VATI Maternal Newborn Assessment

VATI Maternal Newborn Assessment Related

Review VATI Maternal Newborn Assessment related questions and content

During a nursing assessment the woman with rupture

  • A. What is the nurse's priority action?
  • B. Use gravity and manipulation to relieve compression of the cord (butt up in the air and face down until ready to delivery)
  • C. Help the fetal head descend faster
  • D. Facilitate dilation of the cervix with prostaglandin gel
Correct Answer: A

Rationale: In the scenario presented, the nurse's priority action should be to call for emergent medical assistance. A woman with a rupture during a nursing assessment could be experiencing a serious complication known as umbilical cord prolapse. This occurs when the umbilical cord slips through the cervix ahead of the baby, which can lead to compression of the cord and a serious decrease in oxygen supply to the baby. It is a medical emergency that requires immediate intervention by the healthcare team, which may include moving the mother into a knee-chest position or performing a cesarean section. Therefore, the priority action for the nurse is to ensure prompt medical intervention to protect the well-being of both the mother and the baby.

You may also like to solve these questions

What is an advantage of the cervical cap over the diaphragm?

  • A. a lower failure rate
  • B. its ease of insertion
  • C. that it can remain in place for 48 hours
  • D. that spermicide is not needed
Correct Answer: A

Rationale: The advantage of the cervical cap over the diaphragm is that it typically has a lower failure rate in preventing pregnancy. Failure rates for contraceptive methods refer to the percentage of women who become pregnant within the first year of typical use. The cervical cap is generally associated with a lower failure rate compared to the diaphragm due to its snugger fit and ability to cover the cervix more effectively, resulting in better protection against sperm entering the uterus. This makes the cervical cap a more reliable option for women seeking effective contraception.

A client in the first trimester reports nausea. What dietary recommendation should the nurse make?

  • A. Eat dry crackers before getting out of bed.
  • B. Avoid eating throughout the day.
  • C. Increase intake of spicy foods.
  • D. Consume large, infrequent meals.
Correct Answer: A

Rationale: Dry crackers before rising can help manage nausea by stabilizing blood sugar and reducing gastric discomfort.

The nurse is assessing a pregnant client who reports dizziness and lightheadedness when lying on her back. What is the priority intervention?

  • A. Administer oxygen via face mask.
  • B. Place the client in a left lateral position.
  • C. Encourage deep breathing exercises.
  • D. Increase IV fluid rate.
Correct Answer: B

Rationale: Supine hypotension syndrome is relieved by positioning the client on her left side to improve blood flow.

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

  • A. Uteroplacental insufficiency
  • B. Maternal bradycardia
  • C. Umbilical cord compression
  • D. Fetal head compression
Correct Answer: A

Rationale: Late decelerations on the fetal monitor strip indicate uteroplacental insufficiency. These decelerations occur after the peak of a contraction, and the fetus may not receive enough oxygen-rich blood during contractions. Uteroplacental insufficiency can lead to fetal hypoxia and acidosis if not addressed promptly. It is important for the nurse to take appropriate steps to improve fetal oxygenation, such as repositioning the mother, administering oxygen, and adjusting IV fluids. If late decelerations persist, further interventions may be necessary to ensure the well-being of the fetus.

The nurse is monitoring a client with suspected placental abruption. What is a key assessment finding?

  • A. Painless vaginal bleeding.
  • B. Hard, rigid abdomen with severe pain.
  • C. Clear amniotic fluid.
  • D. Regular uterine contractions.
Correct Answer: B

Rationale: A hard, rigid abdomen and severe pain are classic signs of placental abruption, requiring urgent intervention.

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