ATI RN
VATI Maternal Newborn Assessment Questions
Question 1 of 5
The nurse is explaining how a newly delivered baby initiates respiration. Which statement explains this process?
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.
Question 2 of 5
The nurse is assessing a client at 36 weeks' gestation who reports swelling in the hands and face. What is the priority nursing action?
Correct Answer: A
Rationale: Swelling in the hands and face may indicate preeclampsia, requiring immediate blood pressure assessment.
Question 3 of 5
How should a nurse assess for proper latch during breastfeeding?
Correct Answer: B
Rationale: Ensuring the baby's lips are sealed around the areola promotes effective milk transfer and reduces pain.
Question 4 of 5
A nurse is instructing a client who is takingan oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following?
Correct Answer: C
Rationale: Shortness of breath is a potential danger sign that should be reported to the healthcare provider when taking oral contraceptives. It could indicate a serious side effect such as a blood clot in the lungs, also known as a pulmonary embolism, which can be a life-threatening condition. Therefore, it is important for the client to seek medical attention immediately if they experience sudden shortness of breath while on oral contraceptives. Reduced menstrual flow, breast tenderness, and headaches are common side effects of oral contraceptives and are not usually considered danger signs that require immediate medical attention.
Question 5 of 5
During a nursing assessment the woman with rupture
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.