VATI RN Maternal Newborn Exam 2 2024
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 nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation
and has a positive chlamydia culture. The prescription states "Administer azithromycin 1 g
orally now." Available is 250 mg tablets. How many tablets should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - 4 tablet(s)
1g = 1,000mg
1,000 mg x 1 tab = 1,000 mg/tab
1,000mg/tab / 250 mg = 4 tablet(s)
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature - A. Flaccid uterus
Oxytocin increases the contractility of the uterus.
C. Excess vaginal bleeding
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
A nurse is providing teaching about family planning to a client who has a new prescription
for a diaphragm. Which of the following statements should the nurse include in the teaching?
A. "You should replace the diaphragm every 5 years."
B. "You should leave the diaphragm in place for at least 6 hours after intercourse."
C. "You should use an oil-based product as a lubricant when inserting the diaphragm."
D. "You should insert the diaphragm when your bladder is full." - B. "You should leave the
diaphragm in place for at least 6 hours after intercourse."
The client should keep the diaphragm in place for at least 6 hr after intercourse to provide
protection against pregnancy.
,A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will receive this medication if my baby is Rh-negative."
B. "I will receive this medication when I am in labor."
C. "I will need a second dose of this medication when my baby is 6 weeks old."
D. "I will need this medication if I have an amniocentesis." - D. "I will need this medication
if I have an amniocentesis."
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation.
A nurse in a women's health clinic is providing teaching about nutritional intake to a client
who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily
intake of which of the following nutrients?
A. Calcium
B. Vitamin E
C. Iron
D. Vitamin D - C. Iron
The recommendation for iron intake during pregnancy is higher than that for women who are
not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not
pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women
between the ages of 19 and 50 years old.
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 8 cm and reports back pain. Which of the following actions
should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback. - A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for
pain control. Which of the following actions should the nurse include in the plan of care?
A. Place the client in a supine position for 30 min following the first dose of anesthetic
solution.
B. Administer 1,000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
C. Monitor the client's blood pressure every 5 min following the first dose of anesthetic
solution.
D. Ensure the client has been NPO 4 hr prior to the placement of the epidural and the first
dose of anesthetic solution. - C. Monitor the client's blood pressure every 5 min following the
first dose of anesthetic solution.
, The nurse should plan to obtain a baseline blood pressure prior to the initiation of anesthetic
solution. The nurse should then continue to monitor the client's blood pressure every 5 to 10
min to assess for maternal hypotension caused by the anesthetic solution.
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is
experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal
examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the
client is in which of the following phases of labor?
A. Active
B. Transition
C. Latent
D. Descent - B. Transition
The nurse should identify that the client is in the transition phase of labor. This phase is
characterized by a cervical dilatation of 8 to 10 cm and contractions every 2 to 3 min, each
lasting 45 to 90 seconds.
A school nurse is providing teaching to an adolescent about levonorgestrel contraception.
Which of the following information should the nurse include in the teaching?
A. "You should take the medication within 72 hours following unprotected sexual
intercourse."
B. "You should avoid taking this medication if you are on an oral contraceptive."
C. "If you don't start your period within 5 days of taking this medication, you will need a
pregnancy test."
D. "One dose of this medication will prevent you from becoming pregnant for 14 days after
taking it." - A. "You should take the medication within 72 hours following unprotected sexual
intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conception.
The nurse should instruct the adolescent to take this medication as soon as possible within 72
hr after unprotected sexual intercourse.
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse?
A. Acrocyanosis of the extremities
B. Murmur at the left sternal border
C. Substernal chest retractions while sleeping
D. Positive Babinski reflex - C. Substernal chest retractions while sleeping
Substernal chest retractions can indicate respiratory distress syndrome in the newborn. This
manifestation requires further assessment and intervention by the nurse.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the
right above the umbilicus. Which of the following interventions should the nurse perform?
