VATI COMPREHENSIVE TEST SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is caring for a newborn client who is experiencing severe
hyperbilirubinemia. Which of the following are symptoms of
kernicterus? Answer: Lethargy, Hypotonic, Backward arching of the
neck and trunk
◉ Kernicterus Answer: Bilirubin encephalopathy, a form of brain
damage resulting from unconjugated bilirubin entering the brain.
Characterized by lethargy, poor feeding, vomiting, irregular
respiration, perhaps death
◉ Preparation for Separation and Birth: Nesting Answer: Ready for
pregnancy to end. • Ready to undergo labor and delivery. • Great
time to reinforce teaching about birth. • Normal to remain
ambivalent.
◉ Presumptive signs Answer: Changes felt by the Woman
amenorrhea
N/V
breast sensitivity
fatigue
quickening
,◉ Probable signs Answer: Uterine enlargement
souffle and contractions
positive pregnancy tests
◉ Chadwick's sign Answer: Bluish-purple coloration of the vaginal
mucosa and cervix
◉ Ballottement Answer: a palpation technique used in detecting or
examining a floating object in the body
◉ Expected FHR (Fetal Heart Rate) Answer: 110 and 160/min.
◉ Early Decelerations Answer: head compressions
◉ Late Decelerations Answer: Bad (placental insufficiency)
◉ Interventions for Late Decelerations Answer: Change client to
side-lying position. ‒ Start IV line if not in place or increase IV rate. ‒
Stop oxytocin (Pitocin) if being infused. ‒ Administer O2 at 8 to 10
L/min. ‒ Notify provider. ‒ Prepare for vaginal or cesarean birth.
,◉ Variable decelerations Answer: HR up or down, cord compression
= VERY BAD
Prolapsed cord= push head up, change mom position
◉ minimal variability Answer: > undetectable but <5/min
FHR baseline variability is described as fluctuations in the FHR
baseline that are irregular in frequency and amplitude
◉ Stage 1: Contractions Answer: -Longest part of Labor (*11-19
hours)
-Water breaking: rupture of the amniotic sac happens during this
stage, but usually AFTER contractions start
◉ early/latent phase of labor Answer: 0-3 cm dilation of the cervix
Tend to be mildly uncomfortable, similar to menstrual cramps.
◉ Active phase of labor: Answer: 4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
, Spontaneous rupture of membranes usually occurs at this point. •
Increase in bloody show. • Cervix 5 to 7 cm dilated.
◉ Transition phase of labor Answer: A client, in active labor &
becomes nauseous and vomits. The client is also very irritable &
needs to have a bowel movement. She states, "I've had enough. I
can't do this anymore. I want to go home right now." What labor
phase is the client in?
Cervix 8 to 10 cm dilated
◉ Priority is prevention of postpartum hemorrhage Answer: Vital
signs. - Fundus. - Lochia. - Perineum. - Urinary output.
◉ Leopold's Maneuvers Answer: Palpation to determine
presentation and position of the fetus and aid in location of fetal
heart sounds.
Head=hard, round, movable object
Buttocks=soft and irregular shape
Back=smooth, hard surface felt on one side of the abdomen
Irregular knobs and lumps on opposite side of abdomen may be
hands, feet, elbows, and knees
◉ Critical Components of Labor: The Five Ps Answer: •Passenger.
•Passageway. •Powers. •Position. •Psychological response.
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is caring for a newborn client who is experiencing severe
hyperbilirubinemia. Which of the following are symptoms of
kernicterus? Answer: Lethargy, Hypotonic, Backward arching of the
neck and trunk
◉ Kernicterus Answer: Bilirubin encephalopathy, a form of brain
damage resulting from unconjugated bilirubin entering the brain.
Characterized by lethargy, poor feeding, vomiting, irregular
respiration, perhaps death
◉ Preparation for Separation and Birth: Nesting Answer: Ready for
pregnancy to end. • Ready to undergo labor and delivery. • Great
time to reinforce teaching about birth. • Normal to remain
ambivalent.
◉ Presumptive signs Answer: Changes felt by the Woman
amenorrhea
N/V
breast sensitivity
fatigue
quickening
,◉ Probable signs Answer: Uterine enlargement
souffle and contractions
positive pregnancy tests
◉ Chadwick's sign Answer: Bluish-purple coloration of the vaginal
mucosa and cervix
◉ Ballottement Answer: a palpation technique used in detecting or
examining a floating object in the body
◉ Expected FHR (Fetal Heart Rate) Answer: 110 and 160/min.
◉ Early Decelerations Answer: head compressions
◉ Late Decelerations Answer: Bad (placental insufficiency)
◉ Interventions for Late Decelerations Answer: Change client to
side-lying position. ‒ Start IV line if not in place or increase IV rate. ‒
Stop oxytocin (Pitocin) if being infused. ‒ Administer O2 at 8 to 10
L/min. ‒ Notify provider. ‒ Prepare for vaginal or cesarean birth.
,◉ Variable decelerations Answer: HR up or down, cord compression
= VERY BAD
Prolapsed cord= push head up, change mom position
◉ minimal variability Answer: > undetectable but <5/min
FHR baseline variability is described as fluctuations in the FHR
baseline that are irregular in frequency and amplitude
◉ Stage 1: Contractions Answer: -Longest part of Labor (*11-19
hours)
-Water breaking: rupture of the amniotic sac happens during this
stage, but usually AFTER contractions start
◉ early/latent phase of labor Answer: 0-3 cm dilation of the cervix
Tend to be mildly uncomfortable, similar to menstrual cramps.
◉ Active phase of labor: Answer: 4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
, Spontaneous rupture of membranes usually occurs at this point. •
Increase in bloody show. • Cervix 5 to 7 cm dilated.
◉ Transition phase of labor Answer: A client, in active labor &
becomes nauseous and vomits. The client is also very irritable &
needs to have a bowel movement. She states, "I've had enough. I
can't do this anymore. I want to go home right now." What labor
phase is the client in?
Cervix 8 to 10 cm dilated
◉ Priority is prevention of postpartum hemorrhage Answer: Vital
signs. - Fundus. - Lochia. - Perineum. - Urinary output.
◉ Leopold's Maneuvers Answer: Palpation to determine
presentation and position of the fetus and aid in location of fetal
heart sounds.
Head=hard, round, movable object
Buttocks=soft and irregular shape
Back=smooth, hard surface felt on one side of the abdomen
Irregular knobs and lumps on opposite side of abdomen may be
hands, feet, elbows, and knees
◉ Critical Components of Labor: The Five Ps Answer: •Passenger.
•Passageway. •Powers. •Position. •Psychological response.
