VATI RN Maternal Newborn 2019/81 Questions
And Answers 100% ACCURATE(RATED A+)
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 assessing a client who has just undergone a cesarean
birth and was given epidural morphine for postpartum pain relief 1hr
ago. The nurse notes that the clients respiratory rate is 10/min.
Which of the following actions should the nurse take first? - Correct
Answer -Administer oxygen by nonrebreather face mask.
-The first action the nurse should take when using the airway,
breathing, circulation approach to client care is to administer oxygen
by nonrebreather mask to treat manifestations of respiratory
depression due to morphine administration.
A nurse is assessing a client who has placenta previa and is receiving
fetal monitoring. Which of the following clinical findings should the
nurse expect? - Correct Answer -Painless vaginal bleeding.
-The placenta implants in the lower uterine segment, partially or
completely covering the cervix. With cervical changes, the placental
blood vessels can tear, which results in bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of
the following findings should the nurse report to the provider? -
Correct Answer
-Episodes of blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial
And Answers 100% ACCURATE(RATED A+)
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 assessing a client who has just undergone a cesarean
birth and was given epidural morphine for postpartum pain relief 1hr
ago. The nurse notes that the clients respiratory rate is 10/min.
Which of the following actions should the nurse take first? - Correct
Answer -Administer oxygen by nonrebreather face mask.
-The first action the nurse should take when using the airway,
breathing, circulation approach to client care is to administer oxygen
by nonrebreather mask to treat manifestations of respiratory
depression due to morphine administration.
A nurse is assessing a client who has placenta previa and is receiving
fetal monitoring. Which of the following clinical findings should the
nurse expect? - Correct Answer -Painless vaginal bleeding.
-The placenta implants in the lower uterine segment, partially or
completely covering the cervix. With cervical changes, the placental
blood vessels can tear, which results in bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of
the following findings should the nurse report to the provider? -
Correct Answer
-Episodes of blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial
