MATERNAL NEWBORN ATI EVALUATION 2026
QUESTIONS AND ANSWERS GRADED A+
✔✔Education on breast hygiene in preventing mastitis - ✔✔-washing hands prior to
breast feeding
-keeping breasts clean
-allow nipples to air dry
-when breast feeding, ensure the newborn is taking in both the nipple and areola in their
mouth
-attempt to empty both breasts when feeding
✔✔postpartum blues - ✔✔-last up to 10 days
-very common
-if last more than 10 days or s/s become worse, it is important to test for postpartum
depression
✔✔postpartum blues s/s - ✔✔tearfulness, insomnia, lack of appetite, feeling of let down
✔✔postpartum depression - ✔✔-occurs within 6 months of delivery
✔✔s/s of postpartum depression - ✔✔persistent feelings of sadness, intense mood
swings
✔✔postpartum psychosis - ✔✔-common with mothers who has hx of bipolar disorder
✔✔s/s of postpartum psychosis - ✔✔disorientation, hallucinations, obsessive behaviors,
paranoia
✔✔Normal range APGAR score - ✔✔7-10
✔✔4-6 APGAR score indicates: - ✔✔moderate distress
✔✔under 4 APGAR score indicates: - ✔✔severe distress
✔✔5 areas tested for APGAR - ✔✔heart rate, respiration rate, muscle tone, reflex
irritability, color
✔✔Heart rate APGAR - ✔✔score of 2: HR greater than 100
score of 1: HR in between 0-100
Score of 0: no HR
✔✔Respiration rate APGAR - ✔✔score of 2: good cry
score of 1: slow, weak cry
score of 0: no cry at all
, ✔✔Muscle tone APGAR - ✔✔score of 2: well flexed
score of 1: some flexing
score of 0: flaccid
✔✔Reflex irritability APGAR - ✔✔score of 2: crying
score of 1: grimacing
score of 0: silent
✔✔Color APGAR - ✔✔score of 2: completely pink
score of 1: pink body and cyanotic hands and feet (acrocyanosis)
score of 0: overall blue and pale
✔✔What does new ballard scale measure? - ✔✔neuromuscular maturity and physical
maturity
✔✔according to new ballard scale ,if baby is full term they will be: - ✔✔well flexed in
arms and legs
✔✔new ballard neuromuscular maturity assessment contents - ✔✔square window, arm
recoil, scarf sign, popliteal angle, heel to ear test
✔✔Characteristics of preterm infant - ✔✔-thinner, transparent, sticky skin
-lanugo present
-breast buds much smaller than full term or not developed
-no creases on feet
-boys: flat, small scrotum
-female: clitoris very prominent and labia flat
✔✔Characteristics of full term infant - ✔✔-thicker skin (if post date baby then skin will
look wrinkled and have leather like appearance)
-creases on feet
- developed breast buds 5-10mm in width
-no lanugo
- boys: scrotum like a pendulum with rugae
- female: labia bigger and more developed and clitoris will not be very prominent
✔✔Normal deviations in newborns - ✔✔-milia (small raised white spots on nose or chin)
-mongolian spot (bluish purple spots back or buttocks)
-caput succedaneum: cone shaped head (will return to normal shape in 3-4 days)
-cephalohematoma (blood collection on one part of head): resolves in 2-3 weeks
-Epstein pearls: small white cysts on roof of mouth
✔✔Newborn head should be how much smaller than the chest? - ✔✔2-3 cm
QUESTIONS AND ANSWERS GRADED A+
✔✔Education on breast hygiene in preventing mastitis - ✔✔-washing hands prior to
breast feeding
-keeping breasts clean
-allow nipples to air dry
-when breast feeding, ensure the newborn is taking in both the nipple and areola in their
mouth
-attempt to empty both breasts when feeding
✔✔postpartum blues - ✔✔-last up to 10 days
-very common
-if last more than 10 days or s/s become worse, it is important to test for postpartum
depression
✔✔postpartum blues s/s - ✔✔tearfulness, insomnia, lack of appetite, feeling of let down
✔✔postpartum depression - ✔✔-occurs within 6 months of delivery
✔✔s/s of postpartum depression - ✔✔persistent feelings of sadness, intense mood
swings
✔✔postpartum psychosis - ✔✔-common with mothers who has hx of bipolar disorder
✔✔s/s of postpartum psychosis - ✔✔disorientation, hallucinations, obsessive behaviors,
paranoia
✔✔Normal range APGAR score - ✔✔7-10
✔✔4-6 APGAR score indicates: - ✔✔moderate distress
✔✔under 4 APGAR score indicates: - ✔✔severe distress
✔✔5 areas tested for APGAR - ✔✔heart rate, respiration rate, muscle tone, reflex
irritability, color
✔✔Heart rate APGAR - ✔✔score of 2: HR greater than 100
score of 1: HR in between 0-100
Score of 0: no HR
✔✔Respiration rate APGAR - ✔✔score of 2: good cry
score of 1: slow, weak cry
score of 0: no cry at all
, ✔✔Muscle tone APGAR - ✔✔score of 2: well flexed
score of 1: some flexing
score of 0: flaccid
✔✔Reflex irritability APGAR - ✔✔score of 2: crying
score of 1: grimacing
score of 0: silent
✔✔Color APGAR - ✔✔score of 2: completely pink
score of 1: pink body and cyanotic hands and feet (acrocyanosis)
score of 0: overall blue and pale
✔✔What does new ballard scale measure? - ✔✔neuromuscular maturity and physical
maturity
✔✔according to new ballard scale ,if baby is full term they will be: - ✔✔well flexed in
arms and legs
✔✔new ballard neuromuscular maturity assessment contents - ✔✔square window, arm
recoil, scarf sign, popliteal angle, heel to ear test
✔✔Characteristics of preterm infant - ✔✔-thinner, transparent, sticky skin
-lanugo present
-breast buds much smaller than full term or not developed
-no creases on feet
-boys: flat, small scrotum
-female: clitoris very prominent and labia flat
✔✔Characteristics of full term infant - ✔✔-thicker skin (if post date baby then skin will
look wrinkled and have leather like appearance)
-creases on feet
- developed breast buds 5-10mm in width
-no lanugo
- boys: scrotum like a pendulum with rugae
- female: labia bigger and more developed and clitoris will not be very prominent
✔✔Normal deviations in newborns - ✔✔-milia (small raised white spots on nose or chin)
-mongolian spot (bluish purple spots back or buttocks)
-caput succedaneum: cone shaped head (will return to normal shape in 3-4 days)
-cephalohematoma (blood collection on one part of head): resolves in 2-3 weeks
-Epstein pearls: small white cysts on roof of mouth
✔✔Newborn head should be how much smaller than the chest? - ✔✔2-3 cm
