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VATI RN Maternal Newborn Assessment Questions and Answers

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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? - - Encourage client who are prescribed methadone to breastfeed. A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings

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VATI RN Maternal Newborn Assessment Questions and
Answers
A charge nurse is teaching a newly licensed should perform CPR and activate emergency
nurse about substance use disorders during medical services.
pregnancy. Which of the following statements by
the newly licensed nurse indicates an
understanding of the teaching? - - A nurse is preparing to administer an opioid
Encourage client who are prescribed methadone analgesic to a client who is in active labor. Which
to breastfeed. of the following assessments should the nurse
perform? (SATA) - - Maternal blood
pressure.
A nurse is caring for a client who received Pain level.
terbutaline subcutaneously. Which of the Fetal heart rate.
following findings is an indication the medication
was effective? - - Decreased frequency of
contractions. 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
A charge nurse is discussing care of clients who risk factor for developing preeclampsia? - -
are in labor with a newly licensed nurse. Which Rheumatoid Arthritis.
of the following actions should the charge nurse
include in the teaching regarding situations
requiring an amniotomy? - - Placing a fetal A nurse is reviewing the laboratory results for a
scalp electrode. postpartum client who is receiving warfarin for
deep-vein thrombosis. Which of the following
laboratory tests should the nurse monitor? -
A nurse is reviewing the medical record of a - International normalized ratio (INR).
client who has preeclampsia prior to
administering labetalol. For which of the following
findings should the nurse withhold the A nurse is monitoring a client who is in the active
medication? - - Heart rate 54/min phase of labor and has an intrauterine pressure
catheter and fetal scalp electrode. Which of the
following findings should the nurse expect? -
A nurse is caring for a client who is at 30 weeks - Montevideo units (MVU) of 220 mm Hg.
of gestation and observes the client choking
while eating lunch. The client is unable to speak
or cough. Identify the sequence of steps the A nurse is assessing a client who has just
nurse should take to clear the airway obstruction. undergone a cesarean birth and was given
- - 1. Stand posterior to the client. epidural morphine for postpartum pain relief 1hr
2. Position arms under the client's axilla and ago. The nurse notes that the clients respiratory
across the client's chest. rate is 10/min. Which of the following actions
3. Place thumb-side of a clenched fist to the should the nurse take first? - - Administer
client's mid-sternum area. oxygen by nonrebreather face mask.
4. Initiate chest thrust to the client using a
backward motion.
-If the client becomes unconscious, the nurse A nurse is assessing a client who has placenta
1/8

, VATI RN Maternal Newborn Assessment Questions and
Answers
previa and is receiving fetal monitoring. Which of following instructions should the nurse include in
the following clinical findings should the nurse the teaching? - - Apply moist heat to the
expect? - - Painless vaginal bleeding. affected breast.


A nurse is assessing a client who is at 33wks of A nurse is teaching routine prenatal care to a
gestation. Which of the following findings should group of clients who are pregnant. Which of the
the nurse report to the provider? - - following statements by a client indicates an
Episodes of blurred vision. understanding of the teaching? - - I will
have monthly prenatal visits for the first 28wks of
pregnancy.
A nurse is assessing a client who is at 8wks of
gestation and has hyperemesis gravidarum.
Which of the following are findings of this A nurse is providing client teaching regarding an
condition? (SATA) - - 1. Tachycardia. intrauterine device (IUD). Which of the following
2. Dry mucous membranes. statements should the nurse include in the
3. Poor skin turgor. teaching? (SATA) - - 1. You might have to
have cultures for sexually transmitted infections
prior to placement of the device.
A nurse is reviewing the laboratory results for a 2. You might experience irregular spotting the
client who is at 29wks of gestation. Which of the first few months after placement of the device.
following results should the nurse identify as an 3. You will need to sign informed consent prior to
indication of a prenatal complication? - - the procedure.
BUN 30 mg/dL

A nurse is assessing a client who is at 33wks of
A nurse is assessing a client who is 2hr gestation. Which of the following findings should
postpartum and has saturated a perineal pad in the nurse report to the provider? - -
15min. The clients skin is cool and clammy to Epigastric pain.
touch. Which of the following actions should the
nurse take first? - - Firmly massage the
fundus. A nurse is assessing a client who is 6hrs
postpartum, tachycardia, and has cool skin. The
client reports that they have been bleeding
A nurse is caring for a client who is at 28wks of excessively. Which of the following actions
gestation and has received two doses of should the nurse take? - - Initiate and
terbutaline subcutaneously. Which of the infusion of oxytocin.
following adverse effects is the priority for the
nurse to report to the provider? - - Heart
rate: 132/min 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
A nurse is providing teaching for a client who is following findings should the nurse recognize as
2wks postpartum and has mastitis. Which of the the potential cause of the deceleration? - -
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