VATI RN Maternal Newborn Exam 4 2024
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early
decelerations. Which of the following actions should the nurse take? - Continue to monitor
the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new
laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and slightly
deviated to the right. The client reports a gush of blood when she ambulate's and no bowel
movement since delivery. Which of the following actions should the nurse take? - Assist the
client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports
dizziness when lying on her back. Into which of the following positions should the nurse
assess the client? - Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is experiencing
nausea and vomiting. Which of the following client statements indicates to the nurse and
understanding of the teaching? - I should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following
manifestations should the nurse recognize as a potential prenatal complication and report to
the provider? - Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse
should notify the provider about which of the following assessment findings? - The client
reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language than the
nurse and he's been missing. Which of the following actions should the nurse take while
waiting for an interpreter? - Change the clients position
A nurse is providing teaching for a client who is pregnant and has type one diabetes mellitus.
Which of the following statements should the nurse include in the teaching? - You should
expect to decrease your insulin dosage immediately after you deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal
monitor. Which of the following actions should the nurse take? - Document the findings and
continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions
can require administration of this medication? - IV narcotics administered to the mother
during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the following
is a complication of the epidural block? - Hypotension
,A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the
following statements should the nurse include in the teaching? - Before bedtime is a good
time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns.
Vitamin K helps prevent which of the following conditions in a newborn? - Intracranial
hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of the
following Clinical findings should the nurse expect? - Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and expresses
a desire to use nonpharmacological methods of pain relief. Which of the following
intervention should the nurse include? - Assist the client into a warm shower
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device IUD. Which of the following pieces of information should
the nurse provide to the client? - Your risk for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary
changes. Which of the following statements should the nurse include in the teaching? -
Carbohydrates should make up 55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs more
protein in her diet and suggest eating more meat after the provider leaves the examination
room the client tells the nurse that eating animal products will cause her to miscarry. Which
of the following responses should the nurse make? - Let's discuss other foods that are also
high in protein that you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which of
the following fetal position should the nurse document in the medical record? - Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which of the
following statements should the nurse include? - These exercises should be done for 15
minutes each day to strengthen the peroneal muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV.
The client asked the nurse, why is there so little bleeding? Which of the following responses
should the nurse make? - The bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For which
of the following prescriptions should the nurse seek clarification? - Monitor the clients
weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make? - You will feel so
much discomfort during this procedure
,A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the
following findings should the nurse report to the provider? - 3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of the
following pieces of information should the nurse include? - Vigorous exercise it should be
limited and should not be performed in hot humid weather
A nurse is caring for several clients. Which of the following clients should the nurse identify
as a candidate for oral contraceptives a - A client who is breast-feeding a seven month old
infant
A nurse is caring for a newborn who was born to a client with a narcotic use disorder. Which
of the following nursing actions is contraindicated in the care of this newborn - Frequent
simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce
labor which of the following statements should the nurse make? - An epidural given to early
can prolong labor
A nurse is caring for a client who is in labor. The client questions application of an internal
fetal scalp monitor. Which of the following responses should the nurse provide? - We need to
observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days postpartum
which of the following pieces of information should the nurse include? - Watch the newborns
face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following
assessments by the parent demonstrates an understanding of the teaching? - I should stop
swaddling my baby once she is able to roll over by herself
A nurse is receiving a report for a client who is in labor and is experiencing contractions that
are four minutes apart. Which of the following patterns to the nurse expect on the fetal
monitor tracing? - Contractions that last for 60 seconds each with a three minute rest between
the contractions
A nurse is reviewing the laboratory for it for a client with suspected HELLP Syndrome.
Which of the following findings should the nurse report to the provider as an indication of
this Disorder? - Elevated liver enzymes
A nurse is caring for a client who is in labor and has received epidural analgesia. The clients
blood pressure is 88/50, and the fetal heart tracing so is late decelerations. Which of the
following actions should the nurse take? - Increase the rate of the primary IV infusion
A nurse is assessing a client who is receiving morphine Via a patient controlled analgesia
pump PCA Following a cesarean birth. Which of the following findings should the nurse
report to the provider? - Urine output 20 mL per hour
, A nurse is planning care for a newborn who has hyperbilirubinemia And a new prescription
for photo therapy. Which of the following intervention should the nurse include in the plan? -
Reposition the newborn every three hours
A nurse is teaching the guardian of a newborn about caring for the newborns umbilical cord.
