RN VATI COMPREHENSIVE STUDY GUIDE
COMPLETE QUESTIONS AND CORRECT
ANSWERS
●● A nurse is caring for a client who received terbutaline
subcutaneously. Which of the following findings is an indication the
medication was effective?
Answer: Decreased frequency of contractions.
●● 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 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
●● 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.
,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.
Pain level.
Fetal heart rate.
●● 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?
Answer: Rheumatoid Arthritis.
●● 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?
Answer: International normalized ratio (INR).
, ●● 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?
Answer: Montevideo units (MVU) of 220 mm Hg.
●● 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?
Answer: Administer oxygen by nonrebreather face mask.
●● 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?
Answer: Painless vaginal 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?
Answer: Episodes of blurred vision.
●● A nurse is assessing a client who is at 8wks of gestation and has
hyperemesis gravidarum. Which of the following are findings of this
condition? (SATA)
Answer: 1. Tachycardia.
2. Dry mucous membranes.
COMPLETE QUESTIONS AND CORRECT
ANSWERS
●● A nurse is caring for a client who received terbutaline
subcutaneously. Which of the following findings is an indication the
medication was effective?
Answer: Decreased frequency of contractions.
●● 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 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
●● 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.
,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.
Pain level.
Fetal heart rate.
●● 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?
Answer: Rheumatoid Arthritis.
●● 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?
Answer: International normalized ratio (INR).
, ●● 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?
Answer: Montevideo units (MVU) of 220 mm Hg.
●● 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?
Answer: Administer oxygen by nonrebreather face mask.
●● 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?
Answer: Painless vaginal 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?
Answer: Episodes of blurred vision.
●● A nurse is assessing a client who is at 8wks of gestation and has
hyperemesis gravidarum. Which of the following are findings of this
condition? (SATA)
Answer: 1. Tachycardia.
2. Dry mucous membranes.
