VATI Maternal Newborn Assessment

VATI Maternal Newborn Assessment Related

Review VATI Maternal Newborn Assessment related questions and content

Multiparous patient admitted to labor unit with regular contractions 2 minutes apart and last 60 seconds. She reports labor began 6 hours ago and she had bloody show earlier this morning.The patient asks what stage of labor she is in

  • A. Transition phase
  • B. Active phase
  • C. Latent phase
  • D. Second stage
Correct Answer: B

Rationale: Based on the information provided, the patient is experiencing regular contractions 2 minutes apart lasting 60 seconds, and she had a bloody show earlier in the morning. These signs in a multiparous patient with 6 hours of labor indicate she is most likely in the transition phase of labor. The transition phase is characterized by intense contractions that are closer together, typically 2-3 minutes apart, and lasting longer, usually around 60-90 seconds. This stage signifies the progression towards the final stages of labor, leading up to the pushing stage and delivery. Therefore, the correct answer is B, Transition phase.

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What is considered the first day of the menstrual cycle?

  • A. day of ovulation
  • B. first day of menstrual bleeding
  • C. last day of menstrual bleeding
  • D. when the corpus luteum forms
Correct Answer: B

Rationale:

Positive signs of pregnancy

  • A. FHR detected by electronic doppler @10-12 wks
  • B. Active fetal movements palpable by examiner
  • C. Outline of fetus by radiography or ultrasound
Correct Answer: B

Rationale: One of the positive signs of pregnancy is the active fetal movements palpable by the examiner. This occurs when the examiner is able to feel the movements of the fetus inside the uterus. This sign usually becomes noticeable in the second half of pregnancy and is a clear indication that the pregnancy is progressing normally. It is a reassuring sign for both the pregnant individual and the healthcare provider that the fetus is active and healthy.

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 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.

The nurse is monitoring a pregnant client with gestational hypertension. What is the primary complication to prevent?

  • A. Preterm labor.
  • B. Placenta previa.
  • C. Eclampsia.
  • D. Abruptio placentae.
Correct Answer: C

Rationale: Gestational hypertension can progress to eclampsia, characterized by seizures, and requires close monitoring.

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