VATI MATERNAL NEWBORN
COMPREHENSIVE FINAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ A nurse is teaching about SUDs during pregnancy. What should be
taught regarding methadone? Answer: Encourage clients who are
prescribed methadone to breastfeed because it can help newborns with
withdrawal symptoms
⩥ A nurse is caring for a client in active labor and scheduled to receive
epidural anesthesia. What should the nurse do? Answer: Administer
lactated Ringer's 500 mL bolus via intermittent IV infusion before
placement to prevent hypotension
⩥ How often should blood pressure be monitored after epidural
placement? Answer: Every 5-10 minutes to monitor for hypotension, a
common adverse effect
⩥ What are two considerations for iron supplementation during
pregnancy? Answer: -DO NOT take with milk because calcium impairs
absorption of supplement (take on empty stomach, and increase Vit C
intake)
-Consume diet high in fiber and increase fluids b/c iron causes
constipation
,⩥ What are Lecithin and sphingomyelin (L/S)? Answer: Phospholipids
found in fetal lungs that can indicate fetal lung maturity. L/S ratio of 2:1
indicates fetal lung maturity
⩥ What can be done to facilitate sibling acceptance of newborn?
Answer: Parent should plan to spend individual time with older sibling
⩥ What is an expected finding of placenta previa? Answer: Painless
vaginal bleeding
⩥ A rigid abdomen is an expected finding of what condition? Answer:
Abruptio placentae
⩥ Into which fo the following positions should the nurse assist a client
to facilitate progress in labor when the fetus is in the occiput posterior
position? Answer: Hands and knees (should facilitate rotation of fetus
from posterior to anterior position)
⩥ A nurse is admitting a client at 12 weeks' gestation for treatment of a
deep vein thrombosis. What therapeutic med is contraindicated in
pregnancy? Answer: Warfarin. It causes fetal malformations through 1st
trimester
⩥ How much blood must be lost to be considered a hemorrhage after
birth? Answer: 500 ml (vaginal)
, 1000 ml (C-sectino)
⩥ What is acute coronary syndrome? Answer: Range of conditions
associated with sudden, reduced blood flow to the heart
⩥ What is Prasugrel? Answer: - platelet inhibitor and is used to prevent
formation of blood clots.
- Prasugrel is used in combination with low dose aspirin to prevent
thrombosis in patients with acute coronary syndrome, including unstable
angina pectoris, non-ST elevation myocardial infarction (NSTEMI), and
ST elevation myocardial infarction (STEMI), who are planned for
treatment with PCI.
-Blood thinners- It can prevent blood clots, which can lead to heart
attack, in patients who need percutaneous coronary intervention (PCI).
⩥ What is Tay-Sachs disease? Answer: Rare disorder passed from
parents to child. Caused by the absence of an enzyme (hexosaminidase
that leads to GM2 ganglioside accumulation) that helps break down fatty
substances which build up to toxic levels in the child's brain and affect
the function of the nerve cells. As the disease progresses, the child loses
muscle control. Eventually, this leads to blindness, paralysis and death
COMPREHENSIVE FINAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ A nurse is teaching about SUDs during pregnancy. What should be
taught regarding methadone? Answer: Encourage clients who are
prescribed methadone to breastfeed because it can help newborns with
withdrawal symptoms
⩥ A nurse is caring for a client in active labor and scheduled to receive
epidural anesthesia. What should the nurse do? Answer: Administer
lactated Ringer's 500 mL bolus via intermittent IV infusion before
placement to prevent hypotension
⩥ How often should blood pressure be monitored after epidural
placement? Answer: Every 5-10 minutes to monitor for hypotension, a
common adverse effect
⩥ What are two considerations for iron supplementation during
pregnancy? Answer: -DO NOT take with milk because calcium impairs
absorption of supplement (take on empty stomach, and increase Vit C
intake)
-Consume diet high in fiber and increase fluids b/c iron causes
constipation
,⩥ What are Lecithin and sphingomyelin (L/S)? Answer: Phospholipids
found in fetal lungs that can indicate fetal lung maturity. L/S ratio of 2:1
indicates fetal lung maturity
⩥ What can be done to facilitate sibling acceptance of newborn?
Answer: Parent should plan to spend individual time with older sibling
⩥ What is an expected finding of placenta previa? Answer: Painless
vaginal bleeding
⩥ A rigid abdomen is an expected finding of what condition? Answer:
Abruptio placentae
⩥ Into which fo the following positions should the nurse assist a client
to facilitate progress in labor when the fetus is in the occiput posterior
position? Answer: Hands and knees (should facilitate rotation of fetus
from posterior to anterior position)
⩥ A nurse is admitting a client at 12 weeks' gestation for treatment of a
deep vein thrombosis. What therapeutic med is contraindicated in
pregnancy? Answer: Warfarin. It causes fetal malformations through 1st
trimester
⩥ How much blood must be lost to be considered a hemorrhage after
birth? Answer: 500 ml (vaginal)
, 1000 ml (C-sectino)
⩥ What is acute coronary syndrome? Answer: Range of conditions
associated with sudden, reduced blood flow to the heart
⩥ What is Prasugrel? Answer: - platelet inhibitor and is used to prevent
formation of blood clots.
- Prasugrel is used in combination with low dose aspirin to prevent
thrombosis in patients with acute coronary syndrome, including unstable
angina pectoris, non-ST elevation myocardial infarction (NSTEMI), and
ST elevation myocardial infarction (STEMI), who are planned for
treatment with PCI.
-Blood thinners- It can prevent blood clots, which can lead to heart
attack, in patients who need percutaneous coronary intervention (PCI).
⩥ What is Tay-Sachs disease? Answer: Rare disorder passed from
parents to child. Caused by the absence of an enzyme (hexosaminidase
that leads to GM2 ganglioside accumulation) that helps break down fatty
substances which build up to toxic levels in the child's brain and affect
the function of the nerve cells. As the disease progresses, the child loses
muscle control. Eventually, this leads to blindness, paralysis and death
