COURSE CODE: NUR-406
EXAM DATE TIME ALLOWED
COURSE TITLE: Maternal Newborn Nursing — Key Concepts & Mnemonics
— / — / —— 120 Minutes
INSTRUCTOR: —
◇
Maternal Newborn Nursing — Key Concepts &
Mnemonics
ATI Capstone Comprehensive Assessment
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 interpreting fetal heart rate monitoring strips. According to the VEAL CHOP mnemonic, late
decelerations indicate which condition?
A. Cord compression
B. Head compression
C. Adequate oxygenation
D. Placental uteroplacental insufficiency
◆
✦ CORRECT ANSWER: D. Placental uteroplacental insufficiency
Rationale: The VEAL CHOP mnemonic: Variable decelerations = Cord compression; Early decelerations = Head compression;
Accelerations = O2 (adequate oxygenation); Late decelerations = Placental uteroplacental insufficiency. Late decelerations
indicate decreased blood perfusion to the placenta and require immediate intervention.
, 2. A nurse is performing a postpartum assessment using the BUBBLEHER mnemonic. The "U"
represents which component?
A. Umbilical cord
B. Uterus
C. Urine output
D. Upper extremities
◆
✦ CORRECT ANSWER: B. Uterus
Rationale: BUBBLEHER stands for: Breasts, Uterus, Bladder, Bowel function, Lochia, Episiotomy, Hemorrhoids, Emotional Status,
Respiratory System. The uterus assessment includes fundal height, firmness, and position. This comprehensive mnemonic
ensures all essential postpartum assessment components are evaluated.
3. A nurse is teaching a client about oral contraceptive use. Using the ACHES mnemonic, which
symptom should the client report immediately?
A. Mild nausea
B. Chest pain or shortness of breath
C. Breakthrough spotting
D. Increased appetite
◆
✦ CORRECT ANSWER: B. Chest pain or shortness of breath
Rationale: The ACHES mnemonic identifies danger signs with oral contraceptives: Abdominal pain, Chest pain or shortness of
breath, Headache, Eye problems, Severe leg pain. These symptoms may indicate thromboembolic events, hypertension, or
hepatic complications and require immediate reporting.
4. A nurse is providing postoperative care for an infant following cleft lip repair. According to the CLEFT
LIP mnemonic, which position should the infant avoid?
A. Supine position
B. Side-lying position
C. Abdomen position
D. Semi-Fowler's position
◆
✦ CORRECT ANSWER: C. Abdomen position
Rationale: The CLEFT LIP mnemonic includes "Position—never on abdomen." After cleft lip repair, the infant must not be placed
prone to protect the surgical site from pressure and tension. The Logan bow is applied to prevent tension on sutures. Elbow
restraints prevent the infant from touching the repair site.
EXAM DATE TIME ALLOWED
COURSE TITLE: Maternal Newborn Nursing — Key Concepts & Mnemonics
— / — / —— 120 Minutes
INSTRUCTOR: —
◇
Maternal Newborn Nursing — Key Concepts &
Mnemonics
ATI Capstone Comprehensive Assessment
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 interpreting fetal heart rate monitoring strips. According to the VEAL CHOP mnemonic, late
decelerations indicate which condition?
A. Cord compression
B. Head compression
C. Adequate oxygenation
D. Placental uteroplacental insufficiency
◆
✦ CORRECT ANSWER: D. Placental uteroplacental insufficiency
Rationale: The VEAL CHOP mnemonic: Variable decelerations = Cord compression; Early decelerations = Head compression;
Accelerations = O2 (adequate oxygenation); Late decelerations = Placental uteroplacental insufficiency. Late decelerations
indicate decreased blood perfusion to the placenta and require immediate intervention.
, 2. A nurse is performing a postpartum assessment using the BUBBLEHER mnemonic. The "U"
represents which component?
A. Umbilical cord
B. Uterus
C. Urine output
D. Upper extremities
◆
✦ CORRECT ANSWER: B. Uterus
Rationale: BUBBLEHER stands for: Breasts, Uterus, Bladder, Bowel function, Lochia, Episiotomy, Hemorrhoids, Emotional Status,
Respiratory System. The uterus assessment includes fundal height, firmness, and position. This comprehensive mnemonic
ensures all essential postpartum assessment components are evaluated.
3. A nurse is teaching a client about oral contraceptive use. Using the ACHES mnemonic, which
symptom should the client report immediately?
A. Mild nausea
B. Chest pain or shortness of breath
C. Breakthrough spotting
D. Increased appetite
◆
✦ CORRECT ANSWER: B. Chest pain or shortness of breath
Rationale: The ACHES mnemonic identifies danger signs with oral contraceptives: Abdominal pain, Chest pain or shortness of
breath, Headache, Eye problems, Severe leg pain. These symptoms may indicate thromboembolic events, hypertension, or
hepatic complications and require immediate reporting.
4. A nurse is providing postoperative care for an infant following cleft lip repair. According to the CLEFT
LIP mnemonic, which position should the infant avoid?
A. Supine position
B. Side-lying position
C. Abdomen position
D. Semi-Fowler's position
◆
✦ CORRECT ANSWER: C. Abdomen position
Rationale: The CLEFT LIP mnemonic includes "Position—never on abdomen." After cleft lip repair, the infant must not be placed
prone to protect the surgical site from pressure and tension. The Logan bow is applied to prevent tension on sutures. Elbow
restraints prevent the infant from touching the repair site.
