VATI RN Maternal Newborn 2019/81 Questions
And Answers 100% ACCURATE!!
A charge nurse is teaching a newly licensed nurse about
substance use disorders during pregnancy. Which of the following
statements by the newly licensed nurse indicates an understanding
of the teaching? - Correct Answer
-Encourage client who are prescribed methadone to breastfeed.
-The nurse should encourage clients who are prescribed methadone
during pregnancy to breastfeed their newborns to help with
withdrawal symptoms.
A nurse is caring for a client who received terbutaline
subcutaneously. Which of the following findings is an indication the
medication was effective? - Correct Answer -Decreased frequency of
contractions.
-Terbutaline is a tocolytic medication that is used to halt preterm
labor. Terbutaline cause relaxation of smooth muscle, which
decrease uterine activity. Therefore, the nurse should identify that a
decrease in frequency of contractions is an indication that terbutaline
was effective.
A charge nurse is discussing care of clients who are in labor with a
newly licensed nurse. Which of the following actions should the
charge nurse include in the teaching regarding situations requiring
an amniotomy? - Correct Answer -Placing a fetal scalp electrode.
-A fetal scalp electrode is attached to the presenting part of the fetus
in order to provide accurate continuous monitoring of the fetal heart
rate. If the client's membranes are intact, the amniotic sac must be
artificially ruptured prior to attaching the electrode to enable access
to the presenting part.
A nurse is reviewing the medical record of a client who has
preeclampsia prior to administering labetalol. For which of the
following findings should the nurse withhold the medication? - Correct
Answer -Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the
expected reference range of 60 to 100/min. During pregnancy, the
heart rate increases 10 to 15/min due to increased blood volume and
increase tissue demands for oxygen. Bradycardia is a
contraindication for the administration of labetalol, an
antihypertensive medication. Therefore, the nurse should withhold
the medication and notify the provider.
A nurse is caring for a client who is at 30 weeks of gestation and
observes the client choking while eating lunch. The client is unable
to speak or cough. Identify the sequence of steps the nurse should
take to clear the airway obstruction. - Correct Answer -1. Stand
posterior to the client.
2. Position arms under the client's axilla and across the client's chest.
,3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
-If the client becomes unconscious, the nurse should perform CPR
and activate emergency medical services.
, A nurse is preparing to administer an opioid analgesic to a client who
is in active labor. Which of the following assessments should the
nurse perform? (SATA) - Correct Answer -Maternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess
the clients blood pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to
administering pain medication and again after administering pain
medication to determine the effectiveness of the medication. Opioid
analgesic are indicated for the relief of moderate to sever labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in
variability. The nurse should assess the fetal heart rate prior to
administering an opioid analgesic to ensure the rate is within the
expedited reference range and to have a baseline for future
assessments. The nurse should provide ongoing assessments of fetal
heart rate throughout labor according to facility protocol.
A nurse is reviewing the medical records of a client who is at 8 wks.
of gestation. Which of the following findings should the nurse identify
as a risk factor for developing preeclampsia? - Correct Answer -
Rheumatoid Arthritis.
-The presence of a connective tissue disease, such as rheumatoid
arthritis or systemic lupus erythematosus, increase a clients risk
for developing preeclampsia.
A nurse is reviewing the laboratory results for a postpartum client
who is receiving warfarin for deep-vein thrombosis. Which of the
following laboratory tests should the nurse monitor? - Correct
Answer -International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin.
Prothrombin time(PT) is also measure to regulate warfarin therapy.
However, PT values are more difficult to interpret. INR determined by
multiplying the PT by a correction factor based on the specific
thromboplastin preparation used for the test, as a way of equalizing
laboratory to laboratory variations.
A nurse is monitoring a client who is in the active phase of labor and
has an intrauterine pressure catheter and fetal scalp electrode.
Which of the following findings should the nurse expect? - Correct
Answer -Montevideo units (MVU) of 220 mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the
expected range during the active phase of labor. MVUs generally
range between 100 to 250 mm Hg during the first stage of labor and
increase to 300 to 400 mm Hg during the second stage of labor.
MVUs are calculated by subtracting the baseline uterine pressure
from the peak contraction pressure for every contraction that occurs
during a 10-min period. The nurse then adds the
And Answers 100% ACCURATE!!
