VATI RN Maternal Newborn Assessment
A price nurse is discussing care of clients who're in exertions with a newly licensed nurse.
Which of the subsequent movements must the charge nurse consist of in the coaching
regarding situations requiring an amniotomy? - ANS-Placing a fetal scalp electrode.
A fee nurse is discussing syphilis with a newly certified nurse. Which of the subsequent
statements must the rate nurse make? - ANS-A chancre lesion appears within 90 day after
infection at some point of the number one degree.
A charge nurse is providing teaching to a newly licensed nurse who's worrying for a
consumer who has postpartum hemorrhagic shock. Which of the subsequent statements
must the fee nurse make? - ANS-The maximum correct indication of organ perfusion is a
clients urine output.
A rate nurse is teaching a newly certified nurse approximately substance use disorders in
the course of pregnancy. Which of the subsequent statements by the newly licensed nurse
indicates an knowledge of the teaching? - ANS-Encourage customer who're prescribed
methadone to breastfeed.
A customer who's in active exertions is admitted to a hard work and delivery unit and
reviews, "My water just broke and my infant is breech." Which of the subsequent actions
should the nurse take first? - ANS-Check fetal heart tones.
A nurse is admitting a purchaser who's at 39wks of gestation and in lively exertions. The
consumer reviews being fine for organization B streptococcus (GBS) while screened at
36wks of gestation. Which of the following movements should the nurse anticipate to take? -
ANS-Administer IV antibiotic prophylaxis.
A nurse is assessing a 1-hr-old new child. Which of the subsequent findings must the nurse
report to the provider? - ANS-Generalized petechiae
A nurse is assessing a patron who introduced a four.5kg (10lbs) newborn 2hrs in the past.
Identify the level within the stomach a nurse have to assume to discover the purchaser's
uterus when assessing the fundus. - ANS-C is accurate.
-Immediately after delivery, the fundus should be firm, midline with the umbilicus, and about
2cm under the extent of the umbilicus. At 12hrs postpartum the nurse have to palpate the
fundus at 1cm (zero.4in) above the umbilicus. Every 24hrs the fundus ought to descend
about 1-2cm (0.Four-0.8in) It must be halfway between the symphysis pubis and the
umbilicus by way of 6 days postpartum.
A nurse is assessing a purchaser who gave birth 4hrs ago and is receiving 2 units packed
RBCs because of a postpartum hemorrhage. Which of the subsequent findings is the best
indication of good enough perfusion and oxygenation? - ANS-Urinary output.
A nurse is assessing a purchaser who has genital herpes. Which of the subsequent findings
have to the nurse count on? - ANS-Ulcerated lesions on the labia.
A nurse is assessing a purchaser who has simply passed through a cesarean start and
become given epidural morphine for postpartum pain comfort 1hr ago. The nurse notes that
the clients respiration price is 10/min. Which of the following movements need to the nurse
take first? - ANS-Administer oxygen by nonrebreather face masks.
, A nurse is assessing a client who has placenta previa and is receiving fetal tracking. Which
of the following medical findings ought to the nurse assume? - ANS-Painless vaginal
bleeding.
A nurse is assessing a purchaser who has preeclampsia and received a dose a calcium
gluconate to deal with magnesium sulfate toxicity. Which of the following findings must the
nurse pick out as a demonstration that calcium gluconate turned into effective? -
ANS-Respiratory charge 12/min
A nurse is assessing a consumer who's 2hr postpartum and has saturated a perineal pad in
15min. The customers pores and skin is cool and clammy to the touch. Which of the
following actions have to the nurse take first? - ANS-Firmly rubdown the fundus.
A nurse is assessing a patron who is 6hrs postpartum, tachycardia, and has cool skin. The
customer reviews that they have got been bleeding excessively. Which of the following
actions have to the nurse take? - ANS-Initiate and infusion of oxytocin.
A nurse is assessing a customer who is at 32wks of gestation. Which of the subsequent
findings is a sign of a capability prenatal difficulty? - ANS-Epigastric ache.
A nurse is assessing a client who is at 33wks of gestation. Which of the subsequent findings
need to the nurse report to the provider? - ANS-Epigastric ache.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings
must the nurse file to the issuer? - ANS-Episodes of blurred imaginative and prescient.
A nurse is assessing a purchaser who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) - ANS-1.
Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is assessing a purchaser who's in active hard work. The customer reviews again
hard work pains. Which of the subsequent nonpharmacological interventions ought to the
nurse offer to manipulate the clients ache? - ANS-Encourage the aid person to use sacral
counterpressure.
A nurse is assessing a patron who's in labor, Which of the subsequent findings ought to the
nurse anticipate? - ANS-Decrease in blood glucose level.
A nurse is assessing a new child following a circumcision 48hrs ago. The nurse have to pick
out that yellow exudate protecting the new child's glans penis shows which of the following?
- ANS-Healing.
A nurse is assessing a newborn who is breastfed and has a weight reduction of 11% at
48hrs after start. Which of the following findings ought to the nurse file to the provider? -
ANS-Depressed fontanels.
A nurse is assessing a new child who was born 15min in the past and has an axillary
temperature of 36.1C (97F). Which of the subsequent actions must the nurse take? -
ANS-Place the new child skin to pores and skin at the mom's chest.
A nurse is assessing a newborn who turned into born 15mins in the past. Which of the
following movements should the nurse take? - ANS-Count the respiratory fee for 60
seconds.
A nurse is assessing a new child. Which of the following findings shows a need to check the
new child's blood glucose level for hypoglycemia? - ANS-Hypotonia
A nurse is caring for a 2 day vintage new child who has a bilirubin level of 14 mg/dL and is to
start phototherapy. Which of the subsequent movements must the nurse take? -
ANS-Monitor intake and output.
