VATI PN Maternal Newborn Assessment | Complete
Package Bundle (3 Set Exams) | Updated 2026/2027
SET 1: Antepartum & Intrapartum Nursing Care (20
Questions)Antepartum Care & Complications
1. A nurse is reinforcing teaching with a client who is at 10 weeks of
gestation. Which of the following statements by the client indicates an
understanding of the teaching?
A) "I should expect to feel the baby moving any day now."
B) "I will likely develop a dark line down the center of my abdomen."
C) "I should avoid exercising during the rest of my pregnancy."
D) "I will start having regular contractions known as Braxton Hicks."
Answer: B
Rationale: Linea nigra, a dark line down the center of the abdomen, is a
normal skin pigment change during pregnancy, usually appearing in the
second trimester. Quickening (fetal movement) is felt around 18-20
weeks. Braxton Hicks contractions are usually felt in the third trimester.
Exercise is encouraged.
2. A client who is at 12 weeks of gestation comes to the clinic with
vaginal bleeding and severe abdominal cramping. The client states, "I
think I'm having a miscarriage." Which of the following actions should
the nurse take first?
A) Administer prescribed analgesics.
,B) Obtain a blood specimen for hemoglobin and hematocrit.
C) Check the client's vaginal bleeding for the presence of tissue.
D) Request an order for an ultrasound.
Answer: C
Rationale: When a threatened or inevitable abortion is suspected, the
nurse should first assess the amount and characteristics of the bleeding
and check for the passage of tissue (products of conception) to provide
accurate information to the provider. Assessing the client is always the
first step.
3. A nurse is reviewing the laboratory results of a client who is at 24
weeks of gestation. The client's blood type is O negative. Which of the
following actions should the nurse anticipate?
A) Administer Rho(D) immune globulin (RhoGAM) at 28 weeks.
B) Administer Rho(D) immune globulin (RhoGAM) immediately.
C) Prepare for an emergency delivery.
D) Schedule a repeat blood type test in 4 weeks.
Answer: A
Rationale: RhoGAM is administered to Rh-negative clients at 28 weeks
of gestation to prevent maternal isoimmunization. It is also given within
72 hours after delivery if the newborn is Rh-positive.
, 4. A client who is at 32 weeks of gestation is admitted with severe
preeclampsia. The provider prescribes magnesium sulfate. The nurse
understands that the primary purpose of this medication is to:
A) Lower maternal blood pressure.
B) Prevent maternal seizures.
C) Decrease fetal heart rate variability.
D) Promote fetal lung maturity.
Answer: B
Rationale: Magnesium sulfate is a central nervous system depressant
used to prevent and treat seizures (eclampsia) in clients with severe
preeclampsia. It does not treat the blood pressure itself.
5. A nurse is caring for a client who is receiving magnesium sulfate and
notes that the client's respiratory rate is 10 breaths/min and the deep
tendon reflexes are absent. Which of the following medications should
the nurse prepare to administer?
A) Naloxone
B) Calcium gluconate
C) Oxytocin
D) Terbutaline
Answer: B
Package Bundle (3 Set Exams) | Updated 2026/2027
SET 1: Antepartum & Intrapartum Nursing Care (20
Questions)Antepartum Care & Complications
1. A nurse is reinforcing teaching with a client who is at 10 weeks of
gestation. Which of the following statements by the client indicates an
understanding of the teaching?
A) "I should expect to feel the baby moving any day now."
B) "I will likely develop a dark line down the center of my abdomen."
C) "I should avoid exercising during the rest of my pregnancy."
D) "I will start having regular contractions known as Braxton Hicks."
Answer: B
Rationale: Linea nigra, a dark line down the center of the abdomen, is a
normal skin pigment change during pregnancy, usually appearing in the
second trimester. Quickening (fetal movement) is felt around 18-20
weeks. Braxton Hicks contractions are usually felt in the third trimester.
Exercise is encouraged.
2. A client who is at 12 weeks of gestation comes to the clinic with
vaginal bleeding and severe abdominal cramping. The client states, "I
think I'm having a miscarriage." Which of the following actions should
the nurse take first?
A) Administer prescribed analgesics.
,B) Obtain a blood specimen for hemoglobin and hematocrit.
C) Check the client's vaginal bleeding for the presence of tissue.
D) Request an order for an ultrasound.
Answer: C
Rationale: When a threatened or inevitable abortion is suspected, the
nurse should first assess the amount and characteristics of the bleeding
and check for the passage of tissue (products of conception) to provide
accurate information to the provider. Assessing the client is always the
first step.
3. A nurse is reviewing the laboratory results of a client who is at 24
weeks of gestation. The client's blood type is O negative. Which of the
following actions should the nurse anticipate?
A) Administer Rho(D) immune globulin (RhoGAM) at 28 weeks.
B) Administer Rho(D) immune globulin (RhoGAM) immediately.
C) Prepare for an emergency delivery.
D) Schedule a repeat blood type test in 4 weeks.
Answer: A
Rationale: RhoGAM is administered to Rh-negative clients at 28 weeks
of gestation to prevent maternal isoimmunization. It is also given within
72 hours after delivery if the newborn is Rh-positive.
, 4. A client who is at 32 weeks of gestation is admitted with severe
preeclampsia. The provider prescribes magnesium sulfate. The nurse
understands that the primary purpose of this medication is to:
A) Lower maternal blood pressure.
B) Prevent maternal seizures.
C) Decrease fetal heart rate variability.
D) Promote fetal lung maturity.
Answer: B
Rationale: Magnesium sulfate is a central nervous system depressant
used to prevent and treat seizures (eclampsia) in clients with severe
preeclampsia. It does not treat the blood pressure itself.
5. A nurse is caring for a client who is receiving magnesium sulfate and
notes that the client's respiratory rate is 10 breaths/min and the deep
tendon reflexes are absent. Which of the following medications should
the nurse prepare to administer?
A) Naloxone
B) Calcium gluconate
C) Oxytocin
D) Terbutaline
Answer: B
