VATI Maternal Newborn Assessment

VATI Maternal Newborn Assessment Related

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A labor client has been diagnosed with CPD following attempts of pushing for 2 hours with no progress. Based on the info, which birth method is available when you have CPD (baby can't come out)?

  • A. C/S
  • B. Induced labor
  • C. Vaginal birth with vacuum
  • D. Insert foley catheter to empty bladder and make more room
Correct Answer: A

Rationale: CPD (cephalopelvic disproportion) occurs when the baby's head or body is too large to pass through the mother's pelvis. In cases where CPD is diagnosed and labor has stalled despite adequate efforts (such as pushing for 2 hours with no progress), the safest and most appropriate method to deliver the baby is through a cesarean section (C/S). This surgical procedure allows for a safe delivery when vaginal delivery is not possible due to CPD, ensuring the well-being of both the baby and the mother. Induced labor, vaginal birth with vacuum, or inserting a foley catheter to empty the bladder would not be effective or safe in cases of CPD where the baby cannot pass through the birth canal.

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The nurse is assessing a client at 36 weeks' gestation who reports swelling in the hands and face. What is the priority nursing action?

  • A. Check the client’s blood pressure.
  • B. Reassure the client that swelling is normal.
  • C. Encourage the client to reduce salt intake.
  • D. Evaluate the fetal heart rate.
Correct Answer: A

Rationale: Swelling in the hands and face may indicate preeclampsia, requiring immediate blood pressure assessment.

The nurse is assessing a client with suspected preeclampsia. What symptom supports this diagnosis?

  • A. Hyperglycemia.
  • B. Proteinuria.
  • C. Increased fetal movement.
  • D. Hypotension.
Correct Answer: B

Rationale: Proteinuria is a hallmark symptom of preeclampsia, along with hypertension and other systemic findings.

A 28-year-old patient has decided to use the patch contraception. The nurse is educating her on the best site to use. Where is the best place to put the patch? Select one that does not that apply.

  • A. Buttocks
  • B. Leg
  • C. Breast
  • D. Arm
Correct Answer: C

Rationale: The best sites for applying the contraceptive patch are the buttocks, arm, and leg. These areas have sufficient fat and are away from areas that might rub off the patch. Choice B (Neck) is incorrect as the neck is not recommended for patch application due to the potential for irritation and the high blood flow area. Choice C (Breast) is not recommended because the breast tissue may affect the adhesion of the patch.

Family roles are often defined by culture and religion. What does the nurse know about collectivism?

  • A. Collectivist cultures place an emphasis on individuality.
  • B. Decisions are made for the benefit of the individual person, then the family.
  • C. A person from a collectivist culture might leave treatment decisions to their family.
  • D. These cultures believe that it is best for society when everyone decides on their own health care.
Correct Answer: C

Rationale: Collectivist cultures prioritize family and group decision-making over individual choices.

What factor is known to increase the risk of gestational DM?

  • A. Weigh 100kg prior to pregnancy
  • B. Previous birth AGA
  • C. Maternal age younger than 25
  • D. Previous diagnosis of type 2 diabetes
Correct Answer: D

Rationale: A previous diagnosis of type 2 diabetes is a known risk factor for developing gestational diabetes mellitus (GDM). Women who have had diabetes prior to pregnancy are more likely to develop GDM due to pre-existing insulin resistance. This increased risk is why healthcare providers closely monitor pregnant women with a history of type 2 diabetes. It is important for these women to manage their blood sugar levels carefully during pregnancy to reduce the risk of complications for both the mother and the baby.

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