ATI Capstone - Maternal Newborn Assessment Questions
The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three
(3) factors that can impact effective bonding between mother and infant?
• A client’s emotional and physical condition (unwanted pregnancy, adolescent pregnancy,
history of depression, difficult pregnancy and birth)
• The newborn’s physical condition (prematurity, congenital anomalies) after birth can affect the
family’s bonding process.
• Culture, age, and socioeconomic level are factors that can influence the bonding process.
Bonding can be delayed secondary to maternal or neonatal factors
A nurse is providing community education regarding risk factors for ovarian cancer. Identify five
(5) risk factors associated with the development of ovarian cancer.
(Review the Med Surg RM)
• Age greater than 40 years
• Nulliparity or first pregnancy after 30 years of age
• Family history of ovarian, breast, or genetic mutation for hereditary nonpolyposis colon
cancer (HNPCC)
• BRCA1 or BRCA2 gene mutations
• Diabetes mellitus
• Early menarche/late menopause
• History of dysmenorrhea or heavy bleeding
• Endometriosis
• High-fat diet (possible risk)
• Hormone replacement therapy
• Use of infertility medications
• Older adult clients following surgery for cancer
What are risks/possible complications/contraindications for the use of intrauterine contraceptive
devices?
• Best used by women in a monogamous relationship due to the risks of STIs
• Can cause irregular menstrual bleeding
• Risk of bacterial vaginosis, uterine perforation, or uterine expulsion
• Must be removed in the event of pregnancy
• Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for copper
IUD also Wilson’s diseases and copper allergy
A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2 early
spontaneous abortions. What is her gravida and para?
G P = TPAL G5, P1123
What are five (5) risk factors that affect female fertility?
