VATI RN Maternal Newborn Assessment [ACTUAL EXAM]
LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
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? - CORRECT ANSWER ✔✔✔✔✔
Placing a fetal scalp electrode.
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? - CORRECT ANSWER ✔✔✔✔✔ Heart rate 54/min
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. - CORRECT
ANSWER ✔✔✔✔✔ 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.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor.
Which of the following assessments should the nurse perform? (SATA) - CORRECT
ANSWER ✔✔✔✔✔ Maternal blood pressure.
Pain level.
Fetal heart rate.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which
of the following findings should the nurse identify as a risk factor for developing
preeclampsia? - CORRECT ANSWER ✔✔✔✔✔ Rheumatoid Arthritis.
A nurse is reviewing the laboratory results for a postpartum client who is receiving
warfarin for deep-vein thrombosis. Which of the following laboratory tests should the
nurse monitor? - CORRECT ANSWER ✔✔✔✔✔ International normalized ratio (INR).
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine
pressure catheter and fetal scalp electrode. Which of the following findings should the
nurse expect? - CORRECT ANSWER ✔✔✔✔✔ Montevideo units (MVU) of 220 mm
Hg.
,A nurse is assessing a client who has just undergone a cesarean birth and was given
epidural morphine for postpartum pain relief 1hr ago. The nurse notes that the clients
respiratory rate is 10/min. Which of the following actions should the nurse take first? -
CORRECT ANSWER ✔✔✔✔✔ Administer oxygen by nonrebreather face mask.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring.
Which of the following clinical findings should the nurse expect? - CORRECT ANSWER
✔✔✔✔✔ Painless vaginal bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER ✔✔✔✔✔
Episodes of blurred vision.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) - CORRECT
ANSWER ✔✔✔✔✔ 1. Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client who is at 29wks of gestation.
Which of the following results should the nurse identify as an indication of a prenatal
complication? - CORRECT ANSWER ✔✔✔✔✔ BUN 30 mg/dL
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in
15min. The clients skin is cool and clammy to touch. Which of the following actions
should the nurse take first? - CORRECT ANSWER ✔✔✔✔✔ Firmly massage the
fundus.
A nurse is caring for a client who is at 28wks of gestation and has received two doses of
terbutaline subcutaneously. Which of the following adverse effects is the priority for the
nurse to report to the provider? - CORRECT ANSWER ✔✔✔✔✔ Heart rate: 132/min
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER ✔✔✔✔✔ Apply moist heat to the affected breast.
A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which
of the following statements by a client indicates an understanding of the teaching? -
CORRECT ANSWER ✔✔✔✔✔ I will have monthly prenatal visits for the first 28wks of
pregnancy.
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the
following statements should the nurse include in the teaching? (SATA) - CORRECT
,ANSWER ✔✔✔✔✔ 1. You might have to have cultures for sexually transmitted
infections prior to placement of the device.
2. You might experience irregular spotting the first few months after placement of the
device.
3. You will need to sign informed consent prior to the procedure.
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER ✔✔✔✔✔
Epigastric pain.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin.
The client reports that they have been bleeding excessively. Which of the following
actions should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Initiate and infusion
of oxytocin.
A nurse is monitoring a client who is in active labor and observes a pattern of late
decelerations on the fetal monitor tracing. Which of the following findings should the
nurse recognize as the potential cause of the deceleration? - CORRECT ANSWER
✔✔✔✔✔ Fetal hypoxia
A nurse is teaching a prenatal class to a group of parents and is discussing facilitation
of sibling acceptance of the newborn. Which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER ✔✔✔✔✔ The patent should
plan to spend individual time with the older sibling.
A nurse is caring for a newborn immediately following birth who has meconium-stained
amniotic fluid and exhibits good muscle tone and respiratory efforts. Which of the
following actions should the nurse take first? - CORRECT ANSWER ✔✔✔✔✔ Begin
suctioning of mouth and nose.
A nurse is teaching a client about iron supplementation during pregnancy. Which of the
following client statements indicates an understanding of the teaching? - CORRECT
ANSWER ✔✔✔✔✔ I will be certain to consume 29 grams of fiber daily.
A nurse is performing a contraction stress test (CST) on a client who is at 40wks of
gestation. The results of the test indicate a negative CST. Which of the following actions
should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Allow the labor to progress
naturally.
A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and
displays some flexion of the extremities, is not cry, has irregular respiratory effort, and
has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the
soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What
is the correct Apgar score? - CORRECT ANSWER ✔✔✔✔✔ 1 min is 5.
