ATI Skills Module 3.0: Maternal Newborn
Study online at https://quizlet.com/_ammd0r
1. A nurse is provid- Preeclampsia
ing teaching about
danger signs dur- Rationale: Manifestations of preeclampsia include: headache, vision changes,
ing pregnancy to a epigastric or abdominal pain, and edema, especially of the face and hands.
client who is at 20 The nurse should instruct the client to report these to the provider.
weeks of gestation.
The nurse should in-
struct the client to
report headaches,
blurred vision, and
epigastric pain be-
cause these are indi-
cations of which of
the following com-
plications of preg-
nancy?
Gestational dia-
betes
Preeclampsia
Hyperemesis gravi-
darum
Abruptio placentae
2. A nurse is caring for Counterpressure
a patient who is in
early labor and has Rationale: Counterpressure is steady pressure that a support person applies
a fetus in the occip- to the sacral area of the client's back during contractions. The clients support
itoposterior presen- person, or the nurse, uses the heel of the hand, a tennis ball, or a fist to apply
tation. The client re- form pressure to the sacral area during contractions. This pressure can lift the
ports pain in their fetal head off of the nerves in the sacral area, decreasing pain.
lower back with con-
1/8
, ATI Skills Module 3.0: Maternal Newborn
Study online at https://quizlet.com/_ammd0r
tractions. Which of
the following pain
management tech-
niques is most like-
ly to be effective in
relieving low back
pain caused by this
type of fetal presen-
tation?
Counterpressure
Effleurage
Therapeutic touch
Breathing tech-
niques
3. A nurse is assign- 8
ing a 1-minute Ap-
gar score to a new- Rationale: Apgar scoring is an assessment of five indications of a newborn's
born who is cry- physiologic state: heart rate, respiratory effort, muscle tone, reflex irritability,
ing loudly. The new- and color at 1 and 5 min following birth.
born has a heart •For heart rate: 0 means absent, 1 is slow (below 100/min) and 2 means above
rate of 140/min, has 100/min. This newborn scores a 2 for a heart rate of 140/min.
well flexed arms and •For respiratory effort: 0 means absent, 1 means slow or weak and 2 reflects
legs, grimaces when a loud cry. This newborn scores a 2 for crying loudly at delivery.
the nurse rubs the •For muscle tone: 0 is flaccid, 1 indicates some flexion of the extremities, and
soles of their feet, 2 is well-flexed. This newborn scores a 2 for well-flexed extremities.
and is pink with mild •For reflex irritability: 0 means no response, 1 is a grimace (no coughing or
acrocynosis. What sneezing), and 2 is a cry (or a grimace and a sneeze/cough). This newborn
Apgar score should scores a 1 for grimacing when the nurse rubs the soles of their feet.
the nurse assign to •For color: 0 is pale or blue, 1 reflects a pink body with blue extremities
this newborn? (acrocyanosis), and 2 means completely pink. This newborn scores a 1 for
2/8
Study online at https://quizlet.com/_ammd0r
1. A nurse is provid- Preeclampsia
ing teaching about
danger signs dur- Rationale: Manifestations of preeclampsia include: headache, vision changes,
ing pregnancy to a epigastric or abdominal pain, and edema, especially of the face and hands.
client who is at 20 The nurse should instruct the client to report these to the provider.
weeks of gestation.
The nurse should in-
struct the client to
report headaches,
blurred vision, and
epigastric pain be-
cause these are indi-
cations of which of
the following com-
plications of preg-
nancy?
Gestational dia-
betes
Preeclampsia
Hyperemesis gravi-
darum
Abruptio placentae
2. A nurse is caring for Counterpressure
a patient who is in
early labor and has Rationale: Counterpressure is steady pressure that a support person applies
a fetus in the occip- to the sacral area of the client's back during contractions. The clients support
itoposterior presen- person, or the nurse, uses the heel of the hand, a tennis ball, or a fist to apply
tation. The client re- form pressure to the sacral area during contractions. This pressure can lift the
ports pain in their fetal head off of the nerves in the sacral area, decreasing pain.
lower back with con-
1/8
, ATI Skills Module 3.0: Maternal Newborn
Study online at https://quizlet.com/_ammd0r
tractions. Which of
the following pain
management tech-
niques is most like-
ly to be effective in
relieving low back
pain caused by this
type of fetal presen-
tation?
Counterpressure
Effleurage
Therapeutic touch
Breathing tech-
niques
3. A nurse is assign- 8
ing a 1-minute Ap-
gar score to a new- Rationale: Apgar scoring is an assessment of five indications of a newborn's
born who is cry- physiologic state: heart rate, respiratory effort, muscle tone, reflex irritability,
ing loudly. The new- and color at 1 and 5 min following birth.
born has a heart •For heart rate: 0 means absent, 1 is slow (below 100/min) and 2 means above
rate of 140/min, has 100/min. This newborn scores a 2 for a heart rate of 140/min.
well flexed arms and •For respiratory effort: 0 means absent, 1 means slow or weak and 2 reflects
legs, grimaces when a loud cry. This newborn scores a 2 for crying loudly at delivery.
the nurse rubs the •For muscle tone: 0 is flaccid, 1 indicates some flexion of the extremities, and
soles of their feet, 2 is well-flexed. This newborn scores a 2 for well-flexed extremities.
and is pink with mild •For reflex irritability: 0 means no response, 1 is a grimace (no coughing or
acrocynosis. What sneezing), and 2 is a cry (or a grimace and a sneeze/cough). This newborn
Apgar score should scores a 1 for grimacing when the nurse rubs the soles of their feet.
the nurse assign to •For color: 0 is pale or blue, 1 reflects a pink body with blue extremities
this newborn? (acrocyanosis), and 2 means completely pink. This newborn scores a 1 for
2/8
