VATI RN Maternal Newborn Assessment questions with verified solutions

VATI RN Maternal Newborn Assessment questions with
verified solutions

A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the
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following statements by the newly licensed nurse indicates an understanding of the teaching? - answersEncourage clie
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who are prescribed methadone to breastfeed.
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A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings is an indication the
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medication was effective? - answersDecreased frequency of contractions.
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A charge nurse is discussing care of clients who are in labor with a newly licensed nurse. Which of the following actions
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should the charge nurse include in the teaching regarding situations requiring an amniotomy? - answersPlacing a fetal
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scalp electrode.
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A nurse is reviewing the medical record of a client who has preeclampsia prior to administering labetalol. For which of the
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following findings should the nurse withhold the medication? - answersHeart rate 54/min
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A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking while eating lunch. The client
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unable to speak or cough. Identify the sequence of steps the nurse should take to clear the airway obstruction. - answers
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Stand posterior to the client.
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2. Position arms under the client's axilla and across the client's chest.
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3. Place thumb-side of a clenched fist to the client's mid-sternum area.
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4. Initiate chest thrust to the client using a backward motion.
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-If the client becomes unconscious, the nurse should perform CPR and activate emergency medical services.
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A nurse is preparing to administer an opioid analgesic to a client who is in active labor. Which of the following assessment
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should the nurse perform? (SATA) - answersMaternal blood pressure.
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Pain level. ,i.




Fetal heart rate. ,i . ,i .




A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which of the following findings should the
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nurse identify as a risk factor for developing preeclampsia? - answersRheumatoid Arthritis.
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A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis.
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Which of the following laboratory tests should the nurse monitor? - answersInternational normalized ratio (INR).
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A nurse is monitoring a client who is in the active phase of labor and has an intrauterine pressure catheter and fetal scalp
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electrode. Which of the following findings should the nurse expect? - answersMontevideo units (MVU) of 220 mm Hg.
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A nurse is assessing a client who has just undergone a cesarean birth and was given epidural morphine for postpartum
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pain relief 1hr ago. The nurse notes that the clients respiratory rate is 10/min. Which of the following actions should the
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nurse take first? - answersAdminister oxygen by nonrebreather face mask.
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,A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical
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findings should the nurse expect? - answersPainless vaginal bleeding.
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A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the nurse report to the
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provider? - answersEpisodes of blurred vision.
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A nurse is assessing a client who is at 8wks of gestation and has hyperemesis gravidarum. Which of the following are
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findings of this condition? (SATA) - answers1. Tachycardia.
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2. Dry mucous membranes.
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3. Poor skin turgor. ,i. ,i. ,i.




A nurse is reviewing the laboratory results for a client who is at 29wks of gestation. Which of the following results should th
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nurse identify as an indication of a prenatal complication? - answersBUN 30 mg/dL
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A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The clients skin is cool and
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clammy to touch. Which of the following actions should the nurse take first? - answersFirmly massage the fundus.
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A nurse is caring for a client who is at 28wks of gestation and has received two doses of terbutaline subcutaneously. Whic
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of the following adverse effects is the priority for the nurse to report to the provider? - answersHeart rate: 132/min
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A nurse is providing teaching for a client who is 2wks postpartum and has mastitis. Which of the following instructions
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should the nurse include in the teaching? - answersApply moist heat to the affected breast.
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A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which of the following statements by a
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client indicates an understanding of the teaching? - answersI will have monthly prenatal visits for the first 28wks of
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pregnancy.
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A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the following statements should the
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nurse include in the teaching? (SATA) - answers1. You might have to have cultures for sexually transmitted infections pr
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to placement of the device.
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2. You might experience irregular spotting the first few months after placement of the device.
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3. You will need to sign informed consent prior to the procedure.
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A nurse is assessing a client who is at 33wks of gestation. Which of the following findings should the nurse report to the
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provider? - answersEpigastric pain.
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A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin. The client reports that they have bee
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bleeding excessively. Which of the following actions should the nurse take? - answersInitiate and infusion of oxytocin.
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A nurse is monitoring a client who is in active labor and observes a pattern of late decelerations on the fetal monitor tracing
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Which of the following findings should the nurse recognize as the potential cause of the deceleration? - answersFetal
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hypoxia
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A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newbor
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Which of the following instructions should the nurse include in the teaching? - answersThe patent should plan to spend
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individual time with the older sibling.
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A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits good
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muscle tone and respiratory efforts. Which of the following actions should the nurse take first? - answersBegin suctionin
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of mouth and nose.
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