VATI RN Maternal Newborn Exam 6 2025/26 Newest

VATI RN Maternal Newborn Exam 6 Il! Il! Il! Il! Il!




2025/26 Newest
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A nurse on the postpartum unit is caring for a pt. following a cesarean birth. Which of
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the
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following assessments is the nurse's Il! Il! Il! Il!



priority?
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a. parent-child attachment Il! Il!

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b. amount of lochia Il! Il! Il!

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c. patency of the IV catheter Il! Il! Il! Il! Il!

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d. quality and quantity of urine - b. amount of lochia Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!

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when using the ABCs approach to client care, the nurse should place the priority in the
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immediate postpartum period on assessing the amount of postpartum lochia. the greatest
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risk to the client is bleeding and postpartum hemorrhage.
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a nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
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position. the client is dilated to 8cm and reports back pain. which of the following actions
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should the nurse take?
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a. apply sacral counter pressure Il! Il! Il! Il!

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b. perform trancutaneous electrical nerve stimulation (TENS) Il! Il! Il! Il! Il! Il!

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c. initiate slow-paced breathing Il! Il! Il!

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d. assist with biofeedback - a. apply sacral counter pressure
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the nurse should apply sacral counter pressure to assist in relieving back labor pain related
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to
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fetal posterior Il!



position
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b. the nurse should perform TENS during the first stage of labor.
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c. the nurse should transition a client to pattern-paced breathing during this stage of labor.
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d. The nurse should teach the client about biofeedback during the prenatal period for it to
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be
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effective during labor. Il! Il!

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a nurse is demonstrating to a client how to bathe her newborn. in which order should
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the
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nurse perform the following Il! Il! Il!



actions
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a. wipe the newborn's eyes from inner canthus outward
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b. wash the newborn's legs and feet Il! Il! Il! Il! Il! Il!

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c. wash the newborn's neck by lifting the newborn's chin
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d. cleanse the skin around the newborn's umbilical stump Il! Il! Il! Il! Il! Il! Il! Il!

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e. clean the newborn's diaper area - a. wipe the newborn's eyes from inner canthus outward
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,c. wash the newborn's neck by lifting the newborn's chin
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d. cleanse the skin around the newborn's umbilical stump Il! Il! Il! Il! Il! Il! Il! Il!

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b. wash the newborn's legs and feet
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e. clean the newborn's diaper area
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The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to
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dirty,
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approach.
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a nurse is caring for a client and her partner who have experienced a fetal death. which of
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the
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following actions should the nurse Il! Il! Il! Il!



take?
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a. take photos of the newborn to give to the parents
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b. tell the parents that they can consider organ donation
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c. encourage the parents to avoid allowing older children to visit them in the hospital Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!

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d. explain to the parents the need to name the newborn - a. take photos of the newborn to
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give
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to the Il!



parents
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the nurse should create a memory box that includes mementos of the newborn (ex: photos,
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ID
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bands, newborn hat and Il! Il! Il!



blanket)
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b. Organ donation can be considered if a newborn is delivered alive.
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c. The nurse should encourage the client to allow older children to come to the hospital as
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a
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beneficial part of the grieving Il! Il! Il! Il!



process.
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d. The nurse should explain to the client that naming the baby can be helpful during
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the
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grieving process, but it is not a Il! Il! Il! Il! Il! Il!



requirement.
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a nurse is caring for a client who is 36 weeks gestation and has a positive contraction
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stress
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test. the nurse should plan to prepare the clients for which of the following diagnostic
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tests?
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a. biophysical profile Il! Il!

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b. amniocentesis Il!

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c. cordocentesis Il!

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d. Kleihauer- Burke test - a. biophysical profile Il! Il! Il! Il! Il! Il! Il!

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a positive contraction stress test indicate further evaluation of the fetus is necessary.
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a
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biophysical profile will provide further evaluation with real-time Il! Il! Il! Il! Il! Il! Il!



ultrasound
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b. An amniocentesis is used to determine lung maturity, detect congenital anomalies,
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and
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diagnose fetal hemolytic Il! Il!



disease.
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c. A cordocentesis is used to identify fetal blood type and RBC when there is a risk
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of
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isoimmune hemolytic Il!



anemia.
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d. The Kleihauer-Betke test is used to determine the amount of fetal blood in the
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maternal
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circulation when there is a risk of Rh- Il! Il! Il! Il! Il! Il! Il!



isoimmunization.
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a nurse is reviewing the medical record of a client who is postpartum and has
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preeclampsia.
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which of the following laboratory results should the nurse report to the
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provider?
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a. hct 39% Il! Il!

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b. serum albumin 4.5 g/dL Il! Il! Il! Il!

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c. WBC 9,000/mm3 Il! Il!

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d. platelets 50,000/mm3 - d. platelets 50,000/mm3 Il! Il! Il! Il! Il! Il!

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a platelet count of 50,000/mm3 is below the expected reference range, which can indicate
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disseminated intravascular coagulation. the nurse should report this result to the provider
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a. An Hct of 39% is within the expected reference range and is not indicative of a
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postpartum
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complication.
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b. A serum albumin level of 4.5 g/dL is within the expected reference range. This finding
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is
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consistent with mild preeclampsia and does not indicate a worsening of the
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condition.
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c. A WBC of 9,000/mm3 is within the expected reference range.
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a nurse is assessing a newborn who was born at 26 weeks gestation using the Ballard
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score.
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which of the following findings should the nurse
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expect?
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a. minimal arm recoil Il! Il! Il!

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b. popliteal angle of 90 Il! Il! Il! Il!

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c. creases over the entire foot sole Il! Il! Il! Il! Il! Il!

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d. raised areolas with 3-4mm buds - a. minimal arm recoilIl! Il! Il! Il! Il! Il! Il! Il! Il! Il!

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, the nurse should expect a newborn that was born at 26 weeks to have decreased
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muscular
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tone or minimal arm Il! Il! Il!



recoil
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b. A popliteal angle of 90° is an indicator of physical maturity with increasing gestational
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age
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after 26 Il!



weeks.
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c. Creases over the entire sole of a newborn's foot are an indicator of physical maturity
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with
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increasing gestational age after 26 Il! Il! Il! Il!



weeks.
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d. Raised areolas with 3 to 4 mm buds is an indicator of physical maturity with
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increasing
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gestational age after 26 Il! Il! Il!



weeks.
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a nurse is assessing a newborn following a circumcision. which of the following
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findings
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should the nurse identify as an early indication that the newborn is experiencing
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pain?
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a. decrease heart rate Il! Il! Il!

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b. chin quivering Il! Il!

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c. pinpoint pupils Il! Il!

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d. slowed respirations - b. chin quivering Il! Il! Il! Il! Il! Il!

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behavioral responses to a newborn's pain include facial expressions (ex: chin
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quivering,
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grimacing, furrowing of Il! Il!



brow)
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a. The heart rate will increase when a newborn is experiencing pain.
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c. When experiencing pain, a newborn's pupils typically dilate.
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d. When experiencing pain, a newborn's respirations are typically rapid and shallow.
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a nurse is assessing the newborn of a client who took a SSRI during pregnancy. which of
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the
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following manifestations should the nurse identify as an indication of withdrawal from
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an
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SSRI?
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a. large for gestational age Il! Il! Il! Il!

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b. hyperglycemia Il!

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c. bradypnea Il!

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d. vomiting - d. vomiting Il! Il! Il! Il!

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