Maternal Newborn Skills ATI
A new child brought vaginally at term 1 min in the past cried loudly at shipping, has a coronary
heart fee of one hundred forty/min, has well flexed legs and arms, grimaces whilst the nurse
rubs the soles of his toes, and is purple with moderate acrocyanosis. What Apgar score must
the nurse assign to this new child? - ANS-eight
A newborn delivered vaginally at time period 1 min ago cried loudly at shipping, has a heart
price of a hundred and forty/min, has properly flexed arms and legs, grimaces whilst the nurse
rubs the soles of his feet, and is pink with slight acrocyanosis. What Apgar score have to the
nurse assign to this newborn? - ANS-eight
A nurse is assessing a patient at a routine antepartum visit. For a rough estimate of the wide
variety of gestational weeks the patient is at, the nurse should degree the number of cm among
which anatomical landmarks?
The mons pubis and the xiphoid process
The top of the fundus and the umbilicus
The symphysis pubis and the top of the fundus
The mons pubis and the umbilicus - ANS-The symphysis pubis and the pinnacle of the fundus
A nurse is assessing a patient who's 1 day postpartum and isn't always breastfeeding. The
nurse notes the patient breast are engorged. Which of the subsequent movements is suitable
for the nurse to take?
Applying ice packs
Wearing a free-becoming bra
Pumping her breasts
Taking a warm shower - ANS-Applying ice packs
A nurse is assessing a affected person who's 1 day postpartum and isn't breastfeeding. The
nurse notes the sufferers breasts are engorged. Which of the subsequent actions is suitable for
the patient to take?
Applying ice packs
Wearing a loose-fitting bra
Pumping her breasts
Taking a warm bathe - ANS-Applying ice packs
, A nurse is assessing a patient who is 20 weeks of gestation. She instructs the affected person
to make certain to record headaches, blurred vision, and swelling of her palms because those
are indications of which of the following headaches of being pregnant?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae - ANS-Preeclampsia
a nurse is assessing a patient who's at 20 weeks gestation. She instructs the patient to be sure
to report complications, blurred vision, and swelling of the fingers due to the fact those are
warning signs of which of the following complications of being pregnant?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae - ANS-Preeclampsia
A nurse is asssessing a affected person at a recurring antepartum visit. For a tough estimate of
the range of gestational weeks the affected person is at, the nurse need to measure the wide
variety of cm among which two anatomical landmarks?
The mons pubis and the xiphoid process
The pinnacle of the fundus and the umbilicus
The symphysis pubis and the pinnacle of the fundus
The mons pubis and the umbilicus - ANS-The symphysis pubis and the pinnacle of the fundus
A nurse is worrying for a patient who is in hard work and has ache in her decrease again
because the fetal head is in a posterior function. Which of the subsequent nonpharmacological
pain control strategies is in all likelihood to be simplest in relieving this sort of pain?
Counterpressure
Effleurage
Therapeutic touch
Breathing strategies - ANS-Counterpressure
A nurse is caring for a time period newborn who has just had a circumcision using the Gomco
clamp approach. Which of the subsequent instructions need to the nurse consist of whilst
teaching the parents to care for the site? (Select all that follow.)
Apply petroleum jelly to the penis for the primary 24 hr.
Cleanse the penis with warm water and moderate soap.
Apply mild pressure from a sterile gauze pad to manipulate mild bleeding.
Gently wipe away any yellow exudate at the penis.
A new child brought vaginally at term 1 min in the past cried loudly at shipping, has a coronary
heart fee of one hundred forty/min, has well flexed legs and arms, grimaces whilst the nurse
rubs the soles of his toes, and is purple with moderate acrocyanosis. What Apgar score must
the nurse assign to this new child? - ANS-eight
A newborn delivered vaginally at time period 1 min ago cried loudly at shipping, has a heart
price of a hundred and forty/min, has properly flexed arms and legs, grimaces whilst the nurse
rubs the soles of his feet, and is pink with slight acrocyanosis. What Apgar score have to the
nurse assign to this newborn? - ANS-eight
A nurse is assessing a patient at a routine antepartum visit. For a rough estimate of the wide
variety of gestational weeks the patient is at, the nurse should degree the number of cm among
which anatomical landmarks?
The mons pubis and the xiphoid process
The top of the fundus and the umbilicus
The symphysis pubis and the top of the fundus
The mons pubis and the umbilicus - ANS-The symphysis pubis and the pinnacle of the fundus
A nurse is assessing a patient who's 1 day postpartum and isn't always breastfeeding. The
nurse notes the patient breast are engorged. Which of the subsequent movements is suitable
for the nurse to take?
Applying ice packs
Wearing a free-becoming bra
Pumping her breasts
Taking a warm shower - ANS-Applying ice packs
A nurse is assessing a affected person who's 1 day postpartum and isn't breastfeeding. The
nurse notes the sufferers breasts are engorged. Which of the subsequent actions is suitable for
the patient to take?
Applying ice packs
Wearing a loose-fitting bra
Pumping her breasts
Taking a warm bathe - ANS-Applying ice packs
, A nurse is assessing a patient who is 20 weeks of gestation. She instructs the affected person
to make certain to record headaches, blurred vision, and swelling of her palms because those
are indications of which of the following headaches of being pregnant?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae - ANS-Preeclampsia
a nurse is assessing a patient who's at 20 weeks gestation. She instructs the patient to be sure
to report complications, blurred vision, and swelling of the fingers due to the fact those are
warning signs of which of the following complications of being pregnant?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae - ANS-Preeclampsia
A nurse is asssessing a affected person at a recurring antepartum visit. For a tough estimate of
the range of gestational weeks the affected person is at, the nurse need to measure the wide
variety of cm among which two anatomical landmarks?
The mons pubis and the xiphoid process
The pinnacle of the fundus and the umbilicus
The symphysis pubis and the pinnacle of the fundus
The mons pubis and the umbilicus - ANS-The symphysis pubis and the pinnacle of the fundus
A nurse is worrying for a patient who is in hard work and has ache in her decrease again
because the fetal head is in a posterior function. Which of the subsequent nonpharmacological
pain control strategies is in all likelihood to be simplest in relieving this sort of pain?
Counterpressure
Effleurage
Therapeutic touch
Breathing strategies - ANS-Counterpressure
A nurse is caring for a time period newborn who has just had a circumcision using the Gomco
clamp approach. Which of the subsequent instructions need to the nurse consist of whilst
teaching the parents to care for the site? (Select all that follow.)
Apply petroleum jelly to the penis for the primary 24 hr.
Cleanse the penis with warm water and moderate soap.
Apply mild pressure from a sterile gauze pad to manipulate mild bleeding.
Gently wipe away any yellow exudate at the penis.
