VATI RN Maternal Newborn Exam 6 2024
A nurse on the postpartum unit is caring for a pt. following a cesarean birth. Which of the
following assessments is the nurse's priority?
a. parent-child attachment
b. amount of lochia
c. patency of the IV catheter
d. quality and quantity of urine - b. amount of lochia
when using the ABCs approach to client care, the nurse should place the priority in the
immediate postpartum period on assessing the amount of postpartum lochia. the greatest risk
to the client is bleeding and postpartum hemorrhage.
a nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. the client is dilated to 8cm and reports back pain. which of the following actions
should the nurse take?
a. apply sacral counter pressure
b. perform trancutaneous electrical nerve stimulation (TENS)
c. initiate slow-paced breathing
d. assist with biofeedback - a. apply sacral counter pressure
the nurse should apply sacral counter pressure to assist in relieving back labor pain related to
fetal posterior position
b. the nurse should perform TENS during the first stage of labor.
c. the nurse should transition a client to pattern-paced breathing during this stage of labor.
d. The nurse should teach the client about biofeedback during the prenatal period for it to be
effective during labor.
a nurse is demonstrating to a client how to bathe her newborn. in which order should the
nurse perform the following actions
a. wipe the newborn's eyes from inner canthus outward
b. wash the newborn's legs and feet
c. wash the newborn's neck by lifting the newborn's chin
,d. cleanse the skin around the newborn's umbilical stump
e. clean the newborn's diaper area - a. wipe the newborn's eyes from inner canthus outward
c. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical stump
b. wash the newborn's legs and feet
e. clean the newborn's diaper area
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach.
a nurse is caring for a client and her partner who have experienced a fetal death. which of the
following actions should the nurse take?
a. take photos of the newborn to give to the parents
b. tell the parents that they can consider organ donation
c. encourage the parents to avoid allowing older children to visit them in the hospital
d. explain to the parents the need to name the newborn - a. take photos of the newborn to give
to the parents
the nurse should create a memory box that includes mementos of the newborn (ex: photos, ID
bands, newborn hat and blanket)
b. Organ donation can be considered if a newborn is delivered alive.
c. The nurse should encourage the client to allow older children to come to the hospital as a
beneficial part of the grieving process.
d. The nurse should explain to the client that naming the baby can be helpful during the
grieving process, but it is not a requirement.
a nurse is caring for a client who is 36 weeks gestation and has a positive contraction stress
test. the nurse should plan to prepare the clients for which of the following diagnostic tests?
a. biophysical profile
b. amniocentesis
c. cordocentesis
d. Kleihauer- Burke test - a. biophysical profile
, a positive contraction stress test indicate further evaluation of the fetus is necessary. a
biophysical profile will provide further evaluation with real-time ultrasound
b. An amniocentesis is used to determine lung maturity, detect congenital anomalies, and
diagnose fetal hemolytic disease.
c. A cordocentesis is used to identify fetal blood type and RBC when there is a risk of
isoimmune hemolytic anemia.
d. The Kleihauer-Betke test is used to determine the amount of fetal blood in the maternal
circulation when there is a risk of Rh-isoimmunization.
a nurse is reviewing the medical record of a client who is postpartum and has preeclampsia.
which of the following laboratory results should the nurse report to the provider?
a. hct 39%
b. serum albumin 4.5 g/dL
c. WBC 9,000/mm3
d. platelets 50,000/mm3 - d. platelets 50,000/mm3
a platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulation. the nurse should report this result to the provider
a. An Hct of 39% is within the expected reference range and is not indicative of a postpartum
complication.
b. A serum albumin level of 4.5 g/dL is within the expected reference range. This finding is
consistent with mild preeclampsia and does not indicate a worsening of the condition.
c. A WBC of 9,000/mm3 is within the expected reference range.
a nurse is assessing a newborn who was born at 26 weeks gestation using the Ballard score.
which of the following findings should the nurse expect?
a. minimal arm recoil
b. popliteal angle of 90
c. creases over the entire foot sole
d. raised areolas with 3-4mm buds - a. minimal arm recoil
the nurse should expect a newborn that was born at 26 weeks to have decreased muscular
tone or minimal arm recoil
b. A popliteal angle of 90° is an indicator of physical maturity with increasing gestational age
after 26 weeks.
