VATI Maternal Newborn Assessment

VATI Maternal Newborn Assessment Related

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The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. Which topics will the nurse include in the teen's teaching plan?

  • A. Smoking habits, folic acid intake, and heart disease
  • B. Hyperlipidemia, distracted driving, and menstrual history
  • C. Sexual activity, contraception, and screening for violence
  • D. Optimum weight, hypothyroidism, and sexually transmitted diseases
Correct Answer: D

Rationale: The most appropriate topics for the nurse to include in the teaching plan for the 17-year-old female with acne are optimum weight, hypothyroidism, and sexually transmitted diseases. Acne can be influenced by hormonal changes, which can be impacted by weight, thyroid function, and hormonal fluctuations related to sexual health. Educating the teen about these topics can help her understand potential contributing factors to her acne and empower her to make informed decisions about her health and lifestyle. It is important to address issues that are relevant to the teen's current health concerns while also providing valuable information for her overall well-being.

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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.

Three hours after birth, a newborn of a mother with diabetes becomes jittery, has weak, high- pitched cry , and exhibits irregular respirations. The nurse recognizes that these signs are often associated with:

  • A. Hypovolemia
  • B. Hypocalcemia
  • C. Hypoglycemia
  • D. Hyperglycemia
Correct Answer: C

Rationale: The signs described in the scenario - jitteriness, weak high-pitched cry, irregular respirations - are indicative of hypoglycemia in a newborn. Babies born to mothers with diabetes are at risk for hypoglycemia due to their exposure to high blood sugar levels in utero. After birth, when the baby is separated from the mother's blood supply, their own insulin production may lead to a sudden drop in blood glucose levels.

The nurse is caring for a postpartum client with a perineal laceration. What comfort measure is most appropriate?

  • A. Encourage warm sitz baths.
  • B. Apply warm compresses to the perineum.
  • C. Provide a heating pad for the lower abdomen.
  • D. Offer an ice pack for the perineum.
Correct Answer: D

Rationale: Ice packs help reduce swelling and discomfort in the perineal area during the initial postpartum period.

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.

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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