VATI RN MATERNAL NEWBORN PROCTORED EXAM 2026|2027 QUESTIONS WITH ANSWERS PLUS EXPLANATIONS BEST REVISION GUIDE
A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching? ✔️Encourage client who are prescribed methadone to breastfeed.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings is an indication the medication was
effective? ✔️Decreased frequency of contractions.
A charge nurse is discussing care of clients who are in labor with a newly licensed nurse. Which of the following actions should the charge nurse
include in the teaching regarding situations requiring an amniotomy? ✔️Placing a fetal scalp electrode.
A nurse is reviewing the medical record of a client who has preeclampsia prior to administering labetalol. For which of the following findings
should the nurse withhold the medication? ✔️Heart rate 54/min
A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking while eating lunch. The client is unable to speak or
cough. Identify the sequence of steps the nurse should take to clear the airway obstruction. ✔️1. Stand posterior to the client.
2. Position arms under the client's axilla and across the client's chest.
3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
-If the client becomes unconscious, the nurse should perform CPR and activate emergency medical services.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor. Which of the following assessments should the nurse
perform? (SATA) ✔️Maternal blood pressure.
Pain level.
Fetal heart rate.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which of the following findings should the nurse identify as a
risk factor for developing preeclampsia? ✔️Rheumatoid Arthritis.
A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis. Which of the following
laboratory tests should the nurse monitor? ✔️International normalized ratio (INR).
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine pressure catheter and fetal scalp electrode. Which of
the following findings should the nurse expect? ✔️Montevideo units (MVU) of 220 mm Hg.
A nurse is assessing a client who has just undergone a cesarean birth and was given epidural morphine for postpartum pain relief 1hr ago. The
nurse notes that the clients respiratory rate is 10/min. Which of the following actions should the nurse take first? ✔️Administer oxygen by
nonrebreather face mask.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical findings should the nurse
expect? ✔️Painless vaginal bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the nurse report to the provider? ✔️Episodes of
blurred vision.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis gravidarum. Which of the following are findings of this condition?
(SATA) ✔️1. Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client who is at 29wks of gestation. Which of the following results should the nurse identify as
an indication of a prenatal complication? ✔️BUN 30 mg/dL
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The clients skin is cool and clammy to touch.
Which of the following actions should the nurse take first? ✔️Firmly massage the fundus.
, A nurse is caring for a client who is at 28wks of gestation and has received two doses of terbutaline subcutaneously. Which of the following
adverse effects is the priority for the nurse to report to the provider? ✔️Heart rate: 132/min
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis. Which of the following instructions should the nurse include
in the teaching? ✔️Apply moist heat to the affected breast.
A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which of the following statements by a client indicates an
understanding of the teaching? ✔️I will have monthly prenatal visits for the first 28wks of pregnancy.
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the following statements should the nurse include in the
teaching? (SATA) ✔️1. You might have to have cultures for sexually transmitted infections prior to placement of the device.
2. You might experience irregular spotting the first few months after placement of the device.
3. You will need to sign informed consent prior to the procedure.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the nurse report to the provider? ✔️Epigastric
pain.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin. The client reports that they have been bleeding excessively.
Which of the following actions should the nurse take? ✔️Initiate and infusion of oxytocin.
A nurse is monitoring a client who is in active labor and observes a pattern of late decelerations on the fetal monitor tracing. Which of the
following findings should the nurse recognize as the potential cause of the deceleration? ✔️Fetal hypoxia
A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn. Which of the
following instructions should the nurse include in the teaching? ✔️The patent should plan to spend individual time with the older sibling.
A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits good muscle tone and
respiratory efforts. Which of the following actions should the nurse take first? ✔️Begin suctioning of mouth and nose.
A nurse is teaching a client about iron supplementation during pregnancy. Which of the following client statements indicates an understanding
of the teaching? ✔️I will be certain to consume 29 grams of fiber daily.
A nurse is performing a contraction stress test (CST) on a client who is at 40wks of gestation. The results of the test indicate a negative CST.
Which of the following actions should the nurse take? ✔️Allow the labor to progress naturally.
A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and displays some flexion of the extremities, is not cry, has
irregular respiratory effort, and has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the soles of the newborn's
feet. The newborn's skin color is pink with blue extremities. What is the correct Apgar score? ✔️1 min is 5.
A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago. Identify the level in the abdomen a nurse should expect to find the
client's uterus when assessing the fundus. ✔️C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and approximately 2cm below the level of the umbilicus. At
12hrs postpartum the nurse should palpate the fundus at 1cm (0.4in) above the umbilicus. Every 24hrs the fundus should descend
approximately 1-2cm (0.4-0.8in) It should be halfway between the symphysis pubis and the umbilicus by 6 days postpartum.
A nurse is preparing to administer methotrexate to a client who is experiencing an ectopic pregnancy. Which of the following actions should the
nurse take? ✔️Wear two pairs of gloves when handling the medication.
A nurse is completing a health history and assessment for a client who reports they are pregnant. Which of the following findings is a
presumptive sign of pregnancy? ✔️Amenorrhea.
A nurse is caring for a client who is in active labor and is scheduled to receive epidural anesthesia. Which of the following actions should the
nurse take? ✔️Administer lactated Ringer's 500 mL bolus via intermittent IV infusion prior to epidural placement.
A nurse is admitting a client who is at 39wks of gestation and in active labor. The client reports being positive for group B streptococcus (GBS)
when screened at 36wks of gestation. Which of the following actions should the nurse expect to take? ✔️Administer IV antibiotic prophylaxis.
A nurse is reviewing the results of a nonstress test for a client who is at 37wks of gestation. Which of the following findings indicates a reactive
nonstress test? ✔️Fetal heart rate (FHR) accelerations occur with fetal movement.
A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching? ✔️Encourage client who are prescribed methadone to breastfeed.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings is an indication the medication was
effective? ✔️Decreased frequency of contractions.
A charge nurse is discussing care of clients who are in labor with a newly licensed nurse. Which of the following actions should the charge nurse
include in the teaching regarding situations requiring an amniotomy? ✔️Placing a fetal scalp electrode.
A nurse is reviewing the medical record of a client who has preeclampsia prior to administering labetalol. For which of the following findings
should the nurse withhold the medication? ✔️Heart rate 54/min
A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking while eating lunch. The client is unable to speak or
cough. Identify the sequence of steps the nurse should take to clear the airway obstruction. ✔️1. Stand posterior to the client.
2. Position arms under the client's axilla and across the client's chest.
3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
-If the client becomes unconscious, the nurse should perform CPR and activate emergency medical services.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor. Which of the following assessments should the nurse
perform? (SATA) ✔️Maternal blood pressure.
Pain level.
Fetal heart rate.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which of the following findings should the nurse identify as a
risk factor for developing preeclampsia? ✔️Rheumatoid Arthritis.
A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis. Which of the following
laboratory tests should the nurse monitor? ✔️International normalized ratio (INR).
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine pressure catheter and fetal scalp electrode. Which of
the following findings should the nurse expect? ✔️Montevideo units (MVU) of 220 mm Hg.
A nurse is assessing a client who has just undergone a cesarean birth and was given epidural morphine for postpartum pain relief 1hr ago. The
nurse notes that the clients respiratory rate is 10/min. Which of the following actions should the nurse take first? ✔️Administer oxygen by
nonrebreather face mask.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical findings should the nurse
expect? ✔️Painless vaginal bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the nurse report to the provider? ✔️Episodes of
blurred vision.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis gravidarum. Which of the following are findings of this condition?
(SATA) ✔️1. Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client who is at 29wks of gestation. Which of the following results should the nurse identify as
an indication of a prenatal complication? ✔️BUN 30 mg/dL
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The clients skin is cool and clammy to touch.
Which of the following actions should the nurse take first? ✔️Firmly massage the fundus.
, A nurse is caring for a client who is at 28wks of gestation and has received two doses of terbutaline subcutaneously. Which of the following
adverse effects is the priority for the nurse to report to the provider? ✔️Heart rate: 132/min
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis. Which of the following instructions should the nurse include
in the teaching? ✔️Apply moist heat to the affected breast.
A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which of the following statements by a client indicates an
understanding of the teaching? ✔️I will have monthly prenatal visits for the first 28wks of pregnancy.
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the following statements should the nurse include in the
teaching? (SATA) ✔️1. You might have to have cultures for sexually transmitted infections prior to placement of the device.
2. You might experience irregular spotting the first few months after placement of the device.
3. You will need to sign informed consent prior to the procedure.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the nurse report to the provider? ✔️Epigastric
pain.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin. The client reports that they have been bleeding excessively.
Which of the following actions should the nurse take? ✔️Initiate and infusion of oxytocin.
A nurse is monitoring a client who is in active labor and observes a pattern of late decelerations on the fetal monitor tracing. Which of the
following findings should the nurse recognize as the potential cause of the deceleration? ✔️Fetal hypoxia
A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn. Which of the
following instructions should the nurse include in the teaching? ✔️The patent should plan to spend individual time with the older sibling.
A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits good muscle tone and
respiratory efforts. Which of the following actions should the nurse take first? ✔️Begin suctioning of mouth and nose.
A nurse is teaching a client about iron supplementation during pregnancy. Which of the following client statements indicates an understanding
of the teaching? ✔️I will be certain to consume 29 grams of fiber daily.
A nurse is performing a contraction stress test (CST) on a client who is at 40wks of gestation. The results of the test indicate a negative CST.
Which of the following actions should the nurse take? ✔️Allow the labor to progress naturally.
A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and displays some flexion of the extremities, is not cry, has
irregular respiratory effort, and has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the soles of the newborn's
feet. The newborn's skin color is pink with blue extremities. What is the correct Apgar score? ✔️1 min is 5.
A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago. Identify the level in the abdomen a nurse should expect to find the
client's uterus when assessing the fundus. ✔️C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and approximately 2cm below the level of the umbilicus. At
12hrs postpartum the nurse should palpate the fundus at 1cm (0.4in) above the umbilicus. Every 24hrs the fundus should descend
approximately 1-2cm (0.4-0.8in) It should be halfway between the symphysis pubis and the umbilicus by 6 days postpartum.
A nurse is preparing to administer methotrexate to a client who is experiencing an ectopic pregnancy. Which of the following actions should the
nurse take? ✔️Wear two pairs of gloves when handling the medication.
A nurse is completing a health history and assessment for a client who reports they are pregnant. Which of the following findings is a
presumptive sign of pregnancy? ✔️Amenorrhea.
A nurse is caring for a client who is in active labor and is scheduled to receive epidural anesthesia. Which of the following actions should the
nurse take? ✔️Administer lactated Ringer's 500 mL bolus via intermittent IV infusion prior to epidural placement.
A nurse is admitting a client who is at 39wks of gestation and in active labor. The client reports being positive for group B streptococcus (GBS)
when screened at 36wks of gestation. Which of the following actions should the nurse expect to take? ✔️Administer IV antibiotic prophylaxis.
A nurse is reviewing the results of a nonstress test for a client who is at 37wks of gestation. Which of the following findings indicates a reactive
nonstress test? ✔️Fetal heart rate (FHR) accelerations occur with fetal movement.
