VATI RN RN VATI MATERNAL NEWBORN
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+
⩥ What are the indications for a non-stress test?
Answer: Pregnancy problems such as suspected intrauterine growth
restriction (IUGR), maternal diabetes, or when mother has twins in
womb
⩥ Over how much time should morphine be administered over?
Answer: 4-5 minutes to prevent hypotension and respiratory depression
⩥ A client who does not wish to breastfeed can alleviate engorgement
and swelling by wearing what type of bra?
Answer: Tight-fitting bra or breast binders to alleviate engorgement and
swelling
⩥ A nurse is planning care for a client who has Hep B with jaundice.
What intervention should the nurse include in the plan?
Answer: Provide high-calorie, high protein diet. Clients w/ Hep B are at
increased risk for inadequate nutrition d/t N/V, anorexia, and fatigue
,⩥ A nurse is caring for a client in active labor who has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse perform?
Answer: Prepare equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort,
decreased muscle tone, and bradycardia after delivery
⩥ What is the Bishop score?
Answer: Used to determine maternal readiness for labor by evaluating
whether the cervix is favorable by rating the following: 1. dilation, 2.
effacement, 3. cervical consistency, 4. cervical position and 5. station of
presenting part
⩥ A nurse in a clinic is providing education to a client at 32 weeks
gestation who has pruritis gravidarum. What should the nurse teach as
the treatment.
Answer: Slightly increase exposure to sunlight b/c it can reduce itching.
Pruritis gravidarum is a condition of pregnancy that causes generalized
itching without the presence of a rash d/t stretching of the skin
⩥ For what clients is isotretinoin cream contraindicated in?
Answer: (Accutane).. Contraindicated in pregnant clients b/c it is
teratogenic
,⩥ What is the moro reflex?
Answer: startle reflex-initiated by clapping hands and infant will have
symmetric movement of arms and legs
⩥ How long does it take for respiratory depression to occur after an IV
bolus of morphine?
Answer: Can occur within 7 minutes after
⩥ What are characteristics of the fetus that are reviewed to determine the
biophysical profile (BPP) during an ultrasound?
Answer: -Fetal tone
-Relative FHR in relation to activity
-Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
⩥ A nurse is caring for a newborn with fetal alcohol syndrome. What
clinical findings should the nurse anticipate?
Answer: -Facial anomalies- eyes with epicanthal folds, strabismus,
ptosis, mouth with a poor suck, small teeth, cleft lip or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
, -Sleep disturbance
⩥ A nurse is caring for a client who is in active labor with ROM. On
assessment, the nurse notes the client has extrusion of the umbilical cord
at the vaginal introitus. What is the priority nursing intervention?
Answer: Use a sterile gloved hand and apply finger pressure to elevate
the presenting part of the fetus. Compression of cord prevents adequate
fetal blood flow and can cause anoxic brain damage. Nurse should
emergently elevate part of fetus that is compressing the umbilical cord
⩥ A client complaining of pain or vaginal pressure and has a large
amount of bright lochia with a firm uterus likely has what?
Answer: A perineal laceration
⩥ What are the types of perineal lacerations?
Answer: 1st degree-4th degree depending on size and depth of cut
1st degree-only perineal skin (skin between vaginal opening and
rectum). Typically heals on its own
4th degree-extends through anal sphincter and into mucous membrane
lining rectum
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+
⩥ What are the indications for a non-stress test?
Answer: Pregnancy problems such as suspected intrauterine growth
restriction (IUGR), maternal diabetes, or when mother has twins in
womb
⩥ Over how much time should morphine be administered over?
Answer: 4-5 minutes to prevent hypotension and respiratory depression
⩥ A client who does not wish to breastfeed can alleviate engorgement
and swelling by wearing what type of bra?
Answer: Tight-fitting bra or breast binders to alleviate engorgement and
swelling
⩥ A nurse is planning care for a client who has Hep B with jaundice.
What intervention should the nurse include in the plan?
Answer: Provide high-calorie, high protein diet. Clients w/ Hep B are at
increased risk for inadequate nutrition d/t N/V, anorexia, and fatigue
,⩥ A nurse is caring for a client in active labor who has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse perform?
Answer: Prepare equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort,
decreased muscle tone, and bradycardia after delivery
⩥ What is the Bishop score?
Answer: Used to determine maternal readiness for labor by evaluating
whether the cervix is favorable by rating the following: 1. dilation, 2.
effacement, 3. cervical consistency, 4. cervical position and 5. station of
presenting part
⩥ A nurse in a clinic is providing education to a client at 32 weeks
gestation who has pruritis gravidarum. What should the nurse teach as
the treatment.
Answer: Slightly increase exposure to sunlight b/c it can reduce itching.
Pruritis gravidarum is a condition of pregnancy that causes generalized
itching without the presence of a rash d/t stretching of the skin
⩥ For what clients is isotretinoin cream contraindicated in?
Answer: (Accutane).. Contraindicated in pregnant clients b/c it is
teratogenic
,⩥ What is the moro reflex?
Answer: startle reflex-initiated by clapping hands and infant will have
symmetric movement of arms and legs
⩥ How long does it take for respiratory depression to occur after an IV
bolus of morphine?
Answer: Can occur within 7 minutes after
⩥ What are characteristics of the fetus that are reviewed to determine the
biophysical profile (BPP) during an ultrasound?
Answer: -Fetal tone
-Relative FHR in relation to activity
-Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
⩥ A nurse is caring for a newborn with fetal alcohol syndrome. What
clinical findings should the nurse anticipate?
Answer: -Facial anomalies- eyes with epicanthal folds, strabismus,
ptosis, mouth with a poor suck, small teeth, cleft lip or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
, -Sleep disturbance
⩥ A nurse is caring for a client who is in active labor with ROM. On
assessment, the nurse notes the client has extrusion of the umbilical cord
at the vaginal introitus. What is the priority nursing intervention?
Answer: Use a sterile gloved hand and apply finger pressure to elevate
the presenting part of the fetus. Compression of cord prevents adequate
fetal blood flow and can cause anoxic brain damage. Nurse should
emergently elevate part of fetus that is compressing the umbilical cord
⩥ A client complaining of pain or vaginal pressure and has a large
amount of bright lochia with a firm uterus likely has what?
Answer: A perineal laceration
⩥ What are the types of perineal lacerations?
Answer: 1st degree-4th degree depending on size and depth of cut
1st degree-only perineal skin (skin between vaginal opening and
rectum). Typically heals on its own
4th degree-extends through anal sphincter and into mucous membrane
lining rectum
