VATI Maternal Newborn Assessment

VATI Maternal Newborn Assessment Related

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The nurse is explaining how a newly delivered baby initiates respiration. Which statement explains this process?

  • A. Chemical thermal and mechanical factors
  • B. Increase of po2 and decreased pco2
  • C. Continued function of foramen ovale
  • D. Drying off the infant
Correct Answer: A

Rationale: The correct statement explaining how a newly delivered baby initiates respiration is "Chemical thermal and mechanical factors." When a baby is born, various factors come into play to stimulate the baby's first breath. Chemically, the baby senses a decrease in oxygen and an increase in carbon dioxide levels, triggering the respiratory centers in the brain to start the breathing process. Thermally, exposure to the cooler air outside the womb stimulates the baby's skin receptors, encouraging the baby to take a breath. Mechanically, the pressure changes during delivery and the physical stimulation of the baby's face and body also play a role in initiating respiration. Overall, it is the combined effect of these chemical, thermal, and mechanical factors that help a newly delivered baby begin breathing independently.

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A patient is taking oral contraceptives and asks whether they will still be effective if she has diarrhea. What should the nurse respond?

  • A. Oral contraceptives will still work if taken with food.
  • B. Oral contraceptives may be less effective during diarrhea due to absorption issues.
  • C. Oral contraceptives need to be stopped for 7 days when experiencing diarrhea.
  • D. Oral contraceptives will be more effective during diarrhea due to faster metabolism.
Correct Answer: B

Rationale: Diarrhea can reduce the absorption of oral contraceptives, potentially making them less effective. Choice A is incorrect because food does not always affect oral contraceptive absorption. Choice C is incorrect because there is no need to stop the contraceptives, but additional methods may be recommended during diarrhea. Choice D is incorrect because diarrhea does not increase the effectiveness of oral contraceptives.

Narcotic analgesia is administered to a laboring patient at 10am. The infant is delivered at 12:30pm. The nurse would anticipate what?

  • A. Neonatal respiratory depression
  • B. Increased infant alertness
  • C. Decreased fetal heart rate variability
  • D. No effects on the neonate
Correct Answer: A

Rationale: Narcotic analgesia, when administered to a laboring patient, can cross the placenta and affect the infant. It can cause neonatal respiratory depression in the newborn after delivery. This is because the medication can depress the respiratory drive of the infant, leading to potentially serious breathing problems. It is important for the healthcare provider to closely monitor and assess the newborn for signs of respiratory distress in such cases.

A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr. postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?

  • A. Blood pressure 142/92 mm Hg
  • B. Urine output 100 mL in hr.
  • C. Pulse 58/min
  • D. Respiratory rate 14/min
Correct Answer: A

Rationale: Methylergonovine is a medication used to help contract the uterus and control postpartum hemorrhage. One of its side effects is vasoconstriction, which can lead to increased blood pressure. The client's blood pressure of 142/92 mm Hg is elevated, and administering methylergonovine could further increase the blood pressure, potentially causing harm to the client. It is important to withhold the medication in this situation to prevent worsening of hypertension. The other assessment findings are within normal ranges and do not contraindicate the administration of methylergonovine.

What organization developed the CJMM?

  • A. ACOG
  • B. ANA
  • C. AWHONN
  • D. NCSBN
Correct Answer: C

Rationale: The organization that developed the CJMM is the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN). The CJMM, which stands for Core JMM, is a framework used for assessing labor progress during childbirth. AWHONN is a professional association that focuses on promoting the health of women and newborns, and they are widely recognized for their work in developing standards and guidelines in the field of obstetric and neonatal nursing.

How should a nurse assess for proper latch during breastfeeding?

  • A. Ensure the baby's nose is covered during feeding
  • B. Ensure the baby's lips are sealed around the areola
  • C. Check for audible swallowing during feeding
  • D. Encourage frequent feeding attempts
Correct Answer: B

Rationale: Ensuring the baby's lips are sealed around the areola promotes effective milk transfer and reduces pain.

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