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VATI MATERNAL NEWBORN HEALTH
1.A client reports awaking from sleep by contractions that are occurring every five minutes
and lasting 30-40 seconds. Which of the following questions should the nurse ask to
assess for true labor versus false labor?
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?" CorrectCORRECT.
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture of
membranes. False labor is characterized by painless, irregular, and intermittent contractions that
decrease in frequency, duration, and intensity with walking or position changes. Contractions are
felt in the lower back or above the umbilicus and often stop with comfort measures (like oral
hydration). There is usually no vaginal discharge with false labor.
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?"
Feedback
The correct answer is: "Have you noticed any bloody show or fluid coming from your vagina?"
2.The client who is scheduled for a nonstress test (NST) asks the nurse to explain the
purpose of the test. Which of the following is the correct response?
a. The purpose of the NST is to determine fetal breathing.
b. The purpose of the NST is to assess the fetal CNS. CorrectThis is the primary purpose of a
NST. The test monitors the response of the FHR to fetal movement. This allows the nurse to
assess the FHR in relationship to the fetal movement
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST helps to determine gestational age.
Feedback
The correct answer is: The purpose of the NST is to assess the fetal CNS.
3.A client in the early postpartum period is talkative and enjoys recounting the details of
her labor and birth. The nurse recognizes that the behaviors must likely indicate which of
the following?
a. Postpartum role transition.
b. Positive mother-infant bonding.
c. The taking-hold phase of maternal psychosocial adaptation.
d. The taking-in phase of maternal postpartum adjustment.
Correct answer is:The taking-in phase begins immediately following birth and lasts a few hours to
a couple of days. It is characterized by the mother being excited and talkative, reliving her birthing
experience, and focusing on her own needs and the overall health of her newborn.
4.A nurse is positioning a client on the operating room table in preparation for a cesarean
birth. Which of the following is the correct position?
a. Left lateral position with a foam wedge between the legs.
b. Lithotomy position with a foam wedge behind the shoulders.
c. Supine position with foam wedge positioned under one hip.
d. Modified Trendelenburg position with a foam wedge under the legs.
Feedback
Correct answer is:The supine position is appropriate for abdominal surgery (cesarean birth), and a
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, wedge under one hip laterally tilts the client and reduces uterine weight on the vena cava and
descending aorta. This helps maintain optimal perfusion of oxygenated blood to the fetus during
the procedure.
5.A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates
clinical manifestations of the condition. Which assessment finding is associate with this
condition?
a. Negative Startle reflex
b. Diminished tendon reflexes
c. Hypothermia
d. Increased drowsiness
Correct answer is:Thermal regulation issues are noted with this condition, such as hypothermia or
hyperthermia.
6.Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a
weak, high pitched cry. Which of the following would be the nurse's priority action?
a. Perform a heel stick to check serum glucose.
b. Feed the infant oral feeding.
c. Obtain an order for a drug screening blood test.
d. Hold and comfort the infant to stop the crying.
Correct answer is:The priority action is to confirm the serum glucose before proceeding. A blood
glucose level less than 40-45 mg/dL by heel stick is an urgent situation requiring therapy with
glucose - generally orally.
7.A nurse is assessing a client during her first prenatal visit. The client reports that her last
normal period began on April 22. Use Nagele's rule to calculate this client's expected date
of birth (EDB). Use the MMDD format to enter exactly four numerals, with no spaces or
punctuation between the numbers.
a. 0129
b. 0122
c. 0729
d. 0722
Correct:To use Nagele's rule subtract 3 months and add 7 days to the first day of the client's last
normal menstrual period.
8.A nurse is performing a fundal assessment on the client's second postpartum day. Which
of the following should the nurse expect if the client is experiencing normal involution?
a. The fundus will be two centimeters below the umbilicus.
b. The fundus will be at the level of the umbilicus.
c. The fundus will be one centimeter above the umbilicus.
d. The fundus will be one centimeter below the umbilicus.
Feedback
The correct answer is: The fundus will be one centimeter below the umbilicus.
9.A nurse is teaching a client the correct use a diaphragm as a method of contraception.
Which of the following statements is correct?
a. Douche promptly after removing the diaphragm
b. Do not use any cream or jelly with the diaphragm
c. Insert diaphragm at least 8 hours prior to sexual intercourse
d. Leave diaphragm in place for at least 6 hours post coitus
Correct:The diaphragm should be left in place for at least 6 hours post intercourse.
10.The client asks the nurse to explain the difference between true and false labor. Which
of the following is an example of true labor?
Page 2 of 5
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Guiding Success with Test Answers.
NEW
Join the Journey!!
