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VATI RN MATERNAL NEWBORN PROCTORED EXAM
2025 ACTUAL EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) AND
RATIONALE /A+ GRADE ASSURED
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? .....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
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the medication was effective? .....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? .....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
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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?
.....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
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take to clear the airway obstruction. .....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) .....ANSWER.....Maternal blood
pressure.
VATI RN MATERNAL NEWBORN PROCTORED EXAM
2025 ACTUAL EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) AND
RATIONALE /A+ GRADE ASSURED
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? .....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
,Page 2 of 44
the medication was effective? .....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? .....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
,Page 3 of 44
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?
.....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
, Page 4 of 44
take to clear the airway obstruction. .....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) .....ANSWER.....Maternal blood
pressure.
