VATI RN Maternal Newborn
Assessment
A price nurse is discussing care of clients who are in exertions with a newly licensed nurse.
Which of the following movements ought to the rate nurse consist of in the coaching regarding
situations requiring an amniotomy? - ANS-Placing a fetal scalp electrode.
A rate nurse is discussing syphilis with a newly certified nurse. Which of the subsequent
statements need to the charge nurse make? - ANS-A chancre lesion appears inside 90 day
after infection all through the primary degree.
A charge nurse is offering teaching to a newly certified nurse who is caring for a consumer who
has postpartum hemorrhagic shock. Which of the following statements should the price nurse
make? - ANS-The most accurate indication of organ perfusion is a clients urine output.
A price nurse is coaching a newly licensed nurse about substance use problems during
pregnancy. Which of the following statements by the newly certified nurse indicates an
know-how of the teaching? - ANS-Encourage patron who're prescribed methadone to
breastfeed.
A patron who is in lively labor is admitted to a hard work and shipping unit and reviews, "My
water simply broke and my baby is breech." Which of the following actions need to the nurse
take first? - ANS-Check fetal heart tones.
A nurse is admitting a client who is at 39wks of gestation and in energetic hard work. The
customer reports being superb for group B streptococcus (GBS) while screened at 36wks of
gestation. Which of the subsequent actions need to the nurse assume to take? -
ANS-Administer IV antibiotic prophylaxis.
A nurse is assessing a 1-hr-vintage newborn. Which of the subsequent findings need to the
nurse document to the provider? - ANS-Generalized petechiae
A nurse is assessing a client who introduced a four.5kg (10lbs) newborn 2hrs ago. Identify the
extent within the abdomen a nurse must assume to find the purchaser's uterus whilst assessing
the fundus. - ANS-C is correct.
-Immediately after beginning, the fundus have to be organization, midline with the umbilicus,
and about 2cm under the extent of the umbilicus. At 12hrs postpartum the nurse ought to
palpate the fundus at 1cm (zero.4in) above the umbilicus. Every 24hrs the fundus should
, descend about 1-2cm (0.4-0.8in) It have to be midway between the symphysis pubis and the
umbilicus by using 6 days postpartum.
A nurse is assessing a customer who gave delivery 4hrs ago and is receiving 2 gadgets packed
RBCs due to a postpartum hemorrhage. Which of the following findings is the first-class
indication of ok perfusion and oxygenation? - ANS-Urinary output.
A nurse is assessing a customer who has genital herpes. Which of the following findings must
the nurse assume? - ANS-Ulcerated lesions at the labia.
A nurse is assessing a client who has simply passed through a cesarean beginning and was
given epidural morphine for postpartum ache relief 1hr ago. The nurse notes that the clients
respiration price is 10/min. Which of the subsequent moves have to the nurse take first? -
ANS-Administer oxygen with the aid of nonrebreather face mask.
A nurse is assessing a purchaser who has placenta previa and is receiving fetal tracking. Which
of the following medical findings need to the nurse assume? - ANS-Painless vaginal bleeding.
A nurse is assessing a client who has preeclampsia and received a dose a calcium gluconate to
treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as a
demonstration that calcium gluconate changed into effective? - ANS-Respiratory rate 12/min
A nurse is assessing a consumer who's 2hr postpartum and has saturated a perineal pad in
15min. The clients skin is cool and clammy to touch. Which of the subsequent actions should
the nurse take first? - ANS-Firmly rub down the fundus.
A nurse is assessing a patron who is 6hrs postpartum, tachycardia, and has cool pores and
skin. The purchaser reports that they've been bleeding excessively. Which of the subsequent
moves need to the nurse take? - ANS-Initiate and infusion of oxytocin.
A nurse is assessing a patron who's at 32wks of gestation. Which of the subsequent findings is
a sign of a capability prenatal hardship? - ANS-Epigastric pain.
A nurse is assessing a patron who's at 33wks of gestation. Which of the following findings have
to the nurse document to the provider? - ANS-Epigastric ache.
A nurse is assessing a consumer who's at 33wks of gestation. Which of the subsequent findings
ought to the nurse record to the provider? - ANS-Episodes of blurred vision.
A nurse is assessing a patron who's at 8wks of gestation and has hyperemesis gravidarum.
Which of the following are findings of this condition? (SATA) - ANS-1. Tachycardia.
