) may exacerbate glycaemic control challenges. Weight loss is not recommended during pregnancy; the
goal is controlled, appropriate gain. Strict glycaemic monitoring is essential throughout pregnancy to prevent
maternal and fetal complications.
3. A nurse is planning to reinforce discharge teaching about formula feeding with the
guardian of a newborn. Which of the following instructions should the nurse plan to
include?
A. "Provide the newborn with three to four feedings during a 24-hour period."
B. "Provide the newborn with six to eight feedings during a 24-hour period."
C. "Wait until the newborn cries vigorously before offering a feeding."
D. "Add extra water to the formula to ensure adequate hydration."
✦ CORRECT ANSWER: B — "Provide the newborn with six to eight feedings during a 24-hour period."
Newborns typically require 6–8 feedings per 24 hours, roughly every 3–4 hours. Some may feed more frequently (8–
12 times) especially during growth spurts. Feeding cues should be recognised before vigorous crying, which is a late
hunger sign. Overdiluting formula (D) can lead to water intoxication, hyponatraemia, and inadequate caloric intake,
impairing growth and neurological development.
, 4. A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of
the following actions should the nurse take?
A. Use a Doppler stethoscope to listen to fetal heart tones.
B. Measure fundal height from the symphysis pubis.
C. Perform Leopold manoeuvres to determine fetal presentation.
D. Use an ultrasound stethoscope to listen to fetal heart tones.
✦ CORRECT ANSWER: D — Use an ultrasound stethoscope to listen to fetal heart tones.
At 12 weeks of gestation, the fetal heart can be auscultated using an electronic ultrasound stethoscope (Doppler). A
standard fetoscope cannot reliably detect heart tones until approximately 18–20 weeks. Fundal height
measurement typically begins after 20 weeks when the fundus reaches the umbilicus. Leopold manoeuvres are
performed in the third trimester to determine fetal lie, presentation, and position.
5. A nurse is caring for a client who is 18 hours postpartum and has a fourth-degree perineal
laceration. The client reports a pain rating of 4 on a scale from 0 to 10. Which of the
following actions should the nurse take? (Select All That Apply)
A. Promote the use of witch hazel pads
B. Give the client ice packs
C. Have the client take a cool water sitz bath
D. Encourage the client to practise relaxation techniques
E. Administer a warm water enema
✦ CORRECT ANSWER: A, B, C, D — Witch hazel pads, ice packs, cool sitz bath, relaxation techniques
Fourth-degree perineal lacerations extend through the rectal mucosa and require comprehensive pain
management. Cold therapy (ice packs) reduces oedema and provides analgesia in the first 24 hours. Witch hazel
pads are astringent and soothing. Cool water sitz baths promote circulation and healing without causing
vasodilation that could increase bleeding. Relaxation techniques address the psychological component of pain.
Warm water enemas (E) are contraindicated due to the rectal involvement.
COURSE TITLE: Maternal Newborn Nursing — Comprehensive
—/—/ ALLOWED
Review
—— 120 Minutes
INSTRUCTOR: —
◇
ATI Capstone — Maternal
Newborn
Comprehensive Final Examination Review
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (100 Marks)
Choose the single best answer for each question unless "Select All That Apply" is indicated. Write the correct letter(s) in the
space provided.
1. A nurse is reinforcing teaching about newborn home safety precautions with a group of
new mothers. Which of the following instructions should the nurse include?
A. "Crib slats should be no more than 4 inches apart."
B. "Crib slats should be no more than 2.25 inches apart."
C. "Place the newborn's crib near a window for ventilation."
D. "Use soft bedding and pillows to keep the newborn comfortable."
✦ CORRECT ANSWER: B — "Crib slats should be no more than 2.25 inches apart."
