COURSE CODE: NUR-406
EXAM DATE TIME ALLOWED
COURSE TITLE: ATI Capstone Maternal, Newborn, and Women's Health
— / — / —— 120 Minutes
INSTRUCTOR: —
◇
ATI Capstone — Maternal, Newborn, and
Women's Health
Comprehensive Assessment Examination
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (100 Marks)
Choose the single best answer for each question. Write the correct letter in the space provided.
1. A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations
should the nurse expect to find?
A. Over-riding suture lines
B. Dilated scalp veins
C. Hypertension
D. A backward sloping appearance of the forehead
◆
✦ CORRECT ANSWER: B. Dilated scalp veins
Rationale: Manifestations of hydrocephalus in newborns include dilated scalp veins, separated sutures, and, in late infancy,
frontal enlargement. Over-riding suture lines are associated with molding, not hydrocephalus. Hypertension and backward
sloping forehead are not classic manifestations.
, 2. A nurse is caring for a preterm newborn who has a nasogastric tube and who recently began
intermittent gavage feedings of formula. The nurse notes increased abdominal distention, lethargy,
bloody stools, and increasing gastric residuals before feedings. The nurse should suspect which of
the following?
A. Overstimulation
B. Necrotizing enterocolitis
C. Need for placement of a gastrostomy tube
D. Intraventricular hemorrhage
◆
✦ CORRECT ANSWER: B. Necrotizing enterocolitis
Rationale: Premature newborns who are formula fed are much more likely to contract this acute inflammatory disease of the
gastrointestinal mucosa. The classic triad includes abdominal distention, bloody stools, and gastric residuals. This is a life-
threatening emergency requiring immediate intervention.
3. A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of
the following actions should the nurse take first?
A. Elevate the client's legs.
B. Position the client on her side.
C. Administer oxygen via face mask.
D. Increase the infusion rate of the IV fluid.
◆
✦ CORRECT ANSWER: B. Position the client on her side
Rationale: Late decelerations stem from decreased blood perfusion to the placenta or compression of the placenta. A position
change should increase perfusion or decrease compression, and it is the first intervention the nurse should try. The greatest risk
to the client is fetal hypoxia, so the priority action is the one that has the best chance of improving fetal perfusion.
, 4. A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal
bleeding. The nurse should recognize this finding as an indication of which of the following
conditions?
A. Abruptio placentae
B. Placenta previa
C. Precipitous labor
D. Threatened abortion
◆
✦ CORRECT ANSWER: B. Placenta previa
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is a classic manifestation of placenta previa. In
contrast, abruptio placentae presents with dark red bleeding, abdominal rigidity, and pain. Recognizing this distinction guides
emergency management and delivery planning.
5. A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the
newborn's skin is slightly yellow. The finding indicates the newborn is experiencing a complication
related to which of the following?
A. Maternal/newborn blood group incompatibility
B. Absence of vitamin K
C. Physiologic jaundice
D. Maternal cocaine abuse
◆
✦ CORRECT ANSWER: A. Maternal/newborn blood group incompatibility
Rationale: Maternal/newborn blood group incompatibility is the most common form of pathologic jaundice and the jaundice
appears within the first 24 hours of life. Physiologic jaundice appears after 24 hours. This early onset requires prompt evaluation
and treatment to prevent kernicterus.
EXAM DATE TIME ALLOWED
COURSE TITLE: ATI Capstone Maternal, Newborn, and Women's Health
— / — / —— 120 Minutes
INSTRUCTOR: —
◇
ATI Capstone — Maternal, Newborn, and
Women's Health
Comprehensive Assessment Examination
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (100 Marks)
Choose the single best answer for each question. Write the correct letter in the space provided.
1. A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations
should the nurse expect to find?
A. Over-riding suture lines
B. Dilated scalp veins
C. Hypertension
D. A backward sloping appearance of the forehead
◆
✦ CORRECT ANSWER: B. Dilated scalp veins
Rationale: Manifestations of hydrocephalus in newborns include dilated scalp veins, separated sutures, and, in late infancy,
frontal enlargement. Over-riding suture lines are associated with molding, not hydrocephalus. Hypertension and backward
sloping forehead are not classic manifestations.
, 2. A nurse is caring for a preterm newborn who has a nasogastric tube and who recently began
intermittent gavage feedings of formula. The nurse notes increased abdominal distention, lethargy,
bloody stools, and increasing gastric residuals before feedings. The nurse should suspect which of
the following?
A. Overstimulation
B. Necrotizing enterocolitis
C. Need for placement of a gastrostomy tube
D. Intraventricular hemorrhage
◆
✦ CORRECT ANSWER: B. Necrotizing enterocolitis
Rationale: Premature newborns who are formula fed are much more likely to contract this acute inflammatory disease of the
gastrointestinal mucosa. The classic triad includes abdominal distention, bloody stools, and gastric residuals. This is a life-
threatening emergency requiring immediate intervention.
3. A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of
the following actions should the nurse take first?
A. Elevate the client's legs.
B. Position the client on her side.
C. Administer oxygen via face mask.
D. Increase the infusion rate of the IV fluid.
◆
✦ CORRECT ANSWER: B. Position the client on her side
Rationale: Late decelerations stem from decreased blood perfusion to the placenta or compression of the placenta. A position
change should increase perfusion or decrease compression, and it is the first intervention the nurse should try. The greatest risk
to the client is fetal hypoxia, so the priority action is the one that has the best chance of improving fetal perfusion.
, 4. A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal
bleeding. The nurse should recognize this finding as an indication of which of the following
conditions?
A. Abruptio placentae
B. Placenta previa
C. Precipitous labor
D. Threatened abortion
◆
✦ CORRECT ANSWER: B. Placenta previa
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is a classic manifestation of placenta previa. In
contrast, abruptio placentae presents with dark red bleeding, abdominal rigidity, and pain. Recognizing this distinction guides
emergency management and delivery planning.
5. A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the
newborn's skin is slightly yellow. The finding indicates the newborn is experiencing a complication
related to which of the following?
A. Maternal/newborn blood group incompatibility
B. Absence of vitamin K
C. Physiologic jaundice
D. Maternal cocaine abuse
◆
✦ CORRECT ANSWER: A. Maternal/newborn blood group incompatibility
Rationale: Maternal/newborn blood group incompatibility is the most common form of pathologic jaundice and the jaundice
appears within the first 24 hours of life. Physiologic jaundice appears after 24 hours. This early onset requires prompt evaluation
and treatment to prevent kernicterus.
