VATI RN Maternal Newborn 2025 Final Exam NEWEST
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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 ANSWER
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? - CORRECT
ANSWER 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? - CORRECT ANSWER
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? - CORRECT ANSWER 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.
- CORRECT ANSWER 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) - CORRECT
ANSWER 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? - CORRECT ANSWER 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.
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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 ANSWER
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? - CORRECT
ANSWER 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? - CORRECT ANSWER
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? - CORRECT ANSWER 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.
- CORRECT ANSWER 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) - CORRECT
ANSWER 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? - CORRECT ANSWER 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.
