Maternity Ati Focused Review Part 2
Questions And Answers With Verified
Solutions Graded A+ Latest Update
2025.
Apgar scoring - ANSWER An Apgar score is assigned based
on a quick review of systems that is
completed at 1 and 5 min of life. This
allows the nurse to rapidly assess
extrauterine adaptation and intervene
with appropriate nursing actions.
● 0 to 3 indicates severe distress
● 4 to 6 indicates moderate difficulty
● 7 to 10 indicates minimal or no difficulty
with adjusting to extrauterine life
New Ballard Scale - ANSWER This scale provides an estimation of gestational age and a
baseline to assess growth and development. Each range of development within an assessment is assigned
a number value from -1 to 5. The totals are added to give a maturity rating in weeks gestation (e.g., a
score of 35 indicates 38 weeks of gestation)
classification of newborn age and weight - ANSWER Appropriate for gestational age (AGA):
Weight is between the 10th and 90th percentile.
Small for gestational age (SGA): Weight is less than the 10th percentile.
Large for gestational age (LGA): Weight is greater than the 90th percentile.
Low birth weight (LBW): Weight of 2,500 g or less at birth.
Intrauterine growth restriction (IUGR): Growth rate does not meet expected norms.
Term: Birth between the beginning of week 37 and prior to the end of 42 weeks of gestation.
Preterm or premature: Born prior to the completion of 37 weeks of gestation.
Postterm (postdate): Born after the completion of
42 weeks of gestation.
Postmature: Born after the completion of 42 weeks of gestation with evidence of placental insufficiency.
,sequence of vital signs - ANSWER Vital signs are checked in the following sequence:
respirations, heart rate, blood pressure, and temperature.
The nurse observes the respiratory rate first before
the newborn becomes active or agitated by use of the stethoscope, thermometer, and/or blood pressure
cuff
Respiratory rate - ANSWER 30 to 60 breaths/min with short periods of apnea (less than 15
seconds) occurring most frequently during the rapid eye movement sleep cycle. Periods of apnea lasting
longer than 15
seconds should be evaluated.
Crackles and wheezing are manifestations of fluid or infection in the lungs.
Grunting and nasal flaring are clinical findings of
respiratory distress.
normal newborn Blood pressure - ANSWER 60 to 80 mm Hg systolic and
40 to 50 mm Hg diastolic
Normal temperature range - ANSWER 36.5° C to 37.5° C (97.7° F to
99.5° F) axillary. The newborn is at risk for hypothermia and hyperthermia until thermoregulation (ability
to produce heat and maintain normal body temperature)
stabilizes. If the newborn becomes chilled (cold stress), oxygen demands can increase and acidosis can
occur.
normal deviations - ANSWER millia, mongolian spots, telangietactic nevi, nevus flammus,
erythema toxicum
Milia - ANSWER (small raised white spots on
the nose, chin, and forehead) can
be present. These spots disappear
spontaneously without treatment
(parents should not squeeze
the spots).
Mongolian spots - ANSWER (bluish purple spots
of pigmentation) are commonly
noted on the shoulders, back, and
buttocks. These spots are frequently
present on newborns who have dark
, skin. Be sure the parents are aware
of Mongolian spots, and document
location and presence
Telangiectatic nevi - ANSWER (stork bites) are
flat pink or red marks that easily
blanch and are found on the back of
the neck, nose, upper eyelids, and
middle of the forehead. They usually
fade by the second year of life.
Nevus flammeus - ANSWER (port wine stain) is a capillary angioma below the surface of the
skin that is purple or red, varies in size and shape, is commonly seen on the
face, and does not blanch or disappear.
Erythema toxicum - ANSWER (erythema neonatorum) is a pink
rash that appears suddenly anywhere on the body
of a term newborn during the first 3 weeks. This is
frequently referred to as newborn rash. No treatment is required
head - ANSWER Head should be 2 to 3 cm larger than chest
circumference. If the head circumference is greater than or equal to 4 cm larger than the chest
circumference, this can be an indication of hydrocephalus (excessive cerebral fluid within the brain cavity
surrounding the brain). If the head circumference is less than or equal
to 32 cm, this can be an indication of microcephaly
(abnormally small head).
fontanels and sutures - ANSWER Anterior fontanel should be palpated and approximately 5 cm
on average and diamond shaped.
Posterior fontanel is smaller and triangle-shaped. Fontanels should be soft and flat.
Fontanels can bulge when the newborn
cries, coughs, or vomits, and are flat when the newborn is quiet. Bulging fontanels can indicate increased
intracranial pressure, infection, or hemorrhage.
Depressed fontanels can indicate dehydration.
Sutures should be palpable, separated, and can be overlapping (molding), a normal occurrence resulting
from head compression during labor.