For which of the following reasons should the nurse instruct the guardian to avoid using
antibacterial agents on the cord? - They can cause delayed cord separation
A nurse is caring for a client who states, I think I am pregnant, which of the following
findings should the nurse identify as a positive sign of pregnancy? - Fetal heart Tones
auscultated by Doppler
A nurse is assessing a postpartum client who has preeclampsia and notes A Boogie uterus an
excessive uterine bleeding. The nurse should plan to administer which of the following
medication's? - Oxytocin
A nurse in the clinic is caring for a client who is pregnant and reports a last menstrual period
that began on December 7. Which of the following dates would be the clients estimated date
of birth? - September 14
A nurse is providing teaching to a client who is planning to breast-feed her newborn. Which
of the following statements by the client indicates an understanding of the teaching? - My
baby may sometimes feed every hour for several hours in a row
A nurse is providing education for a parent of a premature infant on interventions to promote
optimal development. Which of the following actions should the nurse instruct the parent to
perform? - Provide kangaroo care for the infant
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The clients
history includes a BMI of 31 prior to pregnancy, a prior post term delivery, and a newborn
birthweight of 9 lbs. 3 oz. Which of the following laboratory values should the nurse expect
to collect? - HB A1c
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole.
Which of the following findings should the nurse expect? - Dark brown vaginal discharge
A nurse is counseling a female client who Expresses a desire to conceive in the near future.
Which of the following dietary recommendations should the nurse make to prevent neural
tube deficits? - Begin taking a folic acid supplement
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a
prescription for photo therapy. Which of the following intervention should the nurse include
in the plan? - Change the newborns position every 2 to 3 hours
A nurse is assessing a newborn who was Circumcised 24 hours ago. Which of the following
findings should the nurse report to the provider? - The newborn has urinated once since the
circumcision
A nurse is Assisting a client who is four hours postpartum to get out of bed for the first time.
The client becomes frightened by gusher of dark red blood from her vagina. Which of the
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early
decelerations. Which of the following actions should the nurse take? - Continue to monitor
the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new
laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and slightly
deviated to the right. The client reports a gush of blood when she ambulate's and no bowel
movement since delivery. Which of the following actions should the nurse take? - Assist the
client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports
dizziness when lying on her back. Into which of the following positions should the nurse
assess the client? - Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is experiencing
nausea and vomiting. Which of the following client statements indicates to the nurse and
understanding of the teaching? - I should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following
manifestations should the nurse recognize as a potential prenatal complication and report to
the provider? - Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse
should notify the provider about which of the following assessment findings? - The client
reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language than the
nurse and he's been missing. Which of the following actions should the nurse take while
waiting for an interpreter? - Change the clients position
A nurse is providing teaching for a client who is pregnant and has type one diabetes mellitus.
Which of the following statements should the nurse include in the teaching? - You should
expect to decrease your insulin dosage immediately after you deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal
monitor. Which of the following actions should the nurse take? - Document the findings and
continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions
can require administration of this medication? - IV narcotics administered to the mother
during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the following
is a complication of the epidural block? - Hypotension
,A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the
following statements should the nurse include in the teaching? - Before bedtime is a good
time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns.
Vitamin K helps prevent which of the following conditions in a newborn? - Intracranial
hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of the
following Clinical findings should the nurse expect? - Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and expresses
a desire to use nonpharmacological methods of pain relief. Which of the following
intervention should the nurse include? - Assist the client into a warm shower
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device IUD. Which of the following pieces of information should
the nurse provide to the client? - Your risk for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary
changes. Which of the following statements should the nurse include in the teaching? -
Carbohydrates should make up 55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs more
protein in her diet and suggest eating more meat after the provider leaves the examination
room the client tells the nurse that eating animal products will cause her to miscarry. Which
of the following responses should the nurse make? - Let's discuss other foods that are also
high in protein that you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which of
the following fetal position should the nurse document in the medical record? - Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which of the
following statements should the nurse include? - These exercises should be done for 15
minutes each day to strengthen the peroneal muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV.