, A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago. Identify
the level in the abdomen a nurse should expect to find the client's uterus when
assessing the fundus. - CORRECT ANSWER ✔✔✔✔✔ C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and
approximately 2cm below the level of the umbilicus. At 12hrs postpartum the nurse
should palpate the fundus at 1cm (0.4in) above the umbilicus. Every 24hrs the fundus
should descend approximately 1-2cm (0.4-0.8in) It should be halfway between the
symphysis pubis and the umbilicus by 6 days postpartum.
A nurse is preparing to administer methotrexate to a client who is experiencing an
ectopic pregnancy. Which of the following actions should the nurse take? - CORRECT
ANSWER ✔✔✔✔✔ Wear two pairs of gloves when handling the medication.
A nurse is completing a health history and assessment for a client who reports they are
pregnant. Which of the following findings is a presumptive sign of pregnancy? -
CORRECT ANSWER ✔✔✔✔✔ Amenorrhea.
A nurse is caring for a client who is in active labor and is scheduled to receive epidural
anesthesia. Which of the following actions should the nurse take? - CORRECT
ANSWER ✔✔✔✔✔ Administer lactated Ringer's 500 mL bolus via intermittent IV
infusion prior to epidural placement.
A nurse is admitting a client who is at 39wks of gestation and in active labor. The client
reports being positive for group B streptococcus (GBS) when screened at 36wks of
gestation. Which of the following actions should the nurse expect to take? - CORRECT
ANSWER ✔✔✔✔✔ Administer IV antibiotic prophylaxis.
A nurse is reviewing the results of a nonstress test for a client who is at 37wks of
gestation. Which of the following findings indicates a reactive nonstress test? -
CORRECT ANSWER ✔✔✔✔✔ Fetal heart rate (FHR) accelerations occur with fetal
movement.
A nurse is providing teaching about nifedipine for a client who is at 34wks of gestation
and has gestational HTN. For which of the following adverse effects should the nurse
instruct the client to notify the provider? - CORRECT ANSWER ✔✔✔✔✔ Irregular
heartbeat.
A nurse is assessing a client who is in labor, Which of the following findings should the
nurse expect? - CORRECT ANSWER ✔✔✔✔✔ Decrease in blood glucose level.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should
identify that yellow exudate covering the newborn's glans penis indicates which of the
following? - CORRECT ANSWER ✔✔✔✔✔ Healing.
LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
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? - CORRECT ANSWER ✔✔✔✔✔
Placing a fetal scalp electrode.
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? - CORRECT ANSWER ✔✔✔✔✔ Heart rate 54/min
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. - CORRECT
ANSWER ✔✔✔✔✔ 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.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor.
Which of the following assessments should the nurse perform? (SATA) - CORRECT
ANSWER ✔✔✔✔✔ Maternal blood pressure.
Pain level.
Fetal heart rate.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which
of the following findings should the nurse identify as a risk factor for developing
preeclampsia? - CORRECT ANSWER ✔✔✔✔✔ Rheumatoid Arthritis.
A nurse is reviewing the laboratory results for a postpartum client who is receiving
warfarin for deep-vein thrombosis. Which of the following laboratory tests should the
nurse monitor? - CORRECT ANSWER ✔✔✔✔✔ International normalized ratio (INR).
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine
pressure catheter and fetal scalp electrode. Which of the following findings should the
nurse expect? - CORRECT ANSWER ✔✔✔✔✔ Montevideo units (MVU) of 220 mm
Hg.
,A nurse is assessing a client who has just undergone a cesarean birth and was given
epidural morphine for postpartum pain relief 1hr ago. The nurse notes that the clients
respiratory rate is 10/min. Which of the following actions should the nurse take first? -
CORRECT ANSWER ✔✔✔✔✔ Administer oxygen by nonrebreather face mask.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring.
Which of the following clinical findings should the nurse expect? - CORRECT ANSWER
✔✔✔✔✔ Painless vaginal bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER ✔✔✔✔✔
Episodes of blurred vision.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) - CORRECT
ANSWER ✔✔✔✔✔ 1. Tachycardia.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client who is at 29wks of gestation.
Which of the following results should the nurse identify as an indication of a prenatal
complication? - CORRECT ANSWER ✔✔✔✔✔ BUN 30 mg/dL
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in
15min. The clients skin is cool and clammy to touch. Which of the following actions
should the nurse take first? - CORRECT ANSWER ✔✔✔✔✔ Firmly massage the
fundus.
A nurse is caring for a client who is at 28wks of gestation and has received two doses of
terbutaline subcutaneously. Which of the following adverse effects is the priority for the
nurse to report to the provider? - CORRECT ANSWER ✔✔✔✔✔ Heart rate: 132/min
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER ✔✔✔✔✔ Apply moist heat to the affected breast.