A nurse on the postpartum unit is caring for a pt. following a cesarean birth. Which of the
following assessments is the nurse's priority?
a. parent-child attachment
b. amount of lochia
c. patency of the IV catheter
d. quality and quantity of urine - b. amount of lochia
when using the ABCs approach to client care, the nurse should place the priority in the
immediate postpartum period on assessing the amount of postpartum lochia. the greatest risk
to the client is bleeding and postpartum hemorrhage.
a nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. the client is dilated to 8cm and reports back pain. which of the following actions
should the nurse take?
a. apply sacral counter pressure
b. perform trancutaneous electrical nerve stimulation (TENS)
c. initiate slow-paced breathing
d. assist with biofeedback - a. apply sacral counter pressure
the nurse should apply sacral counter pressure to assist in relieving back labor pain related to
fetal posterior position
b. the nurse should perform TENS during the first stage of labor.
c. the nurse should transition a client to pattern-paced breathing during this stage of labor.
d. The nurse should teach the client about biofeedback during the prenatal period for it to be
effective during labor.
a nurse is demonstrating to a client how to bathe her newborn. in which order should the
nurse perform the following actions
a. wipe the newborn's eyes from inner canthus outward
b. wash the newborn's legs and feet
c. wash the newborn's neck by lifting the newborn's chin
,d. cleanse the skin around the newborn's umbilical stump
e. clean the newborn's diaper area - a. wipe the newborn's eyes from inner canthus outward
c. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical stump
b. wash the newborn's legs and feet
e. clean the newborn's diaper area
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach.
a nurse is caring for a client and her partner who have experienced a fetal death. which of the
following actions should the nurse take?
a. take photos of the newborn to give to the parents
b. tell the parents that they can consider organ donation
c. encourage the parents to avoid allowing older children to visit them in the hospital
d. explain to the parents the need to name the newborn - a. take photos of the newborn to give
to the parents
the nurse should create a memory box that includes mementos of the newborn (ex: photos, ID
bands, newborn hat and blanket)
b. Organ donation can be considered if a newborn is delivered alive.
c. The nurse should encourage the client to allow older children to come to the hospital as a
beneficial part of the grieving process.
d. The nurse should explain to the client that naming the baby can be helpful during the
grieving process, but it is not a requirement.
a nurse is caring for a client who is 36 weeks gestation and has a positive contraction stress
test. the nurse should plan to prepare the clients for which of the following diagnostic tests?
a. biophysical profile
b. amniocentesis
c. cordocentesis
d. Kleihauer- Burke test - a. biophysical profile
, a positive contraction stress test indicate further evaluation of the fetus is necessary. a
biophysical profile will provide further evaluation with real-time ultrasound
b. An amniocentesis is used to determine lung maturity, detect congenital anomalies, and
diagnose fetal hemolytic disease.
c. A cordocentesis is used to identify fetal blood type and RBC when there is a risk of
isoimmune hemolytic anemia.
d. The Kleihauer-Betke test is used to determine the amount of fetal blood in the maternal
circulation when there is a risk of Rh-isoimmunization.
a nurse is reviewing the medical record of a client who is postpartum and has preeclampsia.
which of the following laboratory results should the nurse report to the provider?
a. hct 39%
b. serum albumin 4.5 g/dL
c. WBC 9,000/mm3
d. platelets 50,000/mm3 - d. platelets 50,000/mm3
a platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulation. the nurse should report this result to the provider
a. An Hct of 39% is within the expected reference range and is not indicative of a postpartum
complication.
b. A serum albumin level of 4.5 g/dL is within the expected reference range. This finding is
consistent with mild preeclampsia and does not indicate a worsening of the condition.
c. A WBC of 9,000/mm3 is within the expected reference range.
a nurse is assessing a newborn who was born at 26 weeks gestation using the Ballard score.
which of the following findings should the nurse expect?
a. minimal arm recoil
b. popliteal angle of 90
c. creases over the entire foot sole
d. raised areolas with 3-4mm buds - a. minimal arm recoil
the nurse should expect a newborn that was born at 26 weeks to have decreased muscular
tone or minimal arm recoil
b. A popliteal angle of 90° is an indicator of physical maturity with increasing gestational age
after 26 weeks.
