1|Page
RN ATI CAPSTONE MATERNAL NEWBORN,
PRACTICE QUESTIONS AND STUDY GUIDE NEWEST
2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
RN ATI CAPSTONE MATERNAL NEWBORN
A nurse is reinforcing discharge teaching with a client who has mastitis
of the left breast. Which of the following instructions should the nurse
include? - ANSWER- Pump the affected breast frequently
A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation. Which of the following responses by the client indicates an
understanding of the teaching? - ANSWER- "I should expect to have a
white vaginal discharge during pregnancy."
A nurse is caring for a client who gave birth to a newborn who is large
for gestation age (LGA) 16 hr ago. Which of the following findings
should the nurse identify as a complication of the birth of a newborn
who is LGA? - ANSWER- Hemorrhage
A nurse is collecting data from a client who is receiving magnesium
sulfate IV for preeclampsia. The nurse should identify which of the
following findings as an indication of toxicity to report to the provider? -
ANSWER- respiratory rate 10/min
,2|Page
A nurse in a postpartum unit is caring for a client who has endometritis
and is 48 hr postpartum following a cesarean birth. Which of the
following findings should the nurse anticipate? - ANSWER- Heart rate
110/min
A nurse is collecting data from the parent of a newborn immediately
following birth. The parent states, "She is so tiny. We don't know how to
pick her up without hurting her." Which of the following actions should
the nurse take first to promote parent-newborn attachment? - ANSWER-
Demonstrate to the parent how to hold the newborn.
A nurse is reinforcing teaching with a client who has a bacterial
infection. Which of the following statements should the nurse include int
he teaching? - ANSWER- "You should suspend breastfeeding for 8-10
days."
Client making decision about uterine tube occlusion, which response: -
ANSWER- "this process should have no effect on your sexual
performance or adequacy."
7 year old accepting new baby - ANSWER- Obtain a gift from the
newborn to present to the sibling
38 wk gestation, findings nurse should report - ANSWER- weight gain
of 2.2 kg
,3|Page
assessing newborns, findings nurse should report - ANSWER- 18 hour
old with axillary temp of 37.7c
client 8cm dilated, 100% effaced, -2 station, fetus in occiput posterior
position - ANSWER- assist the client to the hands and knees position
discharge teaching: circumcision - ANSWER- apply slight pressure with
a sterile gauze pad for mild bleeding
blood specimen via heel stick - ANSWER- place the newborn skin to
skin on mother's chest
cesarean birth 3 days ago - ANSWER- you can still become pregnant if
you are breastfeeding
26 week gestation, manifestations should report - ANSWER- decreased
urine output
12 hr postpartum pt wants to use the bathroom - ANSWER- assist the
client to the bathroom to void
labor increasing rectal pressure - ANSWER- transition phase
pregestational type 1 diabetes - ANSWER- I will continue taking my
insulin if I experience nausea and vomiting"
, 4|Page
postpartum and has idiopathic thrombocytopenia purpura - ANSWER-
decreased platelet count
22 wk gestation, blotchy hyperpigmentation - ANSWER- explain to the
client this is an expected occurence
teaching: hyperemisis gravidarum - ANSWER- i will eat foods that
appeal to my taste instead of trying to balance my meals
PLACE IN ORDER
Leopold maneuvers - ANSWER- -palpate the fundus to identify the fetal
part
- determine location of the fetal back
-palpate for the fetal part presenting at the inlet
- identify the attitude of the head
requesting epidural anesthesia for pain - ANSWER- monitor the clients
BP every 5 minutes following the first dose of anesthetic solution
2 hr postpartum, intervention - ANSWER- Demonstrate to the client
how to perform a newborn bath
how to use bulb syringe to suction newborn secretions - ANSWER- stop
suction when the newborn's cry sounds clear
RN ATI CAPSTONE MATERNAL NEWBORN,
PRACTICE QUESTIONS AND STUDY GUIDE NEWEST
2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
RN ATI CAPSTONE MATERNAL NEWBORN
A nurse is reinforcing discharge teaching with a client who has mastitis
of the left breast. Which of the following instructions should the nurse
include? - ANSWER- Pump the affected breast frequently
A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation. Which of the following responses by the client indicates an
understanding of the teaching? - ANSWER- "I should expect to have a
white vaginal discharge during pregnancy."
A nurse is caring for a client who gave birth to a newborn who is large
for gestation age (LGA) 16 hr ago. Which of the following findings
should the nurse identify as a complication of the birth of a newborn
who is LGA? - ANSWER- Hemorrhage
A nurse is collecting data from a client who is receiving magnesium
sulfate IV for preeclampsia. The nurse should identify which of the
following findings as an indication of toxicity to report to the provider? -
ANSWER- respiratory rate 10/min
,2|Page
A nurse in a postpartum unit is caring for a client who has endometritis
and is 48 hr postpartum following a cesarean birth. Which of the
following findings should the nurse anticipate? - ANSWER- Heart rate
110/min
A nurse is collecting data from the parent of a newborn immediately
following birth. The parent states, "She is so tiny. We don't know how to
pick her up without hurting her." Which of the following actions should
the nurse take first to promote parent-newborn attachment? - ANSWER-
Demonstrate to the parent how to hold the newborn.
A nurse is reinforcing teaching with a client who has a bacterial
infection. Which of the following statements should the nurse include int
he teaching? - ANSWER- "You should suspend breastfeeding for 8-10
days."
Client making decision about uterine tube occlusion, which response: -
ANSWER- "this process should have no effect on your sexual
performance or adequacy."
7 year old accepting new baby - ANSWER- Obtain a gift from the
newborn to present to the sibling
38 wk gestation, findings nurse should report - ANSWER- weight gain
of 2.2 kg
,3|Page
assessing newborns, findings nurse should report - ANSWER- 18 hour
old with axillary temp of 37.7c
client 8cm dilated, 100% effaced, -2 station, fetus in occiput posterior
position - ANSWER- assist the client to the hands and knees position
discharge teaching: circumcision - ANSWER- apply slight pressure with
a sterile gauze pad for mild bleeding
blood specimen via heel stick - ANSWER- place the newborn skin to
skin on mother's chest
cesarean birth 3 days ago - ANSWER- you can still become pregnant if
you are breastfeeding
26 week gestation, manifestations should report - ANSWER- decreased
urine output
12 hr postpartum pt wants to use the bathroom - ANSWER- assist the
client to the bathroom to void
labor increasing rectal pressure - ANSWER- transition phase
pregestational type 1 diabetes - ANSWER- I will continue taking my
insulin if I experience nausea and vomiting"
, 4|Page
postpartum and has idiopathic thrombocytopenia purpura - ANSWER-
decreased platelet count
22 wk gestation, blotchy hyperpigmentation - ANSWER- explain to the
client this is an expected occurence
teaching: hyperemisis gravidarum - ANSWER- i will eat foods that
appeal to my taste instead of trying to balance my meals
PLACE IN ORDER
Leopold maneuvers - ANSWER- -palpate the fundus to identify the fetal
part
- determine location of the fetal back
-palpate for the fetal part presenting at the inlet
- identify the attitude of the head
requesting epidural anesthesia for pain - ANSWER- monitor the clients
BP every 5 minutes following the first dose of anesthetic solution
2 hr postpartum, intervention - ANSWER- Demonstrate to the client
how to perform a newborn bath
how to use bulb syringe to suction newborn secretions - ANSWER- stop
suction when the newborn's cry sounds clear
