COURSE CODE: MATERNAL NEWBORN
EXAM DATE TIME ALLOWED
COURSE TITLE: ATI Capstone — Maternal Newborn Nursing
— / — / —— 90 Minutes
INSTRUCTOR: —
Maternal Newborn ATI Capstone
Pre-Assessment Quiz — Comprehensive Nursing Care of the Childbearing Family
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (50 Marks)
Choose the single best answer for each question. Write the correct letter (A, B, C, or D) in the space provided.
1. A nurse is planning postoperative care for an infant following cleft lip repair. Which
intervention should be included in the plan of care?
A. Position the infant on the abdomen to facilitate drainage of secretions.
B. Apply elbow restraints and position the infant supine or side-lying, never on the abdomen.
C. Encourage vigorous sucking on a standard nipple to strengthen the suture line.
D. Avoid rinsing the mouth after feeding to keep the suture line dry.
✦ CORRECT ANSWER: B — Apply elbow restraints and position the infant supine or side-lying, never on
the abdomen.
Postoperative cleft lip care involves the mnemonic "CLEFT LIP": Crying should be minimised to reduce tension
on the suture line; Logan bow is applied to protect the incision; Elbow restraints prevent the infant from
touching the repair; Feeding is done with a Brecht feeder (no sucking to protect sutures); Teach feeding
techniques — repair typically occurs around 2 months of age; Liquid (sterile water) is used to rinse after feeding
to cleanse the suture line; Impaired feeding is expected (no sucking); and Position must NEVER be on the
abdomen to prevent pressure on the surgical site.
, 2. A nurse is assessing a client with severe preeclampsia. The nurse notes haemolysis,
elevated liver enzymes, and a low platelet count. The nurse should identify this
constellation of findings as which of the following?
A. Disseminated intravascular coagulation (DIC)
B. HELLP syndrome
C. Acute fatty liver of pregnancy
D. Idiopathic thrombocytopenic purpura (ITP)
✦ CORRECT ANSWER: B — HELLP syndrome
HELLP syndrome is a severe complication of preeclampsia characterised by Haemolysis (H), Elevated Liver
enzymes (EL), and Low Platelet count (LP). This is a life-threatening obstetric emergency requiring immediate
intervention and often prompt delivery. DIC can develop secondary to HELLP but is not the primary diagnosis.
Acute fatty liver of pregnancy has overlapping features but different pathophysiology.
3. A nurse is reviewing the four factors that influence the labour process with a pregnant
client. Using the "4 P's" framework, which factor refers to the contractions and
maternal pushing efforts?
A. Passageway
B. Passenger
C. Powers
D. Psych
✦ CORRECT ANSWER: C — Powers
The "4 P's" of labour dystocia are: Powers (uterine contractions and maternal pushing efforts), Passageway
(the birth canal — pelvis and soft tissues), Passenger (the fetus and placenta — size, position, presentation),
and Psych (maternal stress, tension, anxiety affecting labour progress). Each component must be assessed
when labour progression is abnormal.
EXAM DATE TIME ALLOWED
COURSE TITLE: ATI Capstone — Maternal Newborn Nursing
— / — / —— 90 Minutes
INSTRUCTOR: —
Maternal Newborn ATI Capstone
Pre-Assessment Quiz — Comprehensive Nursing Care of the Childbearing Family
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (50 Marks)
Choose the single best answer for each question. Write the correct letter (A, B, C, or D) in the space provided.
1. A nurse is planning postoperative care for an infant following cleft lip repair. Which
intervention should be included in the plan of care?
A. Position the infant on the abdomen to facilitate drainage of secretions.
B. Apply elbow restraints and position the infant supine or side-lying, never on the abdomen.
C. Encourage vigorous sucking on a standard nipple to strengthen the suture line.
D. Avoid rinsing the mouth after feeding to keep the suture line dry.
✦ CORRECT ANSWER: B — Apply elbow restraints and position the infant supine or side-lying, never on
the abdomen.
Postoperative cleft lip care involves the mnemonic "CLEFT LIP": Crying should be minimised to reduce tension
on the suture line; Logan bow is applied to protect the incision; Elbow restraints prevent the infant from
touching the repair; Feeding is done with a Brecht feeder (no sucking to protect sutures); Teach feeding
techniques — repair typically occurs around 2 months of age; Liquid (sterile water) is used to rinse after feeding
to cleanse the suture line; Impaired feeding is expected (no sucking); and Position must NEVER be on the
abdomen to prevent pressure on the surgical site.
, 2. A nurse is assessing a client with severe preeclampsia. The nurse notes haemolysis,
elevated liver enzymes, and a low platelet count. The nurse should identify this
constellation of findings as which of the following?
A. Disseminated intravascular coagulation (DIC)
B. HELLP syndrome
C. Acute fatty liver of pregnancy
D. Idiopathic thrombocytopenic purpura (ITP)
✦ CORRECT ANSWER: B — HELLP syndrome
HELLP syndrome is a severe complication of preeclampsia characterised by Haemolysis (H), Elevated Liver
enzymes (EL), and Low Platelet count (LP). This is a life-threatening obstetric emergency requiring immediate
intervention and often prompt delivery. DIC can develop secondary to HELLP but is not the primary diagnosis.
Acute fatty liver of pregnancy has overlapping features but different pathophysiology.
3. A nurse is reviewing the four factors that influence the labour process with a pregnant
client. Using the "4 P's" framework, which factor refers to the contractions and
maternal pushing efforts?
A. Passageway
B. Passenger
C. Powers
D. Psych
✦ CORRECT ANSWER: C — Powers
The "4 P's" of labour dystocia are: Powers (uterine contractions and maternal pushing efforts), Passageway
(the birth canal — pelvis and soft tissues), Passenger (the fetus and placenta — size, position, presentation),
and Psych (maternal stress, tension, anxiety affecting labour progress). Each component must be assessed
when labour progression is abnormal.
