RN VATI Maternal Newborn 2019 With 100% Correct
And Complete (VERIFIED) Solutions
A nurse is monitoring the laboratory results for a client who has preeclampsia with
severe features. Which of the following results should the nurse expect? - ANSWERS-
Increased BUN.
-Preeclampsia with severe features to exhibit an increase in BUN, or blood urea
nitrogen. The increase is caused by a decreased glomerular filtration rate, secondary to
impaired renal perfusion.
A nurse is preparing to obtain a blood specimen from a newborn via a heel stick. Which
of the following actions should the nurse take? - ANSWERS-Warm the newborn's heel
for 10mins prior to the puncture.
-Warm heel for 5-10mins prior to puncture. Warming the heel causes vasodilation which
enhances blood flow to the puncture site.
A nurse is reviewing the laboratory report of a client who is at 31wks of gestation and
has gestation hypertension. Which of the following laboratory results should the nurse
report to the provider? - ANSWERS-Platelet count 99,000/mm3.
-A platelet count of 99,000/mm3, or thrombocytopenia, is an indication of HELLP
syndrome, a serious complication of gestational HTN.
A nurse is reviewing the laboratory report of a term newborn who is 24hrs old. Which of
the following laboratory results should the nurse report to the provider? - ANSWERS-
Glucose 35 mg/dL.
-Reference range is 40-45 mg/dL for a newborn who is 24hrs old.
A nurse is assessing a newborn who was born 15mins ago. Which of the following
actions should the nurse take? - ANSWERS-Count the respiratory rate for 60 seconds.
-Newborn often have an irregular respiratory rate. Short periods of apnea, and shallow
respirations are expected findings for a newborn. The nurse should also assess for
symmetry of chest and abdominal movements during inhalation and exhalation.
A nurse is assessing a client who has genital herpes. Which of the following findings
should the nurse expect? - ANSWERS-Ulcerated lesions on the labia.
-The nurse should identify that ulcerated lesions on the labia are an expected findings
for a client who has genital herpes simplex virus. Other manifestations may include
lymphadenopathy, itching, and dysuria.
, 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? - 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? - 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? - 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? - 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. - 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.
And Complete (VERIFIED) Solutions
A nurse is monitoring the laboratory results for a client who has preeclampsia with
severe features. Which of the following results should the nurse expect? - ANSWERS-
Increased BUN.
-Preeclampsia with severe features to exhibit an increase in BUN, or blood urea
nitrogen. The increase is caused by a decreased glomerular filtration rate, secondary to
impaired renal perfusion.
A nurse is preparing to obtain a blood specimen from a newborn via a heel stick. Which
of the following actions should the nurse take? - ANSWERS-Warm the newborn's heel
for 10mins prior to the puncture.
-Warm heel for 5-10mins prior to puncture. Warming the heel causes vasodilation which
enhances blood flow to the puncture site.
A nurse is reviewing the laboratory report of a client who is at 31wks of gestation and
has gestation hypertension. Which of the following laboratory results should the nurse
report to the provider? - ANSWERS-Platelet count 99,000/mm3.
-A platelet count of 99,000/mm3, or thrombocytopenia, is an indication of HELLP
syndrome, a serious complication of gestational HTN.
A nurse is reviewing the laboratory report of a term newborn who is 24hrs old. Which of
the following laboratory results should the nurse report to the provider? - ANSWERS-
Glucose 35 mg/dL.
-Reference range is 40-45 mg/dL for a newborn who is 24hrs old.
A nurse is assessing a newborn who was born 15mins ago. Which of the following
actions should the nurse take? - ANSWERS-Count the respiratory rate for 60 seconds.
-Newborn often have an irregular respiratory rate. Short periods of apnea, and shallow
respirations are expected findings for a newborn. The nurse should also assess for
symmetry of chest and abdominal movements during inhalation and exhalation.
A nurse is assessing a client who has genital herpes. Which of the following findings
should the nurse expect? - ANSWERS-Ulcerated lesions on the labia.
-The nurse should identify that ulcerated lesions on the labia are an expected findings
for a client who has genital herpes simplex virus. Other manifestations may include
lymphadenopathy, itching, and dysuria.
, 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? - 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? - 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? - 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? - 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. - 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.