A. Reassess the client in 2 hr.
B. Administer simethicone.
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 nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation
and has a positive chlamydia culture. The prescription states "Administer azithromycin 1 g
orally now." Available is 250 mg tablets. How many tablets should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - 4 tablet(s)
1g = 1,000mg
1,000 mg x 1 tab = 1,000 mg/tab
1,000mg/tab / 250 mg = 4 tablet(s)
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature - A. Flaccid uterus
Oxytocin increases the contractility of the uterus.
C. Excess vaginal bleeding
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
A nurse is providing teaching about family planning to a client who has a new prescription
for a diaphragm. Which of the following statements should the nurse include in the teaching?
A. "You should replace the diaphragm every 5 years."
B. "You should leave the diaphragm in place for at least 6 hours after intercourse."
C. "You should use an oil-based product as a lubricant when inserting the diaphragm."
D. "You should insert the diaphragm when your bladder is full." - B. "You should leave the
diaphragm in place for at least 6 hours after intercourse."
The client should keep the diaphragm in place for at least 6 hr after intercourse to provide
protection against pregnancy.
,A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will receive this medication if my baby is Rh-negative."
B. "I will receive this medication when I am in labor."
C. "I will need a second dose of this medication when my baby is 6 weeks old."
D. "I will need this medication if I have an amniocentesis." - D. "I will need this medication
if I have an amniocentesis."
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation.
A nurse in a women's health clinic is providing teaching about nutritional intake to a client
who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily
intake of which of the following nutrients?
A. Calcium
B. Vitamin E
C. Iron
D. Vitamin D - C. Iron
The recommendation for iron intake during pregnancy is higher than that for women who are
not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not
pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women
between the ages of 19 and 50 years old.
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 8 cm and reports back pain. Which of the following actions
should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback. - A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for
pain control. Which of the following actions should the nurse include in the plan of care?
A. Place the client in a supine position for 30 min following the first dose of anesthetic
solution.
B. Administer 1,000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
C. Monitor the client's blood pressure every 5 min following the first dose of anesthetic
solution.
D. Ensure the client has been NPO 4 hr prior to the placement of the epidural and the first
dose of anesthetic solution. - C. Monitor the client's blood pressure every 5 min following the
first dose of anesthetic solution.
, The nurse should plan to obtain a baseline blood pressure prior to the initiation of anesthetic
solution. The nurse should then continue to monitor the client's blood pressure every 5 to 10
min to assess for maternal hypotension caused by the anesthetic solution.
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is
experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal
examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the
client is in which of the following phases of labor?
A. Active
B. Transition
C. Latent
D. Descent - B. Transition
The nurse should identify that the client is in the transition phase of labor. This phase is
characterized by a cervical dilatation of 8 to 10 cm and contractions every 2 to 3 min, each
lasting 45 to 90 seconds.
A school nurse is providing teaching to an adolescent about levonorgestrel contraception.
Which of the following information should the nurse include in the teaching?
A. "You should take the medication within 72 hours following unprotected sexual
intercourse."
B. "You should avoid taking this medication if you are on an oral contraceptive."
C. "If you don't start your period within 5 days of taking this medication, you will need a
pregnancy test."
D. "One dose of this medication will prevent you from becoming pregnant for 14 days after
taking it." - A. "You should take the medication within 72 hours following unprotected sexual
intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conception.
The nurse should instruct the adolescent to take this medication as soon as possible within 72
hr after unprotected sexual intercourse.
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse?
A. Acrocyanosis of the extremities
B. Murmur at the left sternal border
C. Substernal chest retractions while sleeping
D. Positive Babinski reflex - C. Substernal chest retractions while sleeping
Substernal chest retractions can indicate respiratory distress syndrome in the newborn. This
manifestation requires further assessment and intervention by the nurse.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the
right above the umbilicus. Which of the following interventions should the nurse perform?
A. Reassess the client in 2 hr.
B. Administer simethicone.
