VATI RN Maternal Newborn [ACTUAL EXAM WITH
RATIONALE] LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
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 ✔✔✔✔✔ 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. - CORRECT ✔✔✔✔✔ 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 ✔✔✔✔✔ Maternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess the
clients blood pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to
administering pain medication and again after administering pain
,medication to determine the effectiveness of the medication. Opioid
analgesic are indicated for the relief of moderate to sever labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in variability.
The nurse should assess the fetal heart rate prior to administering an
opioid analgesic to ensure the rate is within the expedited reference range
and to have a baseline for future assessments. The nurse should provide
ongoing assessments of fetal heart rate throughout labor according to
facility protocol.
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 ✔✔✔✔✔ Rheumatoid
Arthritis.
-The presence of a connective tissue disease, such as rheumatoid arthritis
or systemic lupus erythematosus, increase a clients risk for developing
preeclampsia.
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 ✔✔✔✔✔
International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin.
Prothrombin time(PT) is also measure to regulate warfarin therapy.
However, PT values are more difficult to interpret. INR determined by
multiplying the PT by a correction factor based on the specific
thromboplastin preparation used for the test, as a way of equalizing
laboratory to laboratory variations.
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 ✔✔✔✔✔
Montevideo units (MVU) of 220 mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the
expected range during the active phase of labor. MVUs generally range
between 100 to 250 mm Hg during the first stage of labor and increase to
300 to 400 mm Hg during the second stage of labor. MVUs are calculated
by subtracting the baseline uterine pressure from the peak contraction
pressure for every contraction that occurs during a 10-min period. The
, nurse then adds the pressure produced by each contraction during that
time to determine the MVUs.
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 ✔✔✔✔✔ Administer
oxygen by nonrebreather face mask.
-The first action the nurse should take when using the airway, breathing,
circulation approach to client care is to administer oxygen by nonrebreather
mask to treat manifestations of respiratory depression due to morphine
administration.
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 ✔✔✔✔✔ Painless vaginal bleeding.
-The placenta implants in the lower uterine segment, partially or completely
covering the cervix. With cervical changes, the placental blood vessels can
tear, which results in 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
✔✔✔✔✔ Episodes of blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial vasospasms and
decreased perfusion to the retina cause visual disturbances, such as
blurred vision, double vision, or dark spots in the visual field.
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 ✔✔✔✔✔ 1. Tachycardia.
-Hyperemesis gravidarum typically occurs during the first trimester and
results in electrolyte imbalance, excessive weight loss, ketonuria, and
nutritional deficiencies.
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
RATIONALE] LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
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 ✔✔✔✔✔ 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. - CORRECT ✔✔✔✔✔ 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 ✔✔✔✔✔ Maternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess the
clients blood pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to
administering pain medication and again after administering pain
,medication to determine the effectiveness of the medication. Opioid
analgesic are indicated for the relief of moderate to sever labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in variability.
The nurse should assess the fetal heart rate prior to administering an
opioid analgesic to ensure the rate is within the expedited reference range
and to have a baseline for future assessments. The nurse should provide
ongoing assessments of fetal heart rate throughout labor according to
facility protocol.
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 ✔✔✔✔✔ Rheumatoid
Arthritis.
-The presence of a connective tissue disease, such as rheumatoid arthritis
or systemic lupus erythematosus, increase a clients risk for developing
preeclampsia.
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 ✔✔✔✔✔
International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin.
Prothrombin time(PT) is also measure to regulate warfarin therapy.
However, PT values are more difficult to interpret. INR determined by
multiplying the PT by a correction factor based on the specific
thromboplastin preparation used for the test, as a way of equalizing
laboratory to laboratory variations.
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 ✔✔✔✔✔
Montevideo units (MVU) of 220 mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the
expected range during the active phase of labor. MVUs generally range
between 100 to 250 mm Hg during the first stage of labor and increase to
300 to 400 mm Hg during the second stage of labor. MVUs are calculated
by subtracting the baseline uterine pressure from the peak contraction
pressure for every contraction that occurs during a 10-min period. The
, nurse then adds the pressure produced by each contraction during that
time to determine the MVUs.
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 ✔✔✔✔✔ Administer
oxygen by nonrebreather face mask.
-The first action the nurse should take when using the airway, breathing,
circulation approach to client care is to administer oxygen by nonrebreather
mask to treat manifestations of respiratory depression due to morphine
administration.
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 ✔✔✔✔✔ Painless vaginal bleeding.
-The placenta implants in the lower uterine segment, partially or completely
covering the cervix. With cervical changes, the placental blood vessels can
tear, which results in 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
✔✔✔✔✔ Episodes of blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial vasospasms and
decreased perfusion to the retina cause visual disturbances, such as
blurred vision, double vision, or dark spots in the visual field.
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 ✔✔✔✔✔ 1. Tachycardia.
-Hyperemesis gravidarum typically occurs during the first trimester and
results in electrolyte imbalance, excessive weight loss, ketonuria, and
nutritional deficiencies.
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
