VATI Maternal Newborn Pre-Assessment
Exam Questions & Answers (Grade A+)
A nurse is caring for a client who is a primigravida, at term, and
having contractions but is stating that she is "not really sure if she is
in labor or not." Which of the following should the nurse recognize
as a sign of true labor?
A. Rupture of the membranes
B. Changes in the cervix
C. Station of the presenting part
D. Pattern of contractions -
correct answer ✅B. Changes in the cervix
Assessment of progressive changes in the effacement and dilation
of the cervix is the most accurate indication of true labor.
A nurse on a postpartum unit is giving discharge instructions to a
client whose newborn had a circumcision with the Plastibell
technique. Which of the following client statements indicates
understanding of circumcision care? (Select all that apply.)
A. "I'll expect the plastic ring to fall off by itself within a week."
B. "I'll apply petroleum jelly to his penis with diaper changes."
,VATI Maternal Newborn Pre-Assessment
Exam Questions & Answers (Grade A+)
C. "I'll wash his penis with warm water and mild soap each day."
D. "I'll call the doctor if I see any bleeding."
E. "I'll make sure his diaper is loose in the front." -
correct answer ✅A. "I'll expect the plastic ring to fall off by itself
within a week."
D. "I'll call the doctor if I see any bleeding."
E. "I'll make sure his diaper is loose in the front."
A nurse is caring for a client who is in the active phase of the first
stage of labor. When monitoring the uterine contractions, which of
the following findings should the nurse report to the provider?
A. Contractions lasting longer than 90 seconds
B. Contractions occurring every 3 to 5 min
C. Contractions are strong in intensity
D. Client reports feeling contractions in lower back -
correct answer ✅A. Contractions lasting longer than 90 seconds
A pattern of prolonged uterine contractions lasting more than 90
seconds is an indication that there is inadequate uterine relaxation
and should be reported to the provider.
, VATI Maternal Newborn Pre-Assessment
Exam Questions & Answers (Grade A+)
In the active phase of the first stage of labor, contractions are more
regular and occur at 3 to 5 min intervals. This is an expected
finding. This is an expected finding in a client who is moving from
the active to transition phase of the first stage of labor. It does not
need to be reported to the provider. This is an expected finding in a
client who is in true labor. As the labor progresses, the contractions
radiate to the abdomen.
A nurse is caring for a client who experienced a vaginal birth 3 hr
ago. Upon palpation, the fundus is displaced to the right of midline,
is firm, and is two fingerbreaths above the umbilicus. Which of the
following actions should the nurse complete at this time?
A. Massage the fundus
B. Insert a urinary catheter
C. Have the client urinate
D. Administer an analgesic -
correct answer ✅C. Have the client urinate
A full bladder displaces the uterine fundus and elevates it above
the level of the umbilicus. This can lead to uterine atony and
Exam Questions & Answers (Grade A+)
A nurse is caring for a client who is a primigravida, at term, and
having contractions but is stating that she is "not really sure if she is
in labor or not." Which of the following should the nurse recognize
as a sign of true labor?
A. Rupture of the membranes
B. Changes in the cervix
C. Station of the presenting part
D. Pattern of contractions -
correct answer ✅B. Changes in the cervix
Assessment of progressive changes in the effacement and dilation
of the cervix is the most accurate indication of true labor.
A nurse on a postpartum unit is giving discharge instructions to a
client whose newborn had a circumcision with the Plastibell
technique. Which of the following client statements indicates
understanding of circumcision care? (Select all that apply.)
A. "I'll expect the plastic ring to fall off by itself within a week."
B. "I'll apply petroleum jelly to his penis with diaper changes."
,VATI Maternal Newborn Pre-Assessment
Exam Questions & Answers (Grade A+)
C. "I'll wash his penis with warm water and mild soap each day."
D. "I'll call the doctor if I see any bleeding."
E. "I'll make sure his diaper is loose in the front." -
correct answer ✅A. "I'll expect the plastic ring to fall off by itself
within a week."
D. "I'll call the doctor if I see any bleeding."
E. "I'll make sure his diaper is loose in the front."
A nurse is caring for a client who is in the active phase of the first
stage of labor. When monitoring the uterine contractions, which of
the following findings should the nurse report to the provider?
A. Contractions lasting longer than 90 seconds
B. Contractions occurring every 3 to 5 min
C. Contractions are strong in intensity
D. Client reports feeling contractions in lower back -
correct answer ✅A. Contractions lasting longer than 90 seconds
A pattern of prolonged uterine contractions lasting more than 90
seconds is an indication that there is inadequate uterine relaxation
and should be reported to the provider.
, VATI Maternal Newborn Pre-Assessment
Exam Questions & Answers (Grade A+)
In the active phase of the first stage of labor, contractions are more
regular and occur at 3 to 5 min intervals. This is an expected
finding. This is an expected finding in a client who is moving from
the active to transition phase of the first stage of labor. It does not
need to be reported to the provider. This is an expected finding in a
client who is in true labor. As the labor progresses, the contractions
radiate to the abdomen.
A nurse is caring for a client who experienced a vaginal birth 3 hr
ago. Upon palpation, the fundus is displaced to the right of midline,
is firm, and is two fingerbreaths above the umbilicus. Which of the
following actions should the nurse complete at this time?
A. Massage the fundus
B. Insert a urinary catheter
C. Have the client urinate
D. Administer an analgesic -
correct answer ✅C. Have the client urinate
A full bladder displaces the uterine fundus and elevates it above
the level of the umbilicus. This can lead to uterine atony and
