VATI RN Maternal Newborn Assessment
(New 2026/ 2027 Update) Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)
A nurse is assessing a newborn. Which of the following findings indicates a need to
check the newborn's blood glucose level for hypoglycemia? - correct answer
Hypotonia
-CNS findings of hypoglycemia include lethargy and hypotonia, as well as jitteriness,
twitching, poor feeding, temperature instability, apnea, respiratory distress, and
seizures.
A nurse is teaching a class to clients who are pregnant. Which of the following topics
should the nurse include in the discussion about cesarean birth? (SATA) - correct
answer 1. Management of postpartum pain
-The nurse should discuss with clients that they will have incisional pain associated
with uterine involution.
2. Advantage of early ambulation post-surgical procedure.
,-Early ambulation following a cesarean birth facilitates circulation in the lower
extremities, preventing stasis, and assists with relieving gas pains.
3. The need for an indwelling urinary catheter during delivery.
-The nurse should place an indwelling urinary catheter prior to the cesarean birth to
keep the client's bladder empty and to avoid interference with the surgical procedure.
A nurse is providing teaching to a postpartum client about strategies to reduce the risk
of newborn abduction from the facility. Which of the following instructions should the
nurse include in the teaching? - correct answer Bring your newborn in the bassinet
into the bathroom with you.
-The client should wheel the newborn in the bassinet into the bathroom with her
rather than leave the newborn unattended. The nurse should instruct the client never
to leave the newborn unattended.
A charge nurse is providing teaching to a newly licensed nurse who is caring for a
client who has postpartum hemorrhagic shock. Which of the following statements
should the charge nurse make? - correct answer The most accurate indication of
organ perfusion is a clients urine output.
,-Output greater than 30 mL/hr. is an indication of adequate perfusion and oxygenation.
A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48hrs
after birth. Which of the following findings should the nurse report to the provider? -
correct answer Depressed fontanels.
-Sunken or depressed fontanels are a finding associated with dehydration of the
newborn. Additionally, dry oral mucosa, weight loss greater than 10%, and decreased
urine output are findings associated with dehydration.
A nurse is caring for a postpartum client who is breastfeeding her newborn and
reports that her nipples have become sore and cracked. Which of the following
statements should the nurse make? - correct answer Apply colostrum to the nipples
after feeding to help them heal.
-Colostrum and breast milk have healing properties and can help reduce soreness.
A nurse is receiving report on four newborns born in the past 12hrs. Which of the
following newborns should the nurse assess first? - correct answer A newborn who
has an axillary temperature of 36C (96.8F).
, -Cold stress increases the newborn's need for oxygen and can deplete glucose stores.
It also can increase the newborn's respiratory rate and cause cyanosis. The expected
axillary temperature for the newborn averages 37C (98.6F) and ranges form 36.5C
(97.7F) to 37.2C (99F).
A nurse is teaching a new guardian how to correctly use a car seat. Which of the
following statements by the guardian indicates an understanding of the teaching? -
correct answer I should keep my baby in a rear-facing car seat until he is 2yrs old.
-Or until the child reaches the maximum height and weight for the seat.
A nurse is planning to obtain a blood specimen from a newborn via a heel stick. Which
of the following actions should the nurse take? - correct answer Cleanse the puncture
site with alcohol gauze prior to the procedure.
-Or a facility-approved skin cleanser prior to the procedure to minimize the risk of
infection.
(New 2026/ 2027 Update) Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)
A nurse is assessing a newborn. Which of the following findings indicates a need to
check the newborn's blood glucose level for hypoglycemia? - correct answer
Hypotonia
-CNS findings of hypoglycemia include lethargy and hypotonia, as well as jitteriness,
twitching, poor feeding, temperature instability, apnea, respiratory distress, and
seizures.
A nurse is teaching a class to clients who are pregnant. Which of the following topics
should the nurse include in the discussion about cesarean birth? (SATA) - correct
answer 1. Management of postpartum pain
-The nurse should discuss with clients that they will have incisional pain associated
with uterine involution.
2. Advantage of early ambulation post-surgical procedure.
,-Early ambulation following a cesarean birth facilitates circulation in the lower
extremities, preventing stasis, and assists with relieving gas pains.
3. The need for an indwelling urinary catheter during delivery.
-The nurse should place an indwelling urinary catheter prior to the cesarean birth to
keep the client's bladder empty and to avoid interference with the surgical procedure.
A nurse is providing teaching to a postpartum client about strategies to reduce the risk
of newborn abduction from the facility. Which of the following instructions should the
nurse include in the teaching? - correct answer Bring your newborn in the bassinet
into the bathroom with you.
-The client should wheel the newborn in the bassinet into the bathroom with her
rather than leave the newborn unattended. The nurse should instruct the client never
to leave the newborn unattended.
A charge nurse is providing teaching to a newly licensed nurse who is caring for a
client who has postpartum hemorrhagic shock. Which of the following statements
should the charge nurse make? - correct answer The most accurate indication of
organ perfusion is a clients urine output.
,-Output greater than 30 mL/hr. is an indication of adequate perfusion and oxygenation.
A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48hrs
after birth. Which of the following findings should the nurse report to the provider? -
correct answer Depressed fontanels.
-Sunken or depressed fontanels are a finding associated with dehydration of the
newborn. Additionally, dry oral mucosa, weight loss greater than 10%, and decreased
urine output are findings associated with dehydration.
A nurse is caring for a postpartum client who is breastfeeding her newborn and
reports that her nipples have become sore and cracked. Which of the following
statements should the nurse make? - correct answer Apply colostrum to the nipples
after feeding to help them heal.
-Colostrum and breast milk have healing properties and can help reduce soreness.
A nurse is receiving report on four newborns born in the past 12hrs. Which of the
following newborns should the nurse assess first? - correct answer A newborn who
has an axillary temperature of 36C (96.8F).
, -Cold stress increases the newborn's need for oxygen and can deplete glucose stores.
It also can increase the newborn's respiratory rate and cause cyanosis. The expected
axillary temperature for the newborn averages 37C (98.6F) and ranges form 36.5C
(97.7F) to 37.2C (99F).
A nurse is teaching a new guardian how to correctly use a car seat. Which of the
following statements by the guardian indicates an understanding of the teaching? -
correct answer I should keep my baby in a rear-facing car seat until he is 2yrs old.
-Or until the child reaches the maximum height and weight for the seat.
A nurse is planning to obtain a blood specimen from a newborn via a heel stick. Which
of the following actions should the nurse take? - correct answer Cleanse the puncture
site with alcohol gauze prior to the procedure.
-Or a facility-approved skin cleanser prior to the procedure to minimize the risk of
infection.