Caput succedaneum - ANSWER (localized swelling of the soft
Questions And Answers With Verified
Solutions Graded A+ Latest Update
2025.
Apgar scoring - ANSWER An Apgar score is assigned based
on a quick review of systems that is
completed at 1 and 5 min of life. This
allows the nurse to rapidly assess
extrauterine adaptation and intervene
with appropriate nursing actions.
● 0 to 3 indicates severe distress
● 4 to 6 indicates moderate difficulty
● 7 to 10 indicates minimal or no difficulty
with adjusting to extrauterine life
New Ballard Scale - ANSWER This scale provides an estimation of gestational age and a
baseline to assess growth and development. Each range of development within an assessment is assigned
a number value from -1 to 5. The totals are added to give a maturity rating in weeks gestation (e.g., a
score of 35 indicates 38 weeks of gestation)
classification of newborn age and weight - ANSWER Appropriate for gestational age (AGA):
Weight is between the 10th and 90th percentile.
Small for gestational age (SGA): Weight is less than the 10th percentile.
Large for gestational age (LGA): Weight is greater than the 90th percentile.
Low birth weight (LBW): Weight of 2,500 g or less at birth.
Intrauterine growth restriction (IUGR): Growth rate does not meet expected norms.
Term: Birth between the beginning of week 37 and prior to the end of 42 weeks of gestation.
Preterm or premature: Born prior to the completion of 37 weeks of gestation.
Postterm (postdate): Born after the completion of
42 weeks of gestation.
Postmature: Born after the completion of 42 weeks of gestation with evidence of placental insufficiency.
,sequence of vital signs - ANSWER Vital signs are checked in the following sequence:
respirations, heart rate, blood pressure, and temperature.
The nurse observes the respiratory rate first before
the newborn becomes active or agitated by use of the stethoscope, thermometer, and/or blood pressure
cuff
Respiratory rate - ANSWER 30 to 60 breaths/min with short periods of apnea (less than 15
seconds) occurring most frequently during the rapid eye movement sleep cycle. Periods of apnea lasting
longer than 15
seconds should be evaluated.
Crackles and wheezing are manifestations of fluid or infection in the lungs.
Grunting and nasal flaring are clinical findings of
respiratory distress.
normal newborn Blood pressure - ANSWER 60 to 80 mm Hg systolic and
40 to 50 mm Hg diastolic
Normal temperature range - ANSWER 36.5° C to 37.5° C (97.7° F to
99.5° F) axillary. The newborn is at risk for hypothermia and hyperthermia until thermoregulation (ability
to produce heat and maintain normal body temperature)
stabilizes. If the newborn becomes chilled (cold stress), oxygen demands can increase and acidosis can
occur.
normal deviations - ANSWER millia, mongolian spots, telangietactic nevi, nevus flammus,
erythema toxicum
Milia - ANSWER (small raised white spots on
the nose, chin, and forehead) can
be present. These spots disappear
spontaneously without treatment
(parents should not squeeze
the spots).
Mongolian spots - ANSWER (bluish purple spots
of pigmentation) are commonly
noted on the shoulders, back, and
buttocks. These spots are frequently
present on newborns who have dark
, skin. Be sure the parents are aware
of Mongolian spots, and document
location and presence
Telangiectatic nevi - ANSWER (stork bites) are
flat pink or red marks that easily
blanch and are found on the back of
the neck, nose, upper eyelids, and
middle of the forehead. They usually
fade by the second year of life.
Nevus flammeus - ANSWER (port wine stain) is a capillary angioma below the surface of the
skin that is purple or red, varies in size and shape, is commonly seen on the
face, and does not blanch or disappear.
Erythema toxicum - ANSWER (erythema neonatorum) is a pink
rash that appears suddenly anywhere on the body
of a term newborn during the first 3 weeks. This is
frequently referred to as newborn rash. No treatment is required
head - ANSWER Head should be 2 to 3 cm larger than chest
circumference. If the head circumference is greater than or equal to 4 cm larger than the chest
circumference, this can be an indication of hydrocephalus (excessive cerebral fluid within the brain cavity
surrounding the brain). If the head circumference is less than or equal
to 32 cm, this can be an indication of microcephaly
(abnormally small head).
fontanels and sutures - ANSWER Anterior fontanel should be palpated and approximately 5 cm
on average and diamond shaped.
Posterior fontanel is smaller and triangle-shaped. Fontanels should be soft and flat.
Fontanels can bulge when the newborn
cries, coughs, or vomits, and are flat when the newborn is quiet. Bulging fontanels can indicate increased
intracranial pressure, infection, or hemorrhage.
Depressed fontanels can indicate dehydration.
Sutures should be palpable, separated, and can be overlapping (molding), a normal occurrence resulting
from head compression during labor.
Caput succedaneum - ANSWER (localized swelling of the soft
