Preview Extract
ATI Video Series-Reproduction: Prenatal Education Part 2
RN Reproduction 3.0 Case Study Test Part 1
1. A nurse is teaching about newborn pain management during a heel stick with a client who
is pregnant. Which of the following information should the nurse include in the teaching?
A. Disposable heel warmers are applied before a heel stick to help manage pain.
B. Manual lancet blades will be used to puncture the skin.
C. The newborn will be swaddled snugly with the hips flexed.
D. The newborn will be placed on the client’s chest during a heel stick.
Answer: D. The newborn will be placed on the client’s chest during a heel stick.
Correct: Skin-to-skin contact during painful procedure, such as a heel stick, has been found
to decrease newborn’s discomfort. Therefore, The nurse should inform the client that the
newborn will be place on the chest of a parent or guardian during a heel stick.
A. Disposable heel warmers are applied before a heel stick to help manage pain.
Incorrect: Applying a disposable heel warmer to the puncture site dilates blood vessels in the
area and facilitates collection of the sample. However, this action does not decrease the
discomfort associated with the procedure.
B. Manual lancet blades will be used to puncture the skin.
Incorrect: To decrease discomfort associated with the procedure, the nurse should inform the
client that an automatic puncture device, rather than a manual lancet blade, will be used to
perform the heel stick.
C. The newborn will be swaddled snugly with the hips flexed.
Incorrect: Although swaddling has been to promote comfort for newborns during
procedures, swaddling a newborn during a heel stick would prevent the nurse from accessing
the extremity needed to perform the procedure.
2. A nurse is providing teaching about skin-to-skin contact for a client who is pregnant.
Which of the following information should the nurse include?
A. A thin sheet should be placed between the chest and the newborn during skin-to-skin
contact.
B. Newborns should lie in the prone position during skin-to-skin contact.
C. Skin-to-skin contact places newborns at risk for hypoglycemia.
D. Skin-to-skin contact will be interrupted long enough for the nurse to access the newborn
after delivery.
Answer: B. Newborns should lie in the prone position during skin-to-skin contact.
Correct: The nurse should inform the client that newborns should lie in the prone position
during skin-to-skin contact.
A. A thin sheet should be placed between the chest and the newborn during skin-to-skin
contact.
Incorrect: The nurse should inform the client that newborns should lie directly on the chest
during skin-to-skin contact.
C. Skin-to-skin contact places newborns at risk for hypoglycemia.
Incorrect: The nurse should inform the client that newborns who receive skin-to-skin contact
immediately after birth have higher blood glucose levels than newborns who do not receive
skin-to-skin contact.
D. Skin-to-skin contact will be interrupted long enough for the nurse to access the newborn
after delivery.
Incorrect: The Nurse should inform the client that as long as there are no complications, the
nurse can perform the newborn’s initial assessment while the newborn is skin-to-skin with the
birth parent.
3. A nurse is teaching a client who is pregnant about skin-to-skin contact with newborns.
Which of the following information should the nurse include?
A. Skin-to-skin contact promotes the duration of breastfeeding.
B. Skin-to-skin contact id effective in decreasing temperatures in Newborns who are febrile.
C. Skin-to-skin contact is only useful for bonding between the birth parent and the newborn.
D. Skin-to-skin contact has been found to prolong healing in clients who had a high-risk
pregnancy.
Answer: A. Skin-to-skin contact promotes the duration of breastfeeding.
Correct: The nurse should inform the client that early skin-to-skin contact has been found to
promote the initiation and duration of breastfeeding.
B. Skin-to-skin contact id effective in decreasing temperatures in Newborns who are febrile.
Incorrect: The nurse should inform the client that skin-to-skin contact is used to regular
temperature in newborns who are having difficulty maintaining a high enough temperature,
rather than for newborns who are febrile.
C. Skin-to-skin contact is only useful for bonding between the birth parent and the newborn.
Incorrect: The nurse should inform the client that skin-to-skin contact has been found to
facilitate bonding between either parent or guardian of the newborn, not just the birth parent.
D. Skin-to-skin contact has been found to prolong healing in clients who had a high-risk
pregnancy.
Incorrect: The nurse should inform the client that skin-to-skin contact has been found to
promote, rather than prolong, healing in clients who had a high-risk pregnancy.
4. A nurse is caring for a client who just gave birth to a healthy newborn. Which of the
actions should the nurse take first?
A. Dry the newborn with warm towels.
B. Place a cap on the newborn’s head.
C. Assign the newborn an Apgar score.
D. Place the newborn skin-to-skin with the birth parent.
Answer: D. Place the newborn skin-to-skin with the birth parent.
Correct: Skin-to-skin contact should be implemented immediately after birth of a healthy
term newborn. If the Client births the newborn via cesarean section, skin-to-skin contact
should be initiates as soon as possible after birth.
A. Dry the newborn with warm towels.
Incorrect: The newborn should be dried with warm towels. However, there is another action
the nurse should take first.
B. Place a cap on the newborn’s head.
Incorrect: The nurse should place a cap on the newborn’s head. However, there is another
action the nurse should take first.
C. Assign the newborn an Apgar score.
Incorrect: The nurse should assign the newborn an Apgar score at 1 and 5 min following
birth. However, this client has just given birth so there is another action the nurse should take
first.
5. A nurse is caring for a newborn who is resting skin-to-skin on the birth parent’s chest.
Which of the following findings by the nurse requires follow up?
A. The newborn’s chest is facing the birth parent’s chest.
B. The newborn’s legs are in a flexed position.
C. The newborn’s chin is tucked against their chest.
D. The newborn’s back is covered with a blanket.
Answer: C. The newborn’s chin is tucked against their chest.
Correct: This position can obstruct the newborn's airway, making it difficult for the baby to
breathe. The newborn's head should be slightly extended or in a neutral position to ensure that
the airway remains open and clear. This requires follow-up to ensure the baby’s airway is not
compromised.
A. The newborn’s chest is facing the birth parent’s chest.
Incorrect: This is a correct and recommended position for skin-to-skin contact. It ensures
close physical proximity, promoting bonding and temperature regulation. This position helps
maintain the newborn's airway by keeping it open and aligned.
B. The newborn’s legs are in a flexed position.
Incorrect: This is a natural and comfortable position for newborns. Flexed legs indicate that
the baby is in a fetal position, which is familiar and comforting, and it also helps in
maintaining body heat.
D. The newborn’s back is covered with a blanket.
Incorrect: Covering the newborn with a blanket while doing skin-to-skin is standard practice
to help keep the baby warm. The blanket should be loosely draped over the baby's back to
prevent overheating and to ensure the baby is comfortable and secure.