2. Dry mucous membranes.
3. Poor pores and skin turgor.
Assessment
A price nurse is discussing care of clients who are in exertions with a newly licensed nurse.
Which of the following movements ought to the rate nurse consist of in the coaching regarding
situations requiring an amniotomy? - ANS-Placing a fetal scalp electrode.
A rate nurse is discussing syphilis with a newly certified nurse. Which of the subsequent
statements need to the charge nurse make? - ANS-A chancre lesion appears inside 90 day
after infection all through the primary degree.
A charge nurse is offering teaching to a newly certified nurse who is caring for a consumer who
has postpartum hemorrhagic shock. Which of the following statements should the price nurse
make? - ANS-The most accurate indication of organ perfusion is a clients urine output.
A price nurse is coaching a newly licensed nurse about substance use problems during
pregnancy. Which of the following statements by the newly certified nurse indicates an
know-how of the teaching? - ANS-Encourage patron who're prescribed methadone to
breastfeed.
A patron who is in lively labor is admitted to a hard work and shipping unit and reviews, "My
water simply broke and my baby is breech." Which of the following actions need to the nurse
take first? - ANS-Check fetal heart tones.
A nurse is admitting a client who is at 39wks of gestation and in energetic hard work. The
customer reports being superb for group B streptococcus (GBS) while screened at 36wks of
gestation. Which of the subsequent actions need to the nurse assume to take? -
ANS-Administer IV antibiotic prophylaxis.
A nurse is assessing a 1-hr-vintage newborn. Which of the subsequent findings need to the
nurse document to the provider? - ANS-Generalized petechiae
A nurse is assessing a client who introduced a four.5kg (10lbs) newborn 2hrs ago. Identify the
extent within the abdomen a nurse must assume to find the purchaser's uterus whilst assessing
the fundus. - ANS-C is correct.
-Immediately after beginning, the fundus have to be organization, midline with the umbilicus,
and about 2cm under the extent of the umbilicus. At 12hrs postpartum the nurse ought to
palpate the fundus at 1cm (zero.4in) above the umbilicus. Every 24hrs the fundus should
, descend about 1-2cm (0.4-0.8in) It have to be midway between the symphysis pubis and the
umbilicus by using 6 days postpartum.
A nurse is assessing a customer who gave delivery 4hrs ago and is receiving 2 gadgets packed
RBCs due to a postpartum hemorrhage. Which of the following findings is the first-class
indication of ok perfusion and oxygenation? - ANS-Urinary output.
A nurse is assessing a customer who has genital herpes. Which of the following findings must
the nurse assume? - ANS-Ulcerated lesions at the labia.
A nurse is assessing a client who has simply passed through a cesarean beginning and was
given epidural morphine for postpartum ache relief 1hr ago. The nurse notes that the clients
respiration price is 10/min. Which of the subsequent moves have to the nurse take first? -
ANS-Administer oxygen with the aid of nonrebreather face mask.
A nurse is assessing a purchaser who has placenta previa and is receiving fetal tracking. Which
of the following medical findings need to the nurse assume? - ANS-Painless vaginal bleeding.
A nurse is assessing a client who has preeclampsia and received a dose a calcium gluconate to
treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as a
demonstration that calcium gluconate changed into effective? - ANS-Respiratory rate 12/min
A nurse is assessing a consumer who's 2hr postpartum and has saturated a perineal pad in
15min. The clients skin is cool and clammy to touch. Which of the subsequent actions should
the nurse take first? - ANS-Firmly rub down the fundus.
A nurse is assessing a patron who is 6hrs postpartum, tachycardia, and has cool pores and
skin. The purchaser reports that they've been bleeding excessively. Which of the subsequent
moves need to the nurse take? - ANS-Initiate and infusion of oxytocin.
A nurse is assessing a patron who's at 32wks of gestation. Which of the subsequent findings is
a sign of a capability prenatal hardship? - ANS-Epigastric pain.
A nurse is assessing a patron who's at 33wks of gestation. Which of the following findings have
to the nurse document to the provider? - ANS-Epigastric ache.
A nurse is assessing a consumer who's at 33wks of gestation. Which of the subsequent findings
ought to the nurse record to the provider? - ANS-Episodes of blurred vision.
A nurse is assessing a patron who's at 8wks of gestation and has hyperemesis gravidarum.
Which of the following are findings of this condition? (SATA) - ANS-1. Tachycardia.
2. Dry mucous membranes.
3. Poor pores and skin turgor.
