ATI Remediation Maternal Newborn Capstone
1. A nurse is caring for a client undergoing infertility testing. The client asks why a
hysterosalpingography has been ordered. What is the nurse's best response?
a. Outpatient radiological procedure in which dye is used to assess the patency of the
fallopian tubes. Assess for history of allergies to iodine and seafood prior to beginning the
procedure
2. A nurse is providing education to a new mother regarding storage of breast milk. Identify five
(5) teaching points to discuss with the new mother regarding storage of breast milk.
a. Breast milk can be stored at room temperature under very clean conditions for up to 8 hr. It
can be refrigerated in sterile bottles for use within 8 days, or can be frozen in sterile
containers in the freezer up to 6 months, can be stored in a deep freezer for 12 months.
b. Thawing the milk in the refrigerator for 24 hr is the best way,It also can be thawed by
holding the container under running lukewarm water or placing it in a container of
lukewarm water
c. Thawing by microwave is contraindicated.
d. Do not refreeze thawed milk
e. Used portions of breast milk must be discarded
3. A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of the
newborn male?
a. Wash with soap and water and rinse the penis
b. The foreskin should not be forced back or constriction can result
4. A nurse is providing discharge teaching to a new parent regarding cord care. What information
should be provided?
a. Before discharge cord clamp is removed
b. Prevent cord infection by keeping the cord dry, and keep the top of the diaper folded
underneath it
c. Sponge baths are given until the cord falls off, which occurs around 10 to 14 days after
birth. Tub bathing and submersion can follow
d. Cord infection can result if the cord is not kept clean and dry
e. Monitor for manifestations of a cord that is moist and red, has a foul odor, or has purulent
This study source was downloaded by 100000830772748 from CourseHero.com on 01-17-2022 08:13:03 GMT -06:00
https://www.coursehero.com/file/40303090/ATI-Remediation-Maternal-Newborn-Capstonedocx/
, drainage
f. Notify the provider immediately if findings of cord infection are present
5. A nurse is caring for a client in the third stage of labor. What nursing interventions should be
taken during this stage?
a. BP, pulse, respirations measured every 15 min
b. From birth of fetus to delivery of placenta
c. Instruct the client to push once findings of placental separation are present
d. Keep mother/parents informed of progress of placental expulsion and perineal repair
e. Administer oxytocin
f. Administer analgesics
g. Gently cleanse the perineal area with warm water and apply a perineal pad or ice pack to
the perineum
h. Promote kangaroo care for bonding and production of oxytocin to make fundus firm and
prevent hemorrhage
6. What is the recommended weight gain in the first, second and third trimesters?
a. 11.3 to 15.9 kg or 25 to 35 lb for total pregnancy for a healthy weight
b. Pt. should gain 1 to 2 kg or 2.2 to 4.4 lb during the first trimester
c. Approximately 0.4 kg or 1 lb per week for the last two trimesters
d. Underweight women should gain 28 to 40 lb
e. Overweight women should gain 15 to 25 lb
7. What is the priority nursing action during an oxytocin infusion?
a. Fetus should be at a minimum of station 0
b. Maternal BP, pulse, respirations every 30-60 min and with change in dose
c. FHR and contraction pattern every 15 min
d. Continue oxytocin and increase dose until desired outcomes and then remain at rate
e. DC oxy if uterine hyperstimulation occurs- Contractions more than 2 mins, longer than 90
seconds, and contraction intensity more than 90 mmHg, no relaxation of uterus
f. If FHR less than 110 or greater than 160, loss of variability, or late or prolonged
decelerations- pt. in side lying position, 8-10 L O2, tocolytic terbutaline Sub Q, C- section
if un-reassuring FHR
8. What are five (5) essential components of therapeutic communication when responding to a
client who is postoperative following a mastectomy?
a. Don’t ask irrelevant personal questions
b. Don’t offer opinion or advice
c. Use silence and active listening
d. Ask open ended questions
e. Show acceptance and recognition
f. Focus and summarize
9. A nurse is instructing a newly diagnosed client with fibrocystic breast tissue disorder about
This study source was downloaded by 100000830772748 from CourseHero.com on 01-17-2022 08:13:03 GMT -06:00
https://www.coursehero.com/file/40303090/ATI-Remediation-Maternal-Newborn-Capstonedocx/
1. A nurse is caring for a client undergoing infertility testing. The client asks why a
hysterosalpingography has been ordered. What is the nurse's best response?