The client asked the nurse, why is there so little bleeding? Which of the following responses
should the nurse make? - The bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For which
of the following prescriptions should the nurse seek clarification? - Monitor the clients
weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make? - You will feel so
much discomfort during this procedure
,A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the
following findings should the nurse report to the provider? - 3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of the
following pieces of information should the nurse include? - Vigorous exercise it should be
limited and should not be performed in hot humid weather
A nurse is caring for several clients. Which of the following clients should the nurse identify
as a candidate for oral contraceptives a - A client who is breast-feeding a seven month old
infant
A nurse is caring for a newborn who was born to a client with a narcotic use disorder. Which
of the following nursing actions is contraindicated in the care of this newborn - Frequent
simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce
labor which of the following statements should the nurse make? - An epidural given to early
can prolong labor
A nurse is caring for a client who is in labor. The client questions application of an internal
fetal scalp monitor. Which of the following responses should the nurse provide? - We need to
observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days postpartum
which of the following pieces of information should the nurse include? - Watch the newborns
face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following
assessments by the parent demonstrates an understanding of the teaching? - I should stop
swaddling my baby once she is able to roll over by herself
A nurse is receiving a report for a client who is in labor and is experiencing contractions that
are four minutes apart. Which of the following patterns to the nurse expect on the fetal
monitor tracing? - Contractions that last for 60 seconds each with a three minute rest between
the contractions
A nurse is reviewing the laboratory for it for a client with suspected HELLP Syndrome.
Which of the following findings should the nurse report to the provider as an indication of
this Disorder? - Elevated liver enzymes
A nurse is caring for a client who is in labor and has received epidural analgesia. The clients
blood pressure is 88/50, and the fetal heart tracing so is late decelerations. Which of the
following actions should the nurse take? - Increase the rate of the primary IV infusion
A nurse is assessing a client who is receiving morphine Via a patient controlled analgesia
pump PCA Following a cesarean birth. Which of the following findings should the nurse
report to the provider? - Urine output 20 mL per hour
, A nurse is planning care for a newborn who has hyperbilirubinemia And a new prescription
for photo therapy. Which of the following intervention should the nurse include in the plan? -
Reposition the newborn every three hours
A nurse is teaching the guardian of a newborn about caring for the newborns umbilical cord.
For which of the following reasons should the nurse instruct the guardian to avoid using
antibacterial agents on the cord? - They can cause delayed cord separation
A nurse is caring for a client who states, I think I am pregnant, which of the following
findings should the nurse identify as a positive sign of pregnancy? - Fetal heart Tones
auscultated by Doppler
A nurse is assessing a postpartum client who has preeclampsia and notes A Boogie uterus an
excessive uterine bleeding. The nurse should plan to administer which of the following
medication's? - Oxytocin
A nurse in the clinic is caring for a client who is pregnant and reports a last menstrual period
that began on December 7. Which of the following dates would be the clients estimated date
of birth? - September 14
A nurse is providing teaching to a client who is planning to breast-feed her newborn. Which
of the following statements by the client indicates an understanding of the teaching? - My
baby may sometimes feed every hour for several hours in a row
A nurse is providing education for a parent of a premature infant on interventions to promote
optimal development. Which of the following actions should the nurse instruct the parent to
perform? - Provide kangaroo care for the infant
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The clients
history includes a BMI of 31 prior to pregnancy, a prior post term delivery, and a newborn
birthweight of 9 lbs. 3 oz. Which of the following laboratory values should the nurse expect
to collect? - HB A1c
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole.
Which of the following findings should the nurse expect? - Dark brown vaginal discharge
A nurse is counseling a female client who Expresses a desire to conceive in the near future.
Which of the following dietary recommendations should the nurse make to prevent neural
tube deficits? - Begin taking a folic acid supplement
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a
prescription for photo therapy. Which of the following intervention should the nurse include
in the plan? - Change the newborns position every 2 to 3 hours
A nurse is assessing a newborn who was Circumcised 24 hours ago. Which of the following
findings should the nurse report to the provider? - The newborn has urinated once since the
circumcision
A nurse is Assisting a client who is four hours postpartum to get out of bed for the first time.
The client becomes frightened by gusher of dark red blood from her vagina. Which of the
