Exam (elaborations)
Final Maternal ATI Exam - Q’s & A’s (Graded A+)
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Final Maternal ATI Exam - Q’s & A’s (Graded A+)
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Final Maternal ATI Exam - Q’s & A’s (Graded A+)A nurse is assigning a 1 minute Apgar score to a newborn who is crying loudly.
The newborn has a HR of 140/ min, has well flexed arms and legs, grimaces
when the nurse rubs the soles of their feet, and is pink with mild acrocyanosis.
What would be the Apgar score? ✔️Ans - 8
A nurse is providing teaching about breastfeeding to a client who gave birth 8
hours ago. Which of the following information should the nurse include?
A. The newborn should feed 6 times in 24 hrs
B. The newborn should have 6 wet diapers per day after day 4
C. The breasts will become engorged within 24 hours after the first feeding
D. The new born should be BF on a set schedule ✔️Ans - B. The newborn
should have 6 wet diapers after day 4
A nurse is caring for a client who is in early labor and has a fetus in the
occipitoposterior presentation. The client reports pain in her lower back with
contractions. What pain management technique is most likely to be effective?
✔️Ans - Counterpressure
A nurse is assessing he fundal height for a client who is at 28 weeks of
gestation. The nurse should measure the distance in centimeters between
which 2 anatomical landmarks? ✔️Ans - The symphysis pubis and the top of
the fundus
A nurse is teaching the parents of a newborn about bathing techniques. Which
instructions should the nurse include? ✔️Ans - Clean the newborns face
first using plain water.
A nurse is performing a gestational age assessment using the new Ballard
score. Which of the following should indicate that the newborn is preterm?
A. Flexion of the extremities at rest
B. Creases over the entire plantar surface
,C. Leathery skin
D. Flat areola ✔️Ans - D. Flat areola
A nurse is providing teaching about danger signs during pregnancy. The nurse
should instruct the client to report headaches, blurred vision, and epigastric
pain because these are indications of which of the following complications
during pregnancy?
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Abruptio placentae ✔️Ans - B. Preeclampsia
A nurse is teaching circumcision care to parents of a newborn who was
circumcised using the gumco camp method. What instructions should the
nurse include? (5) ✔️Ans - Apply petroleum jelly to the penis with each
diaper change for one week.- this prevents the diaper from sticking to the site.
Dont use soap or commercial wipes for at lest 4 days until the site has healed
(5 or 6 days later)
Apply gentle pressure with a sterile gauze pad to control slight bleeding-
notify is bleeding continues
Do not remove yellow exudate, this is normal for healing. It appears 24- 48
hours after procedure and lasts approximately 3 days
Apply the diaper loosely over the penis- this decreases pain and irritation
A nurse is providing discharge teaching for a client who is 3 days postpartum
and formula feeding her baby. What instructions should the nurse include
when discussing engorgement? (3) ✔️Ans - Apply ice packs to the breasts
for 15 minutes to relieve swelling and discomfort
,Wear a well fitted and supportive bra, including during sleep, for the 1st 4
days to relieve discomfort
Avoid expressing or pumping breast milk and nipple stimulation
A nurse is assessing a newborn who was born 2 days ago. Which of the
following findings should be reported to the provider?
A. Blackening of the stump of the umbilical cord
B. Redness of the skin at the base of the umbilical cord stump
C. Scant amount of dried blood on the skin around the umbilical cord stump
D. Hardening of the umbilical cord stump ✔️Ans - B. Redness of the skin at
the base of the umbilical cord stump
A nurse is assessing a patient at a routine antepartum visit. For a rough
estimate of the number of gestational weeks the patient is at, the nurse should
measure the number of cm between which two anatomical landmarks?
✔️Ans - The symphisis pubis and top of the fundus
A nurse is teaching the parents of a newborn how to bathe him. Which
instructions should the nurse include? (4) ✔️Ans - Dont bathe daily. It's
unnecessary and disrupts skin integrity.
Good time for a thing is when the newborn awakes and before feeding
Give him a sponge bath until the cord falls off
Dont use a cotton swab to clean ears and nose. It can cause injury. Use the
corner of a washcloth instead
A mother is concerned that her newborn isn't getting enough nourishment
from breastfeeding. The nurse should explain that she should look for which
of the following as a sign of adequate nutrition? (4) ✔️Ans - Newborns
should breastfeed 8-12 times in 24 hours
Newborns should have 6 wet diapers and 3 stools per day after day 4
, Copious amounts of mature breast milk is produced by the 3rd or 4th day
Newborns should return to their birth weight by 10- 14 days
When does breast enggorgement occur? ✔️Ans - During stage II of
lactogenesis 3- 5 days after birth
counterpressure ✔️Ans - application of pressure to the sacrum during
contractions, sing heel of hand, tennis ball or a fist. Relieves pain in the sacral
area
Effleurage ✔️Ans - Light massage or stroking to the clients abdomen in
rhythm with breathing during contractions.
Bathing sequence for newborns ✔️Ans - Face first with warm water only
Use a mild soap for the rest of the body from neck down to toes
Wash the genitals last
Normal New Ballard findings for term and post term newborns (3) ✔️Ans -
Flexion of the extremities at rest. - term. The more pre-term they are, the less
flexion they have.
Creases over the entire plantar surface - term
Leathery skin - post term.
Side note: *Preterm newborns will have translucent and friable skin.*
Manifestations of gestational diabetes (7) ✔️Ans - Hyperglycemia,
polyphagia, polyuria, and polydypsia
Flushed/ dry skin
Fruity breath
Rapid breathing
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