VATI MATERNAL AND NEWBORN
PRACTICE EVALUATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation and has chlamydia. Which of the following statements should
the nurse include? Answer: "After treatment, you will need another test
in 3 weeks and again between 35 and 37 weeks."
The nurse should reinforce with the client that they will need to be
retested for chlamydia 3 weeks after completing the prescribed regimen
and again between 35 and 37 weeks of gestation. Most clients who have
chlamydia are asymptomatic. Therefore, clients should be retested to
identify potential reinfection, which would allow for additional
treatment and decrease the risk for harm to the fetus during delivery.
⩥ A nurse is reinforcing teaching with a client who plans to use a
modified-paced breathing technique to relieve labor pain. Which of the
following instructions should the nurse include in the teaching? Answer:
"Begin and end modified-breathing with a deep cleansing breath.
The nurse should instruct the client that all breathing patterns begin with
a deep, relaxing, cleansing breath to "greet the contraction" and end with
,an exhaled deep breath to "blow the contraction away." Deep breaths
ensure sufficient oxygenation for both the client and fetus.
⩥ A nurse is reviewing the laboratory reports of four newborns. Which
of the following laboratory results should the nurse report to the
provider? Answer: Hgb 10 g/dL
A hemoglobin level of 10 g/dL is below the expected reference range of
14 to 24 g/dL for a newborn. The nurse should report this finding to the
provider.
⩥ A nurse is collecting data from an antepartum client who reports
taking ferrous sulfate twice per day for the past month. The nurse should
notify the provider of which of the following findings? Answer:
Diarrhea
The nurse should report diarrhea to the provider because it is a potential
adverse effect of the medication. Diarrhea can lead to dehydration,
which can cause preterm labor. This finding should be reported to the
provider.
⩥ A nurse is collecting data from a client who is 24 hr postpartum.
Which of the following findings is the priority for the nurse to report to
the provider? Answer: Saturated perineal pad within 15 min
, A saturated perineal pad within 15 min can indicate a cervical or vaginal
tear. Therefore, the nurse should report this finding to the provider
immediately.
⩥ Anurse is collecting data from a newborn who is 6 hr old. Which of
the following manifestations should the nurse expect? (Select all that
apply.) Answer: Rust-stained urine is correct. A newborn's first void can
contain uric acid crystals, which will give the urine a rust-stained
appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures
should be palpable without evidence of fusion. Overlapping sutures can
occur during a vaginal birth to allow passage of the fetus through the
birth canal.
Periodic breathing is correct. A newborn's respiratory effort is shallow
and irregular and can have periods of 5 to 10 seconds with respiratory
effort.
⩥ A nurse is reinforcing teaching about daily fetal movement count with
a client who is at 34 weeks of gestation. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I will notify my provider if I do not feel my baby move for 12
hours."
PRACTICE EVALUATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation and has chlamydia. Which of the following statements should
the nurse include? Answer: "After treatment, you will need another test
in 3 weeks and again between 35 and 37 weeks."
The nurse should reinforce with the client that they will need to be
retested for chlamydia 3 weeks after completing the prescribed regimen
and again between 35 and 37 weeks of gestation. Most clients who have
chlamydia are asymptomatic. Therefore, clients should be retested to
identify potential reinfection, which would allow for additional
treatment and decrease the risk for harm to the fetus during delivery.
⩥ A nurse is reinforcing teaching with a client who plans to use a
modified-paced breathing technique to relieve labor pain. Which of the
following instructions should the nurse include in the teaching? Answer:
"Begin and end modified-breathing with a deep cleansing breath.
The nurse should instruct the client that all breathing patterns begin with
a deep, relaxing, cleansing breath to "greet the contraction" and end with
,an exhaled deep breath to "blow the contraction away." Deep breaths
ensure sufficient oxygenation for both the client and fetus.
⩥ A nurse is reviewing the laboratory reports of four newborns. Which
of the following laboratory results should the nurse report to the
provider? Answer: Hgb 10 g/dL
A hemoglobin level of 10 g/dL is below the expected reference range of
14 to 24 g/dL for a newborn. The nurse should report this finding to the
provider.
⩥ A nurse is collecting data from an antepartum client who reports
taking ferrous sulfate twice per day for the past month. The nurse should
notify the provider of which of the following findings? Answer:
Diarrhea
The nurse should report diarrhea to the provider because it is a potential
adverse effect of the medication. Diarrhea can lead to dehydration,
which can cause preterm labor. This finding should be reported to the
provider.
⩥ A nurse is collecting data from a client who is 24 hr postpartum.
Which of the following findings is the priority for the nurse to report to
the provider? Answer: Saturated perineal pad within 15 min
, A saturated perineal pad within 15 min can indicate a cervical or vaginal
tear. Therefore, the nurse should report this finding to the provider
immediately.
⩥ Anurse is collecting data from a newborn who is 6 hr old. Which of
the following manifestations should the nurse expect? (Select all that
apply.) Answer: Rust-stained urine is correct. A newborn's first void can
contain uric acid crystals, which will give the urine a rust-stained
appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures
should be palpable without evidence of fusion. Overlapping sutures can
occur during a vaginal birth to allow passage of the fetus through the
birth canal.
Periodic breathing is correct. A newborn's respiratory effort is shallow
and irregular and can have periods of 5 to 10 seconds with respiratory
effort.
⩥ A nurse is reinforcing teaching about daily fetal movement count with
a client who is at 34 weeks of gestation. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I will notify my provider if I do not feel my baby move for 12
hours."