a. Outpatient radiological procedure in which dye is used to assess the patency of the
fallopian tubes. Assess for history of allergies to iodine and seafood prior to beginning the
procedure
2. A nurse is providing education to a new mother regarding storage of breast milk. Identify five
(5) teaching points to discuss with the new mother regarding storage of breast milk.
a. Breast milk can be stored at room temperature under very clean conditions for up to 8 hr. It
can be refrigerated in sterile bottles for use within 8 days, or can be frozen in sterile
containers in the freezer up to 6 months, can be stored in a deep freezer for 12 months.
b. Thawing the milk in the refrigerator for 24 hr is the best way,It also can be thawed by
holding the container under running lukewarm water or placing it in a container of
lukewarm water
c. Thawing by microwave is contraindicated.
d. Do not refreeze thawed milk
e. Used portions of breast milk must be discarded
3. A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of the
newborn male?
a. Wash with soap and water and rinse the penis
b. The foreskin should not be forced back or constriction can result
4. A nurse is providing discharge teaching to a new parent regarding cord care. What information
should be provided?
a. Before discharge cord clamp is removed
b. Prevent cord infection by keeping the cord dry, and keep the top of the diaper folded
underneath it
c. Sponge baths are given until the cord falls off, which occurs around 10 to 14 days after
birth. Tub bathing and submersion can follow
d. Cord infection can result if the cord is not kept clean and dry
e. Monitor for manifestations of a cord that is moist and red, has a foul odor, or has purulent
This study source was downloaded by 100000830772748 from CourseHero.com on 01-17-2022 08:13:03 GMT -06:00
https://www.coursehero.com/file/40303090/ATI-Remediation-Maternal-Newborn-Capstonedocx/
, drainage
f. Notify the provider immediately if findings of cord infection are present
5. A nurse is caring for a client in the third stage of labor. What nursing interventions should be
taken during this stage?
a. BP, pulse, respirations measured every 15 min
b. From birth of fetus to delivery of placenta
c. Instruct the client to push once findings of placental separation are present
d. Keep mother/parents informed of progress of placental expulsion and perineal repair
e. Administer oxytocin
f. Administer analgesics
g. Gently cleanse the perineal area with warm water and apply a perineal pad or ice pack to
the perineum
h. Promote kangaroo care for bonding and production of oxytocin to make fundus firm and
prevent hemorrhage
6. What is the recommended weight gain in the first, second and third trimesters?
a. 11.3 to 15.9 kg or 25 to 35 lb for total pregnancy for a healthy weight
b. Pt. should gain 1 to 2 kg or 2.2 to 4.4 lb during the first trimester
c. Approximately 0.4 kg or 1 lb per week for the last two trimesters
d. Underweight women should gain 28 to 40 lb
e. Overweight women should gain 15 to 25 lb
7. What is the priority nursing action during an oxytocin infusion?
a. Fetus should be at a minimum of station 0
b. Maternal BP, pulse, respirations every 30-60 min and with change in dose
c. FHR and contraction pattern every 15 min
d. Continue oxytocin and increase dose until desired outcomes and then remain at rate
e. DC oxy if uterine hyperstimulation occurs- Contractions more than 2 mins, longer than 90
seconds, and contraction intensity more than 90 mmHg, no relaxation of uterus
f. If FHR less than 110 or greater than 160, loss of variability, or late or prolonged
decelerations- pt. in side lying position, 8-10 L O2, tocolytic terbutaline Sub Q, C- section
if un-reassuring FHR
8. What are five (5) essential components of therapeutic communication when responding to a
client who is postoperative following a mastectomy?
a. Don’t ask irrelevant personal questions
b. Don’t offer opinion or advice
c. Use silence and active listening
d. Ask open ended questions
e. Show acceptance and recognition
f. Focus and summarize
9. A nurse is instructing a newly diagnosed client with fibrocystic breast tissue disorder about
This study source was downloaded by 100000830772748 from CourseHero.com on 01-17-2022 08:13:03 GMT -06:00
https://www.coursehero.com/file/40303090/ATI-Remediation-Maternal-Newborn-Capstonedocx/
