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ATI Capstone Maternal Newborn
Assessment 2025 Questions and Correct
Answers
A nurse is caring for a client at the prenatal clinic
who is at 38 weeks gestation with heavy, red vaginal
bleeding without contractions that started
spontaneously. She is in no distress and states that
she can "feel the baby moving". The nurse should
explain to the client that the stat ultrasound the
provider prescribed will determine
1. fetal lung maturity
2. location of the placenta
3. fetal viability
4. biparietal diameter - ANSWERS-Location of the
placenta; painless, spontaneous vaginal bleeding
may be an indication of placenta previa. The
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provider can identify the location of the placenta
and urgency of the delivery.
A nurse is caring for a client in the prenatal clinic
with a possible ectopic pregnancy at 8 weeks of
gestation. Which of the following is an expected
finding for this client?
1. uterine enlargement greater than expected for
gestational age 2. copious vaginal bleeding
3. severe nausea and vomiting
4. pelvic pain - ANSWERS-Pelvic pain; early sign
of ectopic pregnancy.
Two hours after a spontaneous vaginal delivery, a
client has saturated two perineal pads with blood in a
30-min period. Which of the following actions is the
priority for the nurse to take at this time?
1. check the consistency of the client's uterine
fundus.
2. have the client use the bedpan to urinate
3. prepare to administer oxytocin medication
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4. increase the client's fluid intake -
ANSWERSCheck the consistency of the client's
uterine fundus; saturating a perineal pad in 15
min or less indicates excessive blood loss. If the
fundus is boggy, fundal massage might control
the bleeding.
When collecting data from a postpartum client 1 hr
after delivery, the nurse finds large amount of lochia
rubra on the client's perineal pad with several small
clots. The fundus is midline and firm at the
umbilicus. Which of the following is appropriate
nursing action at this time?
1. Call the client's provider
2. Continue to monitor the client's fundus
3. Increase the rate of the IV fluids
4. Assist the client to the bathroom so she can
empty her bladder. - ANSWERSContinue to
monitor the client's fundus. These findings are
expected. Small clots are common in lochia
rubra, but large or moderate sized clots would be
cause for concern.
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A nurse is caring for a client who is admitted in
preterm labor at 32 weeks of gestation. Which of the
following prescriptions should the nurse question?
1. folic acid
2. Ritodrine (Yutopar)
3. Misoprostol (Cytotec)
4. Terbutaline sulfate (Brethine) -
ANSWERSMisoprostol (Cytotec); this
medication can cause abortion, premature labor,
and birth defects.
A nurse is caring for an infant who has
hydrocephalus. Which of the following
manifestations should the nurse expect to find?
1. proteinuria
2. dilated scalp veins
3. hypertension
4. pulsatile fontanels - ANSWERS-Dilated scalp
veins; manifestations of hydrocephalus in
ATI Capstone Maternal Newborn
Assessment 2025 Questions and Correct
Answers
A nurse is caring for a client at the prenatal clinic
who is at 38 weeks gestation with heavy, red vaginal
bleeding without contractions that started
spontaneously. She is in no distress and states that
she can "feel the baby moving". The nurse should
explain to the client that the stat ultrasound the
provider prescribed will determine
1. fetal lung maturity
2. location of the placenta
3. fetal viability
4. biparietal diameter - ANSWERS-Location of the
placenta; painless, spontaneous vaginal bleeding
may be an indication of placenta previa. The
,2|Page
provider can identify the location of the placenta
and urgency of the delivery.
A nurse is caring for a client in the prenatal clinic
with a possible ectopic pregnancy at 8 weeks of
gestation. Which of the following is an expected
finding for this client?
1. uterine enlargement greater than expected for
gestational age 2. copious vaginal bleeding
3. severe nausea and vomiting
4. pelvic pain - ANSWERS-Pelvic pain; early sign
of ectopic pregnancy.
Two hours after a spontaneous vaginal delivery, a
client has saturated two perineal pads with blood in a
30-min period. Which of the following actions is the
priority for the nurse to take at this time?
1. check the consistency of the client's uterine
fundus.
2. have the client use the bedpan to urinate
3. prepare to administer oxytocin medication
,3|Page
4. increase the client's fluid intake -
ANSWERSCheck the consistency of the client's
uterine fundus; saturating a perineal pad in 15
min or less indicates excessive blood loss. If the
fundus is boggy, fundal massage might control
the bleeding.
When collecting data from a postpartum client 1 hr
after delivery, the nurse finds large amount of lochia
rubra on the client's perineal pad with several small
clots. The fundus is midline and firm at the
umbilicus. Which of the following is appropriate
nursing action at this time?
1. Call the client's provider
2. Continue to monitor the client's fundus
3. Increase the rate of the IV fluids
4. Assist the client to the bathroom so she can
empty her bladder. - ANSWERSContinue to
monitor the client's fundus. These findings are
expected. Small clots are common in lochia
rubra, but large or moderate sized clots would be
cause for concern.
, 4|Page
A nurse is caring for a client who is admitted in
preterm labor at 32 weeks of gestation. Which of the
following prescriptions should the nurse question?
1. folic acid
2. Ritodrine (Yutopar)
3. Misoprostol (Cytotec)
4. Terbutaline sulfate (Brethine) -
ANSWERSMisoprostol (Cytotec); this
medication can cause abortion, premature labor,
and birth defects.
A nurse is caring for an infant who has
hydrocephalus. Which of the following
manifestations should the nurse expect to find?
1. proteinuria
2. dilated scalp veins
3. hypertension
4. pulsatile fontanels - ANSWERS-Dilated scalp
veins; manifestations of hydrocephalus in
