VATI PN MATERNAL NEWBORN EXAM WITH NGN ACTUAL
2026/2027 HIGH YIELD PRACTICE QUESTIONS AND STUDY
GUIDE ACCURATE EXAM COMPLETE REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (100% RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION | GUARANTEED SUCCESS
A+ | FULL REVISED VATI PN MATERNAL NEWBORN EXAM
WITH NGN EXAM | INSTANT DOWNLOAD PDF | JUST
RELEASED
1. A nurse is caring for a client who is a primigravida, at term, and
having contractions but states 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 (CORRECT ANSWER)
C. Station of the presenting part
D. Pattern of contractions
Rationale: Progressive changes in cervical effacement and dilation
are the most accurate indication of true labor. Rupture of membranes
can occur without labor, station is a fixed descriptor, and contraction
patterns can be misleading (e.g., Braxton Hicks).
,2. 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."
(CORRECT ANSWER)
B. "I'll apply petroleum jelly to his penis with diaper changes."
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." (CORRECT ANSWER)
E. "I'll make sure his diaper is loose in the front." (CORRECT
ANSWER)
Rationale: With the Plastibell technique, the plastic ring detaches
spontaneously (usually within 5–8 days). Bleeding is a complication
that requires notification. A loose diaper prevents friction and
trauma to the healing site. Petroleum jelly is not used with the
Plastibell because it can cause the ring to slip off prematurely, and
vigorous washing is avoided.
3. A nurse is caring for a client who is in the active phase of the first
stage of labor. When monitoring uterine contractions, which of the
following findings should the nurse report to the provider?
,A. Contractions lasting longer than 90 seconds (CORRECT
ANSWER)
B. Contractions occurring every 3 to 5 min
C. Contractions that are strong by palpation
D. Contractions that radiate to the lower back
Rationale: In the active phase, contractions typically last up to 60–90
seconds. Contractions lasting longer than 90 seconds can impair
placental perfusion and fetal oxygenation, indicating possible
tachysystole or hypertonicity, and should be reported.
4. A nurse is reinforcing teaching with a guardian about how to care
for the umbilical cord of their newborn infant. Which of the
following statements by the guardian indicates a need for further
teaching?
A. "I will keep the umbilical cord stump clean and dry."
B. "I will give my newborn a bath once daily." (CORRECT
ANSWER)
C. "I will fold the diaper below the umbilical stump."
D. "I will watch for signs of infection around the stump."
Rationale: Daily immersion bathing is discouraged because it can
damage the newborn's skin integrity and delay cord healing. Sponge
, baths are recommended until the cord falls off. Keeping the stump
clean and dry, folding the diaper below it, and monitoring for
infection are appropriate.
5. 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?
A. "After treatment, you will need another test in 1 week."
B. "After treatment, you will need another test in 3 weeks and again
between 35 and 37 weeks." (CORRECT ANSWER)
C. "You will not need any follow-up testing if you take all the
medication."
D. "You should be tested again only if symptoms return."
Rationale: Clients treated for chlamydia should be retested 3 weeks
after completing the regimen and again at 35–37 weeks of gestation
to detect reinfection. Many clients are asymptomatic, so retesting is
essential to prevent fetal harm.
6. 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?
2026/2027 HIGH YIELD PRACTICE QUESTIONS AND STUDY
GUIDE ACCURATE EXAM COMPLETE REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (100% RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION | GUARANTEED SUCCESS
A+ | FULL REVISED VATI PN MATERNAL NEWBORN EXAM
WITH NGN EXAM | INSTANT DOWNLOAD PDF | JUST
RELEASED
1. A nurse is caring for a client who is a primigravida, at term, and
having contractions but states 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 (CORRECT ANSWER)
C. Station of the presenting part
D. Pattern of contractions
Rationale: Progressive changes in cervical effacement and dilation
are the most accurate indication of true labor. Rupture of membranes
can occur without labor, station is a fixed descriptor, and contraction
patterns can be misleading (e.g., Braxton Hicks).
,2. 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."
(CORRECT ANSWER)
B. "I'll apply petroleum jelly to his penis with diaper changes."
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." (CORRECT ANSWER)
E. "I'll make sure his diaper is loose in the front." (CORRECT
ANSWER)
Rationale: With the Plastibell technique, the plastic ring detaches
spontaneously (usually within 5–8 days). Bleeding is a complication
that requires notification. A loose diaper prevents friction and
trauma to the healing site. Petroleum jelly is not used with the
Plastibell because it can cause the ring to slip off prematurely, and
vigorous washing is avoided.
3. A nurse is caring for a client who is in the active phase of the first
stage of labor. When monitoring uterine contractions, which of the
following findings should the nurse report to the provider?
,A. Contractions lasting longer than 90 seconds (CORRECT
ANSWER)
B. Contractions occurring every 3 to 5 min
C. Contractions that are strong by palpation
D. Contractions that radiate to the lower back
Rationale: In the active phase, contractions typically last up to 60–90
seconds. Contractions lasting longer than 90 seconds can impair
placental perfusion and fetal oxygenation, indicating possible
tachysystole or hypertonicity, and should be reported.
4. A nurse is reinforcing teaching with a guardian about how to care
for the umbilical cord of their newborn infant. Which of the
following statements by the guardian indicates a need for further
teaching?
A. "I will keep the umbilical cord stump clean and dry."
B. "I will give my newborn a bath once daily." (CORRECT
ANSWER)
C. "I will fold the diaper below the umbilical stump."
D. "I will watch for signs of infection around the stump."
Rationale: Daily immersion bathing is discouraged because it can
damage the newborn's skin integrity and delay cord healing. Sponge
, baths are recommended until the cord falls off. Keeping the stump
clean and dry, folding the diaper below it, and monitoring for
infection are appropriate.
5. 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?
A. "After treatment, you will need another test in 1 week."
B. "After treatment, you will need another test in 3 weeks and again
between 35 and 37 weeks." (CORRECT ANSWER)
C. "You will not need any follow-up testing if you take all the
medication."
D. "You should be tested again only if symptoms return."
Rationale: Clients treated for chlamydia should be retested 3 weeks
after completing the regimen and again at 35–37 weeks of gestation
to detect reinfection. Many clients are asymptomatic, so retesting is
essential to prevent fetal harm.
6. 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?
