VATI RN Maternal Newborn Assessment Latest
Update Questions with Verified Answers
Graded Perfect Score Key 100%
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? - Correct Answers-Placing a fetal scalp electrode.
A charge nurse is discussing syphilis with a newly licensed nurse. Which of the following statements
should the charge nurse make? - Correct Answers-A chancre lesion appears within 90 day after
infection during the primary stage.
A charge nurse is providing teaching to a newly licensed nurse who is caring for a client who has
postpartum hemorrhagic shock. Which of the following statements should the charge nurse make? -
Correct Answers-The most accurate indication of organ perfusion is a clients urine output.
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? - Correct Answers-Encourage client who are prescribed methadone to breastfeed.
A client who is in active labor is admitted to a labor and delivery unit and reports, "My water just broke
and my baby is breech." Which of the following actions should the nurse take first? - Correct
Answers-Check fetal heart tones.
A nurse is admitting a client who is at 39wks of gestation and in active labor. The client reports being
positive for group B streptococcus (GBS) when screened at 36wks of gestation. Which of the following
actions should the nurse expect to take? - Correct Answers-Administer IV antibiotic prophylaxis.
A nurse is assessing a 1-hr-old newborn. Which of the following findings should the nurse report to the
provider? - Correct Answers-Generalized petechiae
A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago. Identify the level in the
abdomen a nurse should expect to find the client's uterus when assessing the fundus. - Correct
Answers-C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and approximately 2cm
below the level of the umbilicus. At 12hrs postpartum the nurse should palpate the fundus at 1cm
(0.4in) above the umbilicus. Every 24hrs the fundus should descend approximately 1-2cm (0.4-0.8in) It
should be halfway between the symphysis pubis and the umbilicus by 6 days postpartum.
A nurse is assessing a client who gave birth 4hrs ago and is receiving 2 units packed RBCs due to a
postpartum hemorrhage. Which of the following findings is the best indication of adequate perfusion
and oxygenation? - Correct Answers-Urinary output.
, A nurse is assessing a client who has genital herpes. Which of the following findings should the nurse
expect? - Correct Answers-Ulcerated lesions on the labia.
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? - Correct Answers-Administer oxygen by
nonrebreather face mask.
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? - Correct Answers-Painless vaginal bleeding.
A nurse is assessing a client who has preeclampsia and received a dose a calcium gluconate to treat
magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication
that calcium gluconate was effective? - Correct Answers-Respiratory rate 12/min
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The
clients skin is cool and clammy to touch. Which of the following actions should the nurse take first? -
Correct Answers-Firmly massage the fundus.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin. The client reports
that they have been bleeding excessively. Which of the following actions should the nurse take? -
Correct Answers-Initiate and infusion of oxytocin.
A nurse is assessing a client who is at 32wks of gestation. Which of the following findings is an indication
of a potential prenatal complication? - Correct Answers-Epigastric pain.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the
nurse report to the provider? - Correct Answers-Epigastric pain.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the
nurse report to the provider? - Correct Answers-Episodes of blurred vision.
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) - Correct Answers-1. Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the
following nonpharmacological interventions should the nurse provide to manage the clients pain? -
Correct Answers-Encourage the support person to apply sacral counterpressure.
A nurse is assessing a client who is in labor, Which of the following findings should the nurse expect? -
Correct Answers-Decrease in blood glucose level.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should identify that yellow
exudate covering the newborn's glans penis indicates which of the following? - Correct Answers-
Healing.
Update Questions with Verified Answers
Graded Perfect Score Key 100%
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? - Correct Answers-Placing a fetal scalp electrode.
A charge nurse is discussing syphilis with a newly licensed nurse. Which of the following statements
should the charge nurse make? - Correct Answers-A chancre lesion appears within 90 day after
infection during the primary stage.
A charge nurse is providing teaching to a newly licensed nurse who is caring for a client who has
postpartum hemorrhagic shock. Which of the following statements should the charge nurse make? -
Correct Answers-The most accurate indication of organ perfusion is a clients urine output.
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? - Correct Answers-Encourage client who are prescribed methadone to breastfeed.
A client who is in active labor is admitted to a labor and delivery unit and reports, "My water just broke
and my baby is breech." Which of the following actions should the nurse take first? - Correct
Answers-Check fetal heart tones.
A nurse is admitting a client who is at 39wks of gestation and in active labor. The client reports being
positive for group B streptococcus (GBS) when screened at 36wks of gestation. Which of the following
actions should the nurse expect to take? - Correct Answers-Administer IV antibiotic prophylaxis.
A nurse is assessing a 1-hr-old newborn. Which of the following findings should the nurse report to the
provider? - Correct Answers-Generalized petechiae
A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago. Identify the level in the
abdomen a nurse should expect to find the client's uterus when assessing the fundus. - Correct
Answers-C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and approximately 2cm
below the level of the umbilicus. At 12hrs postpartum the nurse should palpate the fundus at 1cm
(0.4in) above the umbilicus. Every 24hrs the fundus should descend approximately 1-2cm (0.4-0.8in) It
should be halfway between the symphysis pubis and the umbilicus by 6 days postpartum.
A nurse is assessing a client who gave birth 4hrs ago and is receiving 2 units packed RBCs due to a
postpartum hemorrhage. Which of the following findings is the best indication of adequate perfusion
and oxygenation? - Correct Answers-Urinary output.
, A nurse is assessing a client who has genital herpes. Which of the following findings should the nurse
expect? - Correct Answers-Ulcerated lesions on the labia.
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? - Correct Answers-Administer oxygen by
nonrebreather face mask.
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? - Correct Answers-Painless vaginal bleeding.
A nurse is assessing a client who has preeclampsia and received a dose a calcium gluconate to treat
magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication
that calcium gluconate was effective? - Correct Answers-Respiratory rate 12/min
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The
clients skin is cool and clammy to touch. Which of the following actions should the nurse take first? -
Correct Answers-Firmly massage the fundus.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin. The client reports
that they have been bleeding excessively. Which of the following actions should the nurse take? -
Correct Answers-Initiate and infusion of oxytocin.
A nurse is assessing a client who is at 32wks of gestation. Which of the following findings is an indication
of a potential prenatal complication? - Correct Answers-Epigastric pain.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the
nurse report to the provider? - Correct Answers-Epigastric pain.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the
nurse report to the provider? - Correct Answers-Episodes of blurred vision.
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) - Correct Answers-1. Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the
following nonpharmacological interventions should the nurse provide to manage the clients pain? -
Correct Answers-Encourage the support person to apply sacral counterpressure.
A nurse is assessing a client who is in labor, Which of the following findings should the nurse expect? -
Correct Answers-Decrease in blood glucose level.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should identify that yellow
exudate covering the newborn's glans penis indicates which of the following? - Correct Answers-
Healing.
