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 about to undergo an amniocentesis. tion on her postpartum clients. Which client has a Which procedures should the nurse perform? Select high risk for postpartum hemorrhage? Select all all that apply.

  • A. Have the patient give verbal consent for the
  • B. Client who delivered vaginally at 40 weeks procedure.
  • C. Client who delivered by cesarean delivery because
  • D. Assess for bleeding disorders.
Correct Answer: A

Rationale: Having the patient give verbal consent for the procedure is a standard practice and an important step to ensure that the patient understands the risks and benefits of the amniocentesis.

How would a patient who has taken Lamaze education respond when the health-care provider recommends breaking the bag of waters in early labor?

  • A. As long as it will speed up my labor, that is fine.”
  • B. I trust whatever intervention you think is right.”
  • C. What are the risks and benefits of breaking my water right now?”
  • D. Will I be able to get an epidural after you break my water?”
Correct Answer: C

Rationale: Lamaze encourages informed decision-making, prompting patients to ask about risks and benefits.

What cycle day does the proliferative stage occur?

  • A. Cycle day 7-14
  • B. Cycle day 14-28
  • C. Cycle day 1-6
  • D. Cycle day 1-14
Correct Answer: A

Rationale: The proliferative stage of the menstrual cycle occurs from around cycle day 7 to cycle day 14. This stage is characterized by the growth of the endometrial lining of the uterus in response to increasing levels of estrogen produced by the developing ovarian follicles. The proliferative stage prepares the uterus for a potential embryo implantation following ovulation, which typically occurs around day 14 of a 28-day menstrual cycle.

A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?

  • A. "Thawed breast milk can be refrigerated for up to 72 hours."
  • B. "Breast milk can be stored in a deep freezer for 12 months."
  • C. Breast milk can be stored at room temperature for up to 12 hours."
  • D. "Thawed breast milk that is unused can be refrozen."
Correct Answer: D

Rationale: The correct information for breastfeeding after returning to work is that thawed breast milk that is unused should not be refrozen. Once breast milk has been thawed, it should be used within 24 hours and should not be refrozen. This is important to prevent contamination and maintain the quality of the breast milk for the baby. The other statements provided in the options are correct guidelines regarding the storage of breast milk. Thawed breast milk can be refrigerated for up to 24 hours, breast milk can be stored in a deep freezer for up to 12 months, and breast milk can be stored at room temperature for up to 4 hours.

During a trauma-informed gynecologic examination, what principle emphasizes the importance of involving the patient in decision making about their health care?

  • A. respecting autonomy and empowerment
  • B. trauma-sensitive language and communication
  • C. providing information and explanation
  • D. avoiding triggering situations
Correct Answer: A

Rationale:

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