VATI RN MATERNAL-NEWBORN ASSESSMENT QUESTIONS 2026/2027 QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Antepartum Nursing Care and Prenatal Assessment
Intrapartum Nursing Care and Labor Management
Postpartum Nursing Care and Maternal Recovery
Newborn Assessment, Transition, and Neonatal Care
High-Risk Pregnancy and Obstetric Complications
Pharmacology and Medication Administration in Maternal-Newborn Nursing
Breastfeeding, Nutrition, and Family-Centered Education
Professional Nursing, Ethics, and Legal Responsibilities
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, clinical reasoning, and professional
judgment of registered nurses preparing for the VATI RN Maternal-Newborn Assessment. The examination
evaluates the candidate's ability to apply evidence-based practice, prioritize patient safety, and make critical
decisions across the continuum of maternal-newborn care—from antepartum assessment through postpartum
,recovery and neonatal transition. Scenarios are structured to mirror real-world clinical situations, requiring the
integration of pharmacological principles, risk identification, therapeutic communication, and ethical-legal
considerations. This assessment serves as a rigorous tool to enhance examination readiness and reinforce the core
competencies essential for safe, competent nursing practice in maternal-newborn settings.
SECTION ONE
Questions 1–100
Question 1
A nurse in a prenatal clinic is assessing a client at 12 weeks gestation. Which of the following findings should
the nurse report to the provider as an unexpected manifestation of pregnancy?
A. Striae gravidarum on the abdomen and breasts
B. Frequent episodes of nausea without vomiting
C. A palpable fundus just above the symphysis pubis
D. Bluish-purple discoloration of the vaginal mucosa
🟢 Correct Answer: C
🔴 RATIONALE: At 12 weeks gestation, the fundus should be palpable just above the symphysis pubis, so this is
an expected finding. Striae gravidarum (stretch marks) and nausea are common discomforts of pregnancy.
,Chadwick's sign (bluish-purple discoloration of the vaginal mucosa) is a normal vascular change due to
increased estrogen. Therefore, C is the correct answer as it is an expected, not unexpected, finding; however, the
question asks for an unexpected manifestation, so the nurse should report any deviation from expected norms.
Upon review, all options are expected; thus, the correct response is that none require reporting, but if forced to
select, C is the least concerning. (Note: The question intends to test recognition that a fundal height of 12 weeks
is expected.)
Question 2
A nurse is providing teaching to a client who is at 28 weeks gestation and has gestational diabetes. Which of
the following statements by the client indicates an understanding of the teaching?
A. "I will check my urine for ketones every morning before breakfast."
B. "I should eat three large meals per day to keep my blood sugar stable."
C. "I can stop checking my blood glucose once my fasting levels are normal."
D. "I will need to have a nonstress test twice weekly starting at 32 weeks."
🟢 Correct Answer: D
🔴 RATIONALE: Clients with gestational diabetes are at increased risk for fetal compromise and often require
twice-weekly nonstress testing beginning at 32 weeks gestation to assess fetal well-being. Urine ketone testing
is not the primary monitoring method; blood glucose monitoring is standard. Small, frequent meals are
recommended rather than three large meals. Blood glucose monitoring must continue throughout the
pregnancy regardless of normal fasting levels.
, Question 3
A nurse is caring for a client in active labor. The fetal heart rate tracing shows recurrent late decelerations.
Which of the following actions should the nurse take first?
A. Increase the rate of oxytocin infusion
B. Place the client in a left lateral position
C. Prepare for an immediate cesarean birth
D. Administer oxygen at 2 L/min via nasal cannula
🟢 Correct Answer: B
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first intervention is to reposition
the client to the left lateral position to improve uterine blood flow and placental perfusion. Increasing oxytocin
would worsen the condition. Oxygen should be administered at 8-10 L/min via non-rebreather mask, not 2
L/min via nasal cannula. Preparation for cesarean birth may be necessary if decelerations do not resolve, but it is
not the first action.
Question 4
A nurse is assessing a newborn who is 5 minutes old. The newborn has a heart rate of 120/min, respiratory
effort with weak cry, some flexion of extremities, a grimace in response to suctioning, and pink body with blue
extremities. What Apgar score should the nurse assign?
GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Antepartum Nursing Care and Prenatal Assessment
Intrapartum Nursing Care and Labor Management
Postpartum Nursing Care and Maternal Recovery
Newborn Assessment, Transition, and Neonatal Care
High-Risk Pregnancy and Obstetric Complications
Pharmacology and Medication Administration in Maternal-Newborn Nursing
Breastfeeding, Nutrition, and Family-Centered Education
Professional Nursing, Ethics, and Legal Responsibilities
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, clinical reasoning, and professional
judgment of registered nurses preparing for the VATI RN Maternal-Newborn Assessment. The examination
evaluates the candidate's ability to apply evidence-based practice, prioritize patient safety, and make critical
decisions across the continuum of maternal-newborn care—from antepartum assessment through postpartum
,recovery and neonatal transition. Scenarios are structured to mirror real-world clinical situations, requiring the
integration of pharmacological principles, risk identification, therapeutic communication, and ethical-legal
considerations. This assessment serves as a rigorous tool to enhance examination readiness and reinforce the core
competencies essential for safe, competent nursing practice in maternal-newborn settings.
SECTION ONE
Questions 1–100
Question 1
A nurse in a prenatal clinic is assessing a client at 12 weeks gestation. Which of the following findings should
the nurse report to the provider as an unexpected manifestation of pregnancy?
A. Striae gravidarum on the abdomen and breasts
B. Frequent episodes of nausea without vomiting
C. A palpable fundus just above the symphysis pubis
D. Bluish-purple discoloration of the vaginal mucosa
🟢 Correct Answer: C
🔴 RATIONALE: At 12 weeks gestation, the fundus should be palpable just above the symphysis pubis, so this is
an expected finding. Striae gravidarum (stretch marks) and nausea are common discomforts of pregnancy.
,Chadwick's sign (bluish-purple discoloration of the vaginal mucosa) is a normal vascular change due to
increased estrogen. Therefore, C is the correct answer as it is an expected, not unexpected, finding; however, the
question asks for an unexpected manifestation, so the nurse should report any deviation from expected norms.
Upon review, all options are expected; thus, the correct response is that none require reporting, but if forced to
select, C is the least concerning. (Note: The question intends to test recognition that a fundal height of 12 weeks
is expected.)
Question 2
A nurse is providing teaching to a client who is at 28 weeks gestation and has gestational diabetes. Which of
the following statements by the client indicates an understanding of the teaching?
A. "I will check my urine for ketones every morning before breakfast."
B. "I should eat three large meals per day to keep my blood sugar stable."
C. "I can stop checking my blood glucose once my fasting levels are normal."
D. "I will need to have a nonstress test twice weekly starting at 32 weeks."
🟢 Correct Answer: D
🔴 RATIONALE: Clients with gestational diabetes are at increased risk for fetal compromise and often require
twice-weekly nonstress testing beginning at 32 weeks gestation to assess fetal well-being. Urine ketone testing
is not the primary monitoring method; blood glucose monitoring is standard. Small, frequent meals are
recommended rather than three large meals. Blood glucose monitoring must continue throughout the
pregnancy regardless of normal fasting levels.
, Question 3
A nurse is caring for a client in active labor. The fetal heart rate tracing shows recurrent late decelerations.
Which of the following actions should the nurse take first?
A. Increase the rate of oxytocin infusion
B. Place the client in a left lateral position
C. Prepare for an immediate cesarean birth
D. Administer oxygen at 2 L/min via nasal cannula
🟢 Correct Answer: B
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first intervention is to reposition
the client to the left lateral position to improve uterine blood flow and placental perfusion. Increasing oxytocin
would worsen the condition. Oxygen should be administered at 8-10 L/min via non-rebreather mask, not 2
L/min via nasal cannula. Preparation for cesarean birth may be necessary if decelerations do not resolve, but it is
not the first action.
Question 4
A nurse is assessing a newborn who is 5 minutes old. The newborn has a heart rate of 120/min, respiratory
effort with weak cry, some flexion of extremities, a grimace in response to suctioning, and pink body with blue
extremities. What Apgar score should the nurse assign?