The Consumer Product Safety Commission recommends crib slats be no more than 2.25 inches (approximately 6
cm) apart to prevent the infant's head from becoming entrapped between the slats, which could cause suffocation
or strangulation. Soft bedding, pillows, and proximity to windows with blind cords all pose additional suffocation or
injury risks. A firm mattress with a fitted sheet is the only recommended bedding.
,2. A nurse is reinforcing teaching with a client who is at 16 weeks of gestation, has diabetes
mellitus, and has a BMI of 31. Which of the following statements should the nurse identify
as an indication that the client understands the teaching?
A. "I should consume at least 35 calories per kilogram of my body weight each day."
B. "My intake should be 25 calories per kilogram of my body weight or less per day."
C. "I do not need to monitor my blood glucose as closely during pregnancy."
D. "Weight loss during pregnancy is recommended for clients with a high BMI."
✦ CORRECT ANSWER: B — "My intake should be 25 calories per kilogram of my body weight or less per day."
For pregnant clients with a BMI ≥30, the recommended caloric intake is approximately 25 kcal/kg/day or less,
balancing adequate nutrition for fetal growth with avoidance of excessive gestational weight gain. Higher caloric
intake (A) may exacerbate glycaemic control challenges. Weight loss is not recommended during pregnancy; the
goal is controlled, appropriate gain. Strict glycaemic monitoring is essential throughout pregnancy to prevent
maternal and fetal complications.
3. A nurse is planning to reinforce discharge teaching about formula feeding with the
guardian of a newborn. Which of the following instructions should the nurse plan to
include?
A. "Provide the newborn with three to four feedings during a 24-hour period."
B. "Provide the newborn with six to eight feedings during a 24-hour period."
C. "Wait until the newborn cries vigorously before offering a feeding."
D. "Add extra water to the formula to ensure adequate hydration."
✦ CORRECT ANSWER: B — "Provide the newborn with six to eight feedings during a 24-hour period."
Newborns typically require 6–8 feedings per 24 hours, roughly every 3–4 hours. Some may feed more frequently (8–
12 times) especially during growth spurts. Feeding cues should be recognised before vigorous crying, which is a late
hunger sign. Overdiluting formula (D) can lead to water intoxication, hyponatraemia, and inadequate caloric intake,
impairing growth and neurological development.
, 4. A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of
the following actions should the nurse take?
A. Use a Doppler stethoscope to listen to fetal heart tones.
B. Measure fundal height from the symphysis pubis.
C. Perform Leopold manoeuvres to determine fetal presentation.
D. Use an ultrasound stethoscope to listen to fetal heart tones.
✦ CORRECT ANSWER: D — Use an ultrasound stethoscope to listen to fetal heart tones.
At 12 weeks of gestation, the fetal heart can be auscultated using an electronic ultrasound stethoscope (Doppler). A
standard fetoscope cannot reliably detect heart tones until approximately 18–20 weeks. Fundal height
measurement typically begins after 20 weeks when the fundus reaches the umbilicus. Leopold manoeuvres are
performed in the third trimester to determine fetal lie, presentation, and position.
5. A nurse is caring for a client who is 18 hours postpartum and has a fourth-degree perineal
laceration. The client reports a pain rating of 4 on a scale from 0 to 10. Which of the
following actions should the nurse take? (Select All That Apply)
A. Promote the use of witch hazel pads
B. Give the client ice packs
C. Have the client take a cool water sitz bath
D. Encourage the client to practise relaxation techniques
E. Administer a warm water enema
✦ CORRECT ANSWER: A, B, C, D — Witch hazel pads, ice packs, cool sitz bath, relaxation techniques
Fourth-degree perineal lacerations extend through the rectal mucosa and require comprehensive pain
management. Cold therapy (ice packs) reduces oedema and provides analgesia in the first 24 hours. Witch hazel
pads are astringent and soothing. Cool water sitz baths promote circulation and healing without causing
vasodilation that could increase bleeding. Relaxation techniques address the psychological component of pain.
Warm water enemas (E) are contraindicated due to the rectal involvement.