VATI MATERNAL NEWBORN HEALTH
1.A client reports awaking from sleep by contractions that are occurring every five minutes
and lasting 30-40 seconds. Which of the following questions should the nurse ask to
assess for true labor versus false labor?
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?" CorrectCORRECT.
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture of
membranes. False labor is characterized by painless, irregular, and intermittent contractions that
decrease in frequency, duration, and intensity with walking or position changes. Contractions are
felt in the lower back or above the umbilicus and often stop with comfort measures (like oral
hydration). There is usually no vaginal discharge with false labor.
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?"
Feedback
The correct answer is: "Have you noticed any bloody show or fluid coming from your vagina?"
2.The client who is scheduled for a nonstress test (NST) asks the nurse to explain the
purpose of the test. Which of the following is the correct response?
a. The purpose of the NST is to determine fetal breathing.
b. The purpose of the NST is to assess the fetal CNS. CorrectThis is the primary purpose of a
NST. The test monitors the response of the FHR to fetal movement. This allows the nurse to
assess the FHR in relationship to the fetal movement
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST helps to determine gestational age.
Feedback
The correct answer is: The purpose of the NST is to assess the fetal CNS.
3.A client in the early postpartum period is talkative and enjoys recounting the details of
her labor and birth. The nurse recognizes that the behaviors must likely indicate which of
the following?
a. Postpartum role transition.
b. Positive mother-infant bonding.
c. The taking-hold phase of maternal psychosocial adaptation.
d. The taking-in phase of maternal postpartum adjustment.
Correct answer is:The taking-in phase begins immediately following birth and lasts a few hours to
a couple of days. It is characterized by the mother being excited and talkative, reliving her birthing
experience, and focusing on her own needs and the overall health of her newborn.
4.A nurse is positioning a client on the operating room table in preparation for a cesarean
birth. Which of the following is the correct position?
a. Left lateral position with a foam wedge between the legs.
b. Lithotomy position with a foam wedge behind the shoulders.
c. Supine position with foam wedge positioned under one hip.
d. Modified Trendelenburg position with a foam wedge under the legs.
Feedback
Correct answer is:The supine position is appropriate for abdominal surgery (cesarean birth), and a
Page 1 of 5
All the best!! For any queries/ more documents email:
, wedge under one hip laterally tilts the client and reduces uterine weight on the vena cava and
descending aorta. This helps maintain optimal perfusion of oxygenated blood to the fetus during
the procedure.
5.A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates
clinical manifestations of the condition. Which assessment finding is associate with this
condition?
a. Negative Startle reflex
b. Diminished tendon reflexes
c. Hypothermia
d. Increased drowsiness
Correct answer is:Thermal regulation issues are noted with this condition, such as hypothermia or
hyperthermia.
6.Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a
weak, high pitched cry. Which of the following would be the nurse's priority action?
a. Perform a heel stick to check serum glucose.
b. Feed the infant oral feeding.
c. Obtain an order for a drug screening blood test.
d. Hold and comfort the infant to stop the crying.
Correct answer is:The priority action is to confirm the serum glucose before proceeding. A blood
glucose level less than 40-45 mg/dL by heel stick is an urgent situation requiring therapy with
glucose - generally orally.
7.A nurse is assessing a client during her first prenatal visit. The client reports that her last
normal period began on April 22. Use Nagele's rule to calculate this client's expected date
of birth (EDB). Use the MMDD format to enter exactly four numerals, with no spaces or
punctuation between the numbers.
a. 0129
b. 0122
c. 0729
d. 0722
Correct:To use Nagele's rule subtract 3 months and add 7 days to the first day of the client's last
normal menstrual period.
8.A nurse is performing a fundal assessment on the client's second postpartum day. Which
of the following should the nurse expect if the client is experiencing normal involution?
a. The fundus will be two centimeters below the umbilicus.
b. The fundus will be at the level of the umbilicus.
c. The fundus will be one centimeter above the umbilicus.
d. The fundus will be one centimeter below the umbilicus.
Feedback
The correct answer is: The fundus will be one centimeter below the umbilicus.
9.A nurse is teaching a client the correct use a diaphragm as a method of contraception.
Which of the following statements is correct?
a. Douche promptly after removing the diaphragm
b. Do not use any cream or jelly with the diaphragm
c. Insert diaphragm at least 8 hours prior to sexual intercourse
d. Leave diaphragm in place for at least 6 hours post coitus
Correct:The diaphragm should be left in place for at least 6 hours post intercourse.
10.The client asks the nurse to explain the difference between true and false labor. Which
of the following is an example of true labor?
Page 2 of 5
All the best!! For any queries/ more documents email:
