VATI RN Maternal Newborn Assessment
with answers 100% correct
A |charge |nurse |is |teaching |a |newly |licensed |nurse |about |substance |use |disorders |during |pregnancy. |
Which |of |the |following |statements |by |the |newly |licensed |nurse |indicates |an |understanding |of |the |
teaching? |- |VERIFIED |ANSWERS |**✔Encourage |client |who |are |prescribed |methadone |to |breastfeed.
-The |nurse |should |encourage |clients |who |are |prescribed |methadone |during |pregnancy |to |breastfeed |
their |newborns |to |help |with |withdrawal |symptoms.
A |nurse |is |caring |for |a |client |who |received |terbutaline |subcutaneously. |Which |of |the |following |
findings |is |an |indication |the |medication |was |effective? |- |VERIFIED |ANSWERS |**✔Decreased |frequency
|of |contractions.
-Terbutaline |is |a |tocolytic |medication |that |is |used |to |halt |preterm |labor. |Terbutaline |cause |relaxation |
of |smooth |muscle, |which |decrease |uterine |activity. |Therefore, |the |nurse |should |identify |that |a |
decrease |in |frequency |of |contractions |is |an |indication |that |terbutaline |was |effective.
A |charge |nurse |is |discussing |care |of |clients |who |are |in |labor |with |a |newly |licensed |nurse. |Which |of |
the |following |actions |should |the |charge |nurse |include |in |the |teaching |regarding |situations |requiring |
an |amniotomy? |- |VERIFIED |ANSWERS |**✔Placing |a |fetal |scalp |electrode.
-A |fetal |scalp |electrode |is |attached |to |the |presenting |part |of |the |fetus |in |order |to |provide |accurate |
continuous |monitoring |of |the |fetal |heart |rate. |If |the |client's |membranes |are |intact, |the |amniotic |sac |
must |be |artificially |ruptured |prior |to |attaching |the |electrode |to |enable |access |to |the |presenting |part.
A |nurse |is |reviewing |the |medical |record |of |a |client |who |has |preeclampsia |prior |to |administering |
labetalol. |For |which |of |the |following |findings |should |the |nurse |withhold |the |medication? |- |VERIFIED |
ANSWERS |**✔Heart |rate |54/min
-The |nurse |should |identify |that |a |heart |rate |of |54/min |is |below |the |expected |reference |range |of |60 |to
|100/min. |During |pregnancy, |the |heart |rate |increases |10 |to |15/min |due |to |increased |blood |volume |
and |increase |tissue |demands |for |oxygen. |Bradycardia |is |a |contraindication |for |the |administration |of |
labetalol, |an |antihypertensive |medication. |Therefore, |the |nurse |should |withhold |the |medication |and |
notify |the |provider.
A |nurse |is |caring |for |a |client |who |is |at |30 |weeks |of |gestation |and |observes |the |client |choking |while |
eating |lunch. |The |client |is |unable |to |speak |or |cough. |Identify |the |sequence |of |steps |the |nurse |should |
take |to |clear |the |airway |obstruction. |- |VERIFIED |ANSWERS |**✔1. |Stand |posterior |to |the |client.
,2. |Position |arms |under |the |client's |axilla |and |across |the |client's |chest.
3. |Place |thumb-side |of |a |clenched |fist |to |the |client's |mid-sternum |area.
4. |Initiate |chest |thrust |to |the |client |using |a |backward |motion.
-If |the |client |becomes |unconscious, |the |nurse |should |perform |CPR |and |activate |emergency |medical |
services.
A |nurse |is |preparing |to |administer |an |opioid |analgesic |to |a |client |who |is |in |active |labor. |Which |of |the |
following |assessments |should |the |nurse |perform? |(SATA) |- |VERIFIED |ANSWERS |**✔Maternal |blood |
pressure. |
-Opioid |analgesic |can |cause |hypotension. |The |nurse |should |assess |the |clients |blood |pressure |before |
and |after |administering |opioids.
Pain |level.
-The |nurse |should |assess |the |clients |baseline |pain |level |prior |to |administering |pain |medication |and |
again |after |administering |pain |medication |to |determine |the |effectiveness |of |the |medication. |Opioid |
analgesic |are |indicated |for |the |relief |of |moderate |to |sever |labor |pain.
Fetal |heart |rate.
-Opioid |analgesics |can |cause |fetal |bradycardia |and |changes |in |variability. |The |nurse |should |assess |the |
fetal |heart |rate |prior |to |administering |an |opioid |analgesic |to |ensure |the |rate |is |within |the |expedited |
reference |range |and |to |have |a |baseline |for |future |assessments. |The |nurse |should |provide |ongoing |
assessments |of |fetal |heart |rate |throughout |labor |according |to |facility |protocol.
A |nurse |is |reviewing |the |medical |records |of |a |client |who |is |at |8 |wks. |of |gestation. |Which |of |the |
following |findings |should |the |nurse |identify |as |a |risk |factor |for |developing |preeclampsia? |- |VERIFIED |
ANSWERS |**✔Rheumatoid |Arthritis.
-The |presence |of |a |connective |tissue |disease, |such |as |rheumatoid |arthritis |or |systemic |lupus |
erythematosus, |increase |a |clients |risk |for |developing |preeclampsia.
A |nurse |is |reviewing |the |laboratory |results |for |a |postpartum |client |who |is |receiving |warfarin |for |deep-
vein |thrombosis. |Which |of |the |following |laboratory |tests |should |the |nurse |monitor? |- |VERIFIED |
ANSWERS |**✔International |normalized |ratio |(INR).
-The |nurse |should |monitor |the |INR |of |a |client |who |is |taking |warfarin. |Prothrombin |time(PT) |is |also |
measure |to |regulate |warfarin |therapy. |However, |PT |values |are |more |difficult |to |interpret. |INR |
determined |by |multiplying |the |PT |by |a |correction |factor |based |on |the |specific |thromboplastin |
preparation |used |for |the |test, |as |a |way |of |equalizing |laboratory |to |laboratory |variations.
, A |nurse |is |monitoring |a |client |who |is |in |the |active |phase |of |labor |and |has |an |intrauterine |pressure |
catheter |and |fetal |scalp |electrode. |Which |of |the |following |findings |should |the |nurse |expect? |- |
VERIFIED |ANSWERS |**✔Montevideo |units |(MVU) |of |220 |mm |Hg.
- |The |nurse |should |identify |that |an |MVU |of |220 |mm |Hg |is |within |the |expected |range |during |the |
active |phase |of |labor. |MVUs |generally |range |between |100 |to |250 |mm |Hg |during |the |first |stage |of |
labor |and |increase |to |300 |to |400 |mm |Hg |during |the |second |stage |of |labor. |MVUs |are |calculated |by |
subtracting |the |baseline |uterine |pressure |from |the |peak |contraction |pressure |for |every |contraction |
that |occurs |during |a |10-min |period. |The |nurse |then |adds |the |pressure |produced |by |each |contraction |
during |that |time |to |determine |the |MVUs.
A |nurse |is |assessing |a |client |who |has |just |undergone |a |cesarean |birth |and |was |given |epidural |
morphine |for |postpartum |pain |relief |1hr |ago. |The |nurse |notes |that |the |clients |respiratory |rate |is |
10/min. |Which |of |the |following |actions |should |the |nurse |take |first? |- |VERIFIED |ANSWERS |
**✔Administer |oxygen |by |nonrebreather |face |mask.
-The |first |action |the |nurse |should |take |when |using |the |airway, |breathing, |circulation |approach |to |
client |care |is |to |administer |oxygen |by |nonrebreather |mask |to |treat |manifestations |of |respiratory |
depression |due |to |morphine |administration.
A |nurse |is |assessing |a |client |who |has |placenta |previa |and |is |receiving |fetal |monitoring. |Which |of |the |
following |clinical |findings |should |the |nurse |expect? |- |VERIFIED |ANSWERS |**✔Painless |vaginal |
bleeding.
-The |placenta |implants |in |the |lower |uterine |segment, |partially |or |completely |covering |the |cervix. |With
|cervical |changes, |the |placental |blood |vessels |can |tear, |which |results |in |bleeding.
A |nurse |is |assessing |a |client |who |is |at |33wks |of |gestation. |Which |of |the |following |findings |should |the |
nurse |report |to |the |provider? |- |VERIFIED |ANSWERS |**✔Episodes |of |blurred |vision.
-Blurred |vision |is |a |manifestation |of |preeclampsia. |Arterial |vasospasms |and |decreased |perfusion |to |
the |retina |cause |visual |disturbances, |such |as |blurred |vision, |double |vision, |or |dark |spots |in |the |visual |
field.
A |nurse |is |assessing |a |client |who |is |at |8wks |of |gestation |and |has |hyperemesis |gravidarum. |Which |of |
the |following |are |findings |of |this |condition? |(SATA) |- |VERIFIED |ANSWERS |**✔1. |Tachycardia.
-Hyperemesis |gravidarum |typically |occurs |during |the |first |trimester |and |results |in |electrolyte |
imbalance, |excessive |weight |loss, |ketonuria, |and |nutritional |deficiencies.
2. |Dry |mucous |membranes.