A charge nurse is teaching a newly licensed nurse about
substance use disorders during pregnancy. Which of the following
statements by the newly licensed nurse indicates an understanding
of the teaching? - Correct Answer
-Encourage client who are prescribed methadone to breastfeed.
-The nurse should encourage clients who are prescribed methadone
during pregnancy to breastfeed their newborns to help with
withdrawal symptoms.
A nurse is caring for a client who received terbutaline
subcutaneously. Which of the following findings is an indication the
medication was effective? - Correct Answer -Decreased frequency of
contractions.
-Terbutaline is a tocolytic medication that is used to halt preterm
labor. Terbutaline cause relaxation of smooth muscle, which
decrease uterine activity. Therefore, the nurse should identify that a
decrease in frequency of contractions is an indication that terbutaline
was effective.
A charge nurse is discussing care of clients who are in labor with a
newly licensed nurse. Which of the following actions should the
charge nurse include in the teaching regarding situations requiring
an amniotomy? - Correct Answer -Placing a fetal scalp electrode.
-A fetal scalp electrode is attached to the presenting part of the fetus
in order to provide accurate continuous monitoring of the fetal heart
rate. If the client's membranes are intact, the amniotic sac must be
artificially ruptured prior to attaching the electrode to enable access
to the presenting part.
A nurse is reviewing the medical record of a client who has
preeclampsia prior to administering labetalol. For which of the
following findings should the nurse withhold the medication? - Correct
Answer -Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the
expected reference range of 60 to 100/min. During pregnancy, the
heart rate increases 10 to 15/min due to increased blood volume and
increase tissue demands for oxygen. Bradycardia is a
contraindication for the administration of labetalol, an
antihypertensive medication. Therefore, the nurse should withhold
the medication and notify the provider.
A nurse is caring for a client who is at 30 weeks of gestation and
observes the client choking while eating lunch. The client is unable
to speak or cough. Identify the sequence of steps the nurse should
take to clear the airway obstruction. - Correct Answer -1. Stand
posterior to the client.
2. Position arms under the client's axilla and across the client's chest.
,3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
-If the client becomes unconscious, the nurse should perform CPR
and activate emergency medical services.
, A nurse is preparing to administer an opioid analgesic to a client who
is in active labor. Which of the following assessments should the
nurse perform? (SATA) - Correct Answer -Maternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess
the clients blood pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to
administering pain medication and again after administering pain
medication to determine the effectiveness of the medication. Opioid
analgesic are indicated for the relief of moderate to sever labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in
variability. The nurse should assess the fetal heart rate prior to
administering an opioid analgesic to ensure the rate is within the
expedited reference range and to have a baseline for future
assessments. The nurse should provide ongoing assessments of fetal
heart rate throughout labor according to facility protocol.
A nurse is reviewing the medical records of a client who is at 8 wks.
of gestation. Which of the following findings should the nurse identify
as a risk factor for developing preeclampsia? - Correct Answer -
Rheumatoid Arthritis.
-The presence of a connective tissue disease, such as rheumatoid
arthritis or systemic lupus erythematosus, increase a clients risk
for developing preeclampsia.
A nurse is reviewing the laboratory results for a postpartum client
who is receiving warfarin for deep-vein thrombosis. Which of the
following laboratory tests should the nurse monitor? - Correct
Answer -International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin.
Prothrombin time(PT) is also measure to regulate warfarin therapy.
However, PT values are more difficult to interpret. INR determined by
multiplying the PT by a correction factor based on the specific
thromboplastin preparation used for the test, as a way of equalizing
laboratory to laboratory variations.
A nurse is monitoring a client who is in the active phase of labor and
has an intrauterine pressure catheter and fetal scalp electrode.
Which of the following findings should the nurse expect? - Correct
Answer -Montevideo units (MVU) of 220 mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the
expected range during the active phase of labor. MVUs generally
range between 100 to 250 mm Hg during the first stage of labor and
increase to 300 to 400 mm Hg during the second stage of labor.
MVUs are calculated by subtracting the baseline uterine pressure
from the peak contraction pressure for every contraction that occurs
during a 10-min period. The nurse then adds the