A price nurse is discussing care of clients who're in exertions with a newly licensed nurse.
Which of the subsequent movements must the charge nurse consist of in the coaching
regarding situations requiring an amniotomy? - ANS-Placing a fetal scalp electrode.
A fee nurse is discussing syphilis with a newly certified nurse. Which of the subsequent
statements must the rate nurse make? - ANS-A chancre lesion appears within 90 day after
infection at some point of the number one degree.
A charge nurse is providing teaching to a newly licensed nurse who's worrying for a
consumer who has postpartum hemorrhagic shock. Which of the subsequent statements
must the fee nurse make? - ANS-The maximum correct indication of organ perfusion is a
clients urine output.
A rate nurse is teaching a newly certified nurse approximately substance use disorders in
the course of pregnancy. Which of the subsequent statements by the newly licensed nurse
indicates an knowledge of the teaching? - ANS-Encourage customer who're prescribed
methadone to breastfeed.
A customer who's in active exertions is admitted to a hard work and delivery unit and
reviews, "My water just broke and my infant is breech." Which of the subsequent actions
should the nurse take first? - ANS-Check fetal heart tones.
A nurse is admitting a purchaser who's at 39wks of gestation and in lively exertions. The
consumer reviews being fine for organization B streptococcus (GBS) while screened at
36wks of gestation. Which of the following movements should the nurse anticipate to take? -
ANS-Administer IV antibiotic prophylaxis.
A nurse is assessing a 1-hr-old new child. Which of the subsequent findings must the nurse
report to the provider? - ANS-Generalized petechiae
A nurse is assessing a patron who introduced a four.5kg (10lbs) newborn 2hrs in the past.
Identify the level within the stomach a nurse have to assume to discover the purchaser's
uterus when assessing the fundus. - ANS-C is accurate.
-Immediately after delivery, the fundus should be firm, midline with the umbilicus, and about
2cm under the extent of the umbilicus. At 12hrs postpartum the nurse have to palpate the
fundus at 1cm (zero.4in) above the umbilicus. Every 24hrs the fundus ought to descend
about 1-2cm (0.Four-0.8in) It must be halfway between the symphysis pubis and the
umbilicus by way of 6 days postpartum.
A nurse is assessing a purchaser who gave birth 4hrs ago and is receiving 2 units packed
RBCs because of a postpartum hemorrhage. Which of the subsequent findings is the best
indication of good enough perfusion and oxygenation? - ANS-Urinary output.
A nurse is assessing a purchaser who has genital herpes. Which of the subsequent findings
have to the nurse count on? - ANS-Ulcerated lesions on the labia.
A nurse is assessing a purchaser who has simply passed through a cesarean start and
become given epidural morphine for postpartum pain comfort 1hr ago. The nurse notes that
the clients respiration price is 10/min. Which of the following movements need to the nurse
take first? - ANS-Administer oxygen by nonrebreather face masks.
, A nurse is assessing a client who has placenta previa and is receiving fetal tracking. Which
of the following medical findings ought to the nurse assume? - ANS-Painless vaginal
bleeding.
A nurse is assessing a purchaser who has preeclampsia and received a dose a calcium
gluconate to deal with magnesium sulfate toxicity. Which of the following findings must the
nurse pick out as a demonstration that calcium gluconate turned into effective? -
ANS-Respiratory charge 12/min
A nurse is assessing a consumer who's 2hr postpartum and has saturated a perineal pad in
15min. The customers pores and skin is cool and clammy to the touch. Which of the
following actions have to the nurse take first? - ANS-Firmly rubdown the fundus.
A nurse is assessing a patron who is 6hrs postpartum, tachycardia, and has cool skin. The
customer reviews that they have got been bleeding excessively. Which of the following
actions have to the nurse take? - ANS-Initiate and infusion of oxytocin.
A nurse is assessing a customer who is at 32wks of gestation. Which of the subsequent
findings is a sign of a capability prenatal difficulty? - ANS-Epigastric ache.
A nurse is assessing a client who is at 33wks of gestation. Which of the subsequent findings
need to the nurse report to the provider? - ANS-Epigastric ache.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings
must the nurse file to the issuer? - ANS-Episodes of blurred imaginative and prescient.
A nurse is assessing a purchaser who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) - ANS-1.
Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is assessing a purchaser who's in active hard work. The customer reviews again
hard work pains. Which of the subsequent nonpharmacological interventions ought to the
nurse offer to manipulate the clients ache? - ANS-Encourage the aid person to use sacral
counterpressure.
A nurse is assessing a patron who's in labor, Which of the subsequent findings ought to the
nurse anticipate? - ANS-Decrease in blood glucose level.
A nurse is assessing a new child following a circumcision 48hrs ago. The nurse have to pick
out that yellow exudate protecting the new child's glans penis shows which of the following?
- ANS-Healing.
A nurse is assessing a newborn who is breastfed and has a weight reduction of 11% at
48hrs after start. Which of the following findings ought to the nurse file to the provider? -
ANS-Depressed fontanels.
A nurse is assessing a new child who was born 15min in the past and has an axillary
temperature of 36.1C (97F). Which of the subsequent actions must the nurse take? -
ANS-Place the new child skin to pores and skin at the mom's chest.
A nurse is assessing a newborn who turned into born 15mins in the past. Which of the
following movements should the nurse take? - ANS-Count the respiratory fee for 60
seconds.
A nurse is assessing a new child. Which of the following findings shows a need to check the
new child's blood glucose level for hypoglycemia? - ANS-Hypotonia
A nurse is caring for a 2 day vintage new child who has a bilirubin level of 14 mg/dL and is to
start phototherapy. Which of the subsequent movements must the nurse take? -
ANS-Monitor intake and output.