3. |Poor |skin |turgor.
with answers 100% correct
A |charge |nurse |is |teaching |a |newly |licensed |nurse |about |substance |use |disorders |during |pregnancy. |
Which |of |the |following |statements |by |the |newly |licensed |nurse |indicates |an |understanding |of |the |
teaching? |- |VERIFIED |ANSWERS |**✔Encourage |client |who |are |prescribed |methadone |to |breastfeed.
-The |nurse |should |encourage |clients |who |are |prescribed |methadone |during |pregnancy |to |breastfeed |
their |newborns |to |help |with |withdrawal |symptoms.
A |nurse |is |caring |for |a |client |who |received |terbutaline |subcutaneously. |Which |of |the |following |
findings |is |an |indication |the |medication |was |effective? |- |VERIFIED |ANSWERS |**✔Decreased |frequency
|of |contractions.
-Terbutaline |is |a |tocolytic |medication |that |is |used |to |halt |preterm |labor. |Terbutaline |cause |relaxation |
of |smooth |muscle, |which |decrease |uterine |activity. |Therefore, |the |nurse |should |identify |that |a |
decrease |in |frequency |of |contractions |is |an |indication |that |terbutaline |was |effective.
A |charge |nurse |is |discussing |care |of |clients |who |are |in |labor |with |a |newly |licensed |nurse. |Which |of |
the |following |actions |should |the |charge |nurse |include |in |the |teaching |regarding |situations |requiring |
an |amniotomy? |- |VERIFIED |ANSWERS |**✔Placing |a |fetal |scalp |electrode.
-A |fetal |scalp |electrode |is |attached |to |the |presenting |part |of |the |fetus |in |order |to |provide |accurate |
continuous |monitoring |of |the |fetal |heart |rate. |If |the |client's |membranes |are |intact, |the |amniotic |sac |
must |be |artificially |ruptured |prior |to |attaching |the |electrode |to |enable |access |to |the |presenting |part.
A |nurse |is |reviewing |the |medical |record |of |a |client |who |has |preeclampsia |prior |to |administering |
labetalol. |For |which |of |the |following |findings |should |the |nurse |withhold |the |medication? |- |VERIFIED |
ANSWERS |**✔Heart |rate |54/min
-The |nurse |should |identify |that |a |heart |rate |of |54/min |is |below |the |expected |reference |range |of |60 |to
|100/min. |During |pregnancy, |the |heart |rate |increases |10 |to |15/min |due |to |increased |blood |volume |
and |increase |tissue |demands |for |oxygen. |Bradycardia |is |a |contraindication |for |the |administration |of |
labetalol, |an |antihypertensive |medication. |Therefore, |the |nurse |should |withhold |the |medication |and |
notify |the |provider.
A |nurse |is |caring |for |a |client |who |is |at |30 |weeks |of |gestation |and |observes |the |client |choking |while |
eating |lunch. |The |client |is |unable |to |speak |or |cough. |Identify |the |sequence |of |steps |the |nurse |should |
take |to |clear |the |airway |obstruction. |- |VERIFIED |ANSWERS |**✔1. |Stand |posterior |to |the |client.
,2. |Position |arms |under |the |client's |axilla |and |across |the |client's |chest.
3. |Place |thumb-side |of |a |clenched |fist |to |the |client's |mid-sternum |area.
4. |Initiate |chest |thrust |to |the |client |using |a |backward |motion.
-If |the |client |becomes |unconscious, |the |nurse |should |perform |CPR |and |activate |emergency |medical |
services.
A |nurse |is |preparing |to |administer |an |opioid |analgesic |to |a |client |who |is |in |active |labor. |Which |of |the |
following |assessments |should |the |nurse |perform? |(SATA) |- |VERIFIED |ANSWERS |**✔Maternal |blood |
pressure. |
-Opioid |analgesic |can |cause |hypotension. |The |nurse |should |assess |the |clients |blood |pressure |before |
and |after |administering |opioids.
Pain |level.
-The |nurse |should |assess |the |clients |baseline |pain |level |prior |to |administering |pain |medication |and |
again |after |administering |pain |medication |to |determine |the |effectiveness |of |the |medication. |Opioid |
analgesic |are |indicated |for |the |relief |of |moderate |to |sever |labor |pain.
Fetal |heart |rate.
-Opioid |analgesics |can |cause |fetal |bradycardia |and |changes |in |variability. |The |nurse |should |assess |the |
fetal |heart |rate |prior |to |administering |an |opioid |analgesic |to |ensure |the |rate |is |within |the |expedited |
reference |range |and |to |have |a |baseline |for |future |assessments. |The |nurse |should |provide |ongoing |
assessments |of |fetal |heart |rate |throughout |labor |according |to |facility |protocol.
