VATI PN Maternal Newborn Exam 2026-160+
QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest
Guidelines | Graded A+
SECTION 1: ANTEPARTUM – NORMAL PREGNANCY
Question 1:
A client's last menstrual period began on July 27. What is the client's estimated
date of birth (EDB) using Nagele's rule?
A) April 27
B) May 4
C) May 27
D) June 4
Answer: B
Rationale: Nagele's rule is calculated by subtracting 3 months from the first day of
the LMP and adding 7 days. July 27 minus 3 months = April 27, plus 7 days = May
4.
Question 2:
A nurse is reinforcing teaching about routine prenatal care. Which statement by a
client indicates understanding of the visit schedule?
A) "I will have monthly prenatal visits for the first 28 weeks of pregnancy"
B) "I only need to see the doctor if I feel sick"
C) "I can skip appointments if I'm feeling well"
D) "Prenatal care isn't really necessary"
,Answer: A
Rationale: Routine prenatal visits are monthly until 28 weeks, then every 2 weeks
until 36 weeks, then weekly. Statement A demonstrates understanding of
appropriate prenatal care frequency .
Question 3:
A client at 16 weeks gestation is at risk for hyperemesis gravidarum. Which
condition places the client at increased risk?
A) Hypothyroidism
B) Diabetes mellitus
C) Anemia
D) Hypotension
Answer: B
Rationale: Risk factors for hyperemesis gravidarum include pre-existing diabetes,
multiple gestation, molar pregnancy, prior HG, and obesity. Metabolic changes
and potential gastroparesis in diabetes may exacerbate nausea/vomiting in
pregnancy .
Question 4:
A nurse is collecting data from a client who has hyperemesis gravidarum. Which
finding indicates the client is at risk for dehydration?
A) Glycosuria
B) Ketonuria
C) Hematuria
D) Proteinuria
Answer: B
Rationale: Ketonuria (ketones in urine) indicates inadequate carbohydrate intake
and fat metabolism, signaling starvation and dehydration. HG clients with
,ketonuria require IV fluid resuscitation and antiemetics to prevent metabolic
acidosis and electrolyte imbalances .
Question 5:
A client at 8 weeks gestation reports excessive vomiting and has lost 5 lb. Which
findings suggest hyperemesis gravidarum requiring hospitalization? (Select all that
apply)
A) Weight loss of 5% of pre-pregnancy weight
B) Ketones in urine
C) Normal electrolytes
D) Signs of dehydration (dry mucous membranes, poor skin turgor)
E) Ability to tolerate oral fluids
Answer: A, B, D
Rationale: Hyperemesis gravidarum is characterized by severe vomiting, weight
loss (>5% pre-pregnancy), ketonuria, electrolyte imbalances, and signs of
dehydration. Hospitalization is indicated for IV fluids, electrolyte replacement, and
antiemetics. Normal electrolytes and ability to tolerate oral fluids would not
require hospitalization .
Question 6:
A nurse is reinforcing teaching with a client who is at 20 weeks gestation and
reports constipation. Which instruction should the nurse include?
A) "Consume 15 g of fiber per day"
B) "Consume 28 g of fiber per day"
C) "Consume 40 g of fiber per day"
D) "Decrease your fluid intake"
Answer: B
Rationale: Pregnancy constipation results from progesterone-induced decreased
GI motility and iron supplementation. Recommendations include 25-30 g fiber
, daily, increased fluids (2-3 L/day), and regular exercise to promote bowel
regularity .
Question 7:
A nurse is reinforcing teaching about iron supplementation during pregnancy.
Which client statement indicates understanding?
A) "I should take iron with milk to prevent stomach upset"
B) "I should take iron on an empty stomach or with orange juice"
C) "I can stop iron if I feel tired"
D) "Iron doesn't affect my bowel movements"
Answer: B
Rationale: Iron absorption is enhanced by vitamin C (orange juice) and is best
absorbed on an empty stomach. Calcium (milk) inhibits absorption. Iron commonly
causes constipation and dark stools .
Question 8:
A client at 30 weeks gestation with gestational diabetes has a fasting blood
glucose of 105 mg/dL (normal <95). The nurse should advise the client to:
A) Increase insulin dose immediately
B) Review dietary compliance and report to the provider; medication may be
needed
C) Ignore this one high reading
D) Double the insulin dose at bedtime
Answer: B
Rationale: Fasting hyperglycemia often requires medication (insulin or oral
agents). The client should not adjust insulin without provider guidance. One high
reading is significant but the nurse should assess diet and then notify provider for
possible adjustment .
QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest
Guidelines | Graded A+
SECTION 1: ANTEPARTUM – NORMAL PREGNANCY
Question 1:
A client's last menstrual period began on July 27. What is the client's estimated
date of birth (EDB) using Nagele's rule?
A) April 27
B) May 4
C) May 27
D) June 4
Answer: B
Rationale: Nagele's rule is calculated by subtracting 3 months from the first day of
the LMP and adding 7 days. July 27 minus 3 months = April 27, plus 7 days = May
4.
Question 2:
A nurse is reinforcing teaching about routine prenatal care. Which statement by a
client indicates understanding of the visit schedule?
A) "I will have monthly prenatal visits for the first 28 weeks of pregnancy"
B) "I only need to see the doctor if I feel sick"
C) "I can skip appointments if I'm feeling well"
D) "Prenatal care isn't really necessary"
,Answer: A
Rationale: Routine prenatal visits are monthly until 28 weeks, then every 2 weeks
until 36 weeks, then weekly. Statement A demonstrates understanding of
appropriate prenatal care frequency .
Question 3:
A client at 16 weeks gestation is at risk for hyperemesis gravidarum. Which
condition places the client at increased risk?
A) Hypothyroidism
B) Diabetes mellitus
C) Anemia
D) Hypotension
Answer: B
Rationale: Risk factors for hyperemesis gravidarum include pre-existing diabetes,
multiple gestation, molar pregnancy, prior HG, and obesity. Metabolic changes
and potential gastroparesis in diabetes may exacerbate nausea/vomiting in
pregnancy .
Question 4:
A nurse is collecting data from a client who has hyperemesis gravidarum. Which
finding indicates the client is at risk for dehydration?
A) Glycosuria
B) Ketonuria
C) Hematuria
D) Proteinuria
Answer: B
Rationale: Ketonuria (ketones in urine) indicates inadequate carbohydrate intake
and fat metabolism, signaling starvation and dehydration. HG clients with
,ketonuria require IV fluid resuscitation and antiemetics to prevent metabolic
acidosis and electrolyte imbalances .
Question 5:
A client at 8 weeks gestation reports excessive vomiting and has lost 5 lb. Which
findings suggest hyperemesis gravidarum requiring hospitalization? (Select all that
apply)
A) Weight loss of 5% of pre-pregnancy weight
B) Ketones in urine
C) Normal electrolytes
D) Signs of dehydration (dry mucous membranes, poor skin turgor)
E) Ability to tolerate oral fluids
Answer: A, B, D
Rationale: Hyperemesis gravidarum is characterized by severe vomiting, weight
loss (>5% pre-pregnancy), ketonuria, electrolyte imbalances, and signs of
dehydration. Hospitalization is indicated for IV fluids, electrolyte replacement, and
antiemetics. Normal electrolytes and ability to tolerate oral fluids would not
require hospitalization .
Question 6:
A nurse is reinforcing teaching with a client who is at 20 weeks gestation and
reports constipation. Which instruction should the nurse include?
A) "Consume 15 g of fiber per day"
B) "Consume 28 g of fiber per day"
C) "Consume 40 g of fiber per day"
D) "Decrease your fluid intake"
Answer: B
Rationale: Pregnancy constipation results from progesterone-induced decreased
GI motility and iron supplementation. Recommendations include 25-30 g fiber
, daily, increased fluids (2-3 L/day), and regular exercise to promote bowel
regularity .
Question 7:
A nurse is reinforcing teaching about iron supplementation during pregnancy.
Which client statement indicates understanding?
A) "I should take iron with milk to prevent stomach upset"
B) "I should take iron on an empty stomach or with orange juice"
C) "I can stop iron if I feel tired"
D) "Iron doesn't affect my bowel movements"
Answer: B
Rationale: Iron absorption is enhanced by vitamin C (orange juice) and is best
absorbed on an empty stomach. Calcium (milk) inhibits absorption. Iron commonly
causes constipation and dark stools .
Question 8:
A client at 30 weeks gestation with gestational diabetes has a fasting blood
glucose of 105 mg/dL (normal <95). The nurse should advise the client to:
A) Increase insulin dose immediately
B) Review dietary compliance and report to the provider; medication may be
needed
C) Ignore this one high reading
D) Double the insulin dose at bedtime
Answer: B
Rationale: Fasting hyperglycemia often requires medication (insulin or oral
agents). The client should not adjust insulin without provider guidance. One high
reading is significant but the nurse should assess diet and then notify provider for
possible adjustment .