A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which
of the following statements by a client indicates an understanding of the teaching? -
CORRECT ANSWER ✔✔✔✔✔ I will have monthly prenatal visits for the first 28wks of
pregnancy.
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the
following statements should the nurse include in the teaching? (SATA) - CORRECT
,ANSWER ✔✔✔✔✔ 1. You might have to have cultures for sexually transmitted
infections prior to placement of the device.
2. You might experience irregular spotting the first few months after placement of the
device.
3. You will need to sign informed consent prior to the procedure.
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER ✔✔✔✔✔
Epigastric pain.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool skin.
The client reports that they have been bleeding excessively. Which of the following
actions should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Initiate and infusion
of oxytocin.
A nurse is monitoring a client who is in active labor and observes a pattern of late
decelerations on the fetal monitor tracing. Which of the following findings should the
nurse recognize as the potential cause of the deceleration? - CORRECT ANSWER
✔✔✔✔✔ Fetal hypoxia
A nurse is teaching a prenatal class to a group of parents and is discussing facilitation
of sibling acceptance of the newborn. Which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER ✔✔✔✔✔ The patent should
plan to spend individual time with the older sibling.
A nurse is caring for a newborn immediately following birth who has meconium-stained
amniotic fluid and exhibits good muscle tone and respiratory efforts. Which of the
following actions should the nurse take first? - CORRECT ANSWER ✔✔✔✔✔ Begin
suctioning of mouth and nose.
A nurse is teaching a client about iron supplementation during pregnancy. Which of the
following client statements indicates an understanding of the teaching? - CORRECT
ANSWER ✔✔✔✔✔ I will be certain to consume 29 grams of fiber daily.
A nurse is performing a contraction stress test (CST) on a client who is at 40wks of
gestation. The results of the test indicate a negative CST. Which of the following actions
should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Allow the labor to progress
naturally.
A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and
displays some flexion of the extremities, is not cry, has irregular respiratory effort, and
has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the
soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What
is the correct Apgar score? - CORRECT ANSWER ✔✔✔✔✔ 1 min is 5.
, A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago. Identify
the level in the abdomen a nurse should expect to find the client's uterus when
assessing the fundus. - CORRECT ANSWER ✔✔✔✔✔ C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and
approximately 2cm below the level of the umbilicus. At 12hrs postpartum the nurse
should palpate the fundus at 1cm (0.4in) above the umbilicus. Every 24hrs the fundus
should descend approximately 1-2cm (0.4-0.8in) It should be halfway between the
symphysis pubis and the umbilicus by 6 days postpartum.
A nurse is preparing to administer methotrexate to a client who is experiencing an
ectopic pregnancy. Which of the following actions should the nurse take? - CORRECT
ANSWER ✔✔✔✔✔ Wear two pairs of gloves when handling the medication.
A nurse is completing a health history and assessment for a client who reports they are
pregnant. Which of the following findings is a presumptive sign of pregnancy? -
CORRECT ANSWER ✔✔✔✔✔ Amenorrhea.
A nurse is caring for a client who is in active labor and is scheduled to receive epidural
anesthesia. Which of the following actions should the nurse take? - CORRECT
ANSWER ✔✔✔✔✔ Administer lactated Ringer's 500 mL bolus via intermittent IV
infusion prior to epidural placement.
A nurse is admitting a client who is at 39wks of gestation and in active labor. The client
reports being positive for group B streptococcus (GBS) when screened at 36wks of
gestation. Which of the following actions should the nurse expect to take? - CORRECT
ANSWER ✔✔✔✔✔ Administer IV antibiotic prophylaxis.
A nurse is reviewing the results of a nonstress test for a client who is at 37wks of
gestation. Which of the following findings indicates a reactive nonstress test? -
CORRECT ANSWER ✔✔✔✔✔ Fetal heart rate (FHR) accelerations occur with fetal
movement.
A nurse is providing teaching about nifedipine for a client who is at 34wks of gestation
and has gestational HTN. For which of the following adverse effects should the nurse
instruct the client to notify the provider? - CORRECT ANSWER ✔✔✔✔✔ Irregular
heartbeat.
A nurse is assessing a client who is in labor, Which of the following findings should the
nurse expect? - CORRECT ANSWER ✔✔✔✔✔ Decrease in blood glucose level.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should
identify that yellow exudate covering the newborn's glans penis indicates which of the
following? - CORRECT ANSWER ✔✔✔✔✔ Healing.