A |nurse |is |reviewing |the |medical |records |of |a |client |who |is |at |8 |wks. |of |gestation. |Which |of |the |
following |findings |should |the |nurse |identify |as |a |risk |factor |for |developing |preeclampsia? |- |VERIFIED |
ANSWERS |**✔Rheumatoid |Arthritis.
-The |presence |of |a |connective |tissue |disease, |such |as |rheumatoid |arthritis |or |systemic |lupus |
erythematosus, |increase |a |clients |risk |for |developing |preeclampsia.
A |nurse |is |reviewing |the |laboratory |results |for |a |postpartum |client |who |is |receiving |warfarin |for |deep-
vein |thrombosis. |Which |of |the |following |laboratory |tests |should |the |nurse |monitor? |- |VERIFIED |
ANSWERS |**✔International |normalized |ratio |(INR).
-The |nurse |should |monitor |the |INR |of |a |client |who |is |taking |warfarin. |Prothrombin |time(PT) |is |also |
measure |to |regulate |warfarin |therapy. |However, |PT |values |are |more |difficult |to |interpret. |INR |
determined |by |multiplying |the |PT |by |a |correction |factor |based |on |the |specific |thromboplastin |
preparation |used |for |the |test, |as |a |way |of |equalizing |laboratory |to |laboratory |variations.
, A |nurse |is |monitoring |a |client |who |is |in |the |active |phase |of |labor |and |has |an |intrauterine |pressure |
catheter |and |fetal |scalp |electrode. |Which |of |the |following |findings |should |the |nurse |expect? |- |
VERIFIED |ANSWERS |**✔Montevideo |units |(MVU) |of |220 |mm |Hg.
- |The |nurse |should |identify |that |an |MVU |of |220 |mm |Hg |is |within |the |expected |range |during |the |
active |phase |of |labor. |MVUs |generally |range |between |100 |to |250 |mm |Hg |during |the |first |stage |of |
labor |and |increase |to |300 |to |400 |mm |Hg |during |the |second |stage |of |labor. |MVUs |are |calculated |by |
subtracting |the |baseline |uterine |pressure |from |the |peak |contraction |pressure |for |every |contraction |
that |occurs |during |a |10-min |period. |The |nurse |then |adds |the |pressure |produced |by |each |contraction |
during |that |time |to |determine |the |MVUs.
A |nurse |is |assessing |a |client |who |has |just |undergone |a |cesarean |birth |and |was |given |epidural |
morphine |for |postpartum |pain |relief |1hr |ago. |The |nurse |notes |that |the |clients |respiratory |rate |is |
10/min. |Which |of |the |following |actions |should |the |nurse |take |first? |- |VERIFIED |ANSWERS |
**✔Administer |oxygen |by |nonrebreather |face |mask.
-The |first |action |the |nurse |should |take |when |using |the |airway, |breathing, |circulation |approach |to |
client |care |is |to |administer |oxygen |by |nonrebreather |mask |to |treat |manifestations |of |respiratory |
depression |due |to |morphine |administration.
A |nurse |is |assessing |a |client |who |has |placenta |previa |and |is |receiving |fetal |monitoring. |Which |of |the |
following |clinical |findings |should |the |nurse |expect? |- |VERIFIED |ANSWERS |**✔Painless |vaginal |
bleeding.
-The |placenta |implants |in |the |lower |uterine |segment, |partially |or |completely |covering |the |cervix. |With
|cervical |changes, |the |placental |blood |vessels |can |tear, |which |results |in |bleeding.
A |nurse |is |assessing |a |client |who |is |at |33wks |of |gestation. |Which |of |the |following |findings |should |the |
nurse |report |to |the |provider? |- |VERIFIED |ANSWERS |**✔Episodes |of |blurred |vision.
-Blurred |vision |is |a |manifestation |of |preeclampsia. |Arterial |vasospasms |and |decreased |perfusion |to |
the |retina |cause |visual |disturbances, |such |as |blurred |vision, |double |vision, |or |dark |spots |in |the |visual |
field.
A |nurse |is |assessing |a |client |who |is |at |8wks |of |gestation |and |has |hyperemesis |gravidarum. |Which |of |
the |following |are |findings |of |this |condition? |(SATA) |- |VERIFIED |ANSWERS |**✔1. |Tachycardia.
-Hyperemesis |gravidarum |typically |occurs |during |the |first |trimester |and |results |in |electrolyte |
imbalance, |excessive |weight |loss, |ketonuria, |and |nutritional |deficiencies.
2. |Dry |mucous |membranes.
3. |Poor |skin |turgor.
