VATI RN MATERNAL NEWBORN QUESTIONS
WITH COMPLETE SOLUTIONS
2025/2026
A nurse is assessing a newborn. Which of the following findings indicates a need
to check the newborn's blood glucose level for hypoglycemia? - ANSWER -
>Hypotonia
-CNS findings of hypoglycemia include lethargy and hypotonia, as well as
jitteriness, twitching, poor feeding, temperature instability, apnea, respiratory
distress, and seizures.
A nurse is teaching a class to clients who are pregnant. Which of the following
topics should the nurse include in the discussion about cesarean birth? (SATA) -
ANSWER - >1. Management of postpartum pain -The nurse should discuss with
clients that they will have incisional pain associated with uterine involution.
2. Advantage of early ambulation post-surgical procedure.
-Early ambulation following a cesarean birth facilitates circulation in the lower
extremities, preventing stasis, and assists with relieving gas pains.
3. The need for an indwelling urinary catheter during delivery. -The nurse
should place an indwelling urinary catheter prior to the cesarean birth to
keep the client's bladder empty and to avoid interference with the surgical
procedure.
A nurse is providing teaching to a postpartum client about strategies to reduce
the risk of newborn abduction from the facility. Which of the following
instructions should the nurse include in the teaching? - ANSWER - >Bring your
newborn in the bassinet into the bathroom with you.
-The client should wheel the newborn in the bassinet into the bathroom with her
rather than leave the newborn unattended. The nurse should instruct the client
never to leave the newborn unattended.
,A charge nurse is providing teaching to a newly licensed nurse who is caring for a
client who has postpartum hemorrhagic shock. Which of the following
statements should the charge nurse make? - ANSWER - >The most accurate
indication of organ perfusion is a clients urine output.
-Output greater than 30 mL/hr. is an indication of adequate perfusion and
oxygenation.
A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at
48hrs after birth. Which of the following findings should the nurse report to the
provider? - ANSWER - >Depressed fontanels. Sunken or depressed fontanels are a
finding associated with dehydration of the newborn. Additionally, dry oral
mucosa, weight loss greater than 10%, and decreased urine output are findings
associated with dehydration.
A nurse is caring for a postpartum client who is breastfeeding her newborn and
reports that her nipples have become sore and cracked.
Which of the following statements should the nurse make? - ANSWER -
>Apply colostrum to the nipples after feeding to help them heal. Colostrum and
breast milk have healing properties and can help reduce soreness.
A nurse is receiving report on four newborns born in the past 12hrs. Which of the
following newborns should the nurse assess first? - ANSWER - >A newborn who
has an axillary temperature of 36C (96.8F). -Cold stress increases the newborn's
need for oxygen and can deplete glucose stores. It also can increase the
newborn's respiratory rate and cause cyanosis. The expected axillary temperature
for the newborn averages 37C (98.6F) and ranges form 36.5C (97.7F) to 37.2C
(99F).
A nurse is teaching a new guardian how to correctly use a car seat. Which of the
following statements by the guardian indicates an understanding of the teaching?
- ANSWER - >I should keep my baby in a rear-facing car seat until he is 2yrs old.
-Or until the child reaches the maximum height and weight for the seat.
, A nurse is planning to obtain a blood specimen from a newborn via a heel stick.
Which of the following actions should the nurse take? - ANSWER - >Cleanse the
puncture site with alcohol gauze prior to the procedure.
-Or a facility-approved skin cleanser prior to the procedure to minimize the risk of
infection.
A nurse is teaching a client who has hyperemesis gravidarum about dietary
modifications. Which of the following client statements indicates an
understanding of the teaching? - ANSWER - >I will eat small, frequent meals
throughout the day.
-The client should focus on eating small, frequent meals throughout the day and
consuming foods that are appealing.
A nurse is caring for a group of clients who are postpartum. Which of the
following clients is at an increased risk for a fall? - ANSWER - >A client who has an
indwelling urinary catheter.
-The client's required medical interventions, such as IVs and urinary catheters,
increase the risk for falls from tripping over tubing. The nurse should assist the
client when getting out of bed and ambulating to prevent an injury from a fall.
A nurse is caring for a client who is 3 days postpartum. Which of the following
actions should the nurse take? - ANSWER - >Obtain a vaginal culture.
-Fever for 2 consecutive days, chills, foul-smelling lochia, and abdominal
tenderness are manifestations of endometritis, an infection of the lining of the
uterus. The nurse should obtain a vaginal culture using a sterile swab to collect
the fluid from the client's vaginal cavity to identify the organism.
A nurse is caring for a client who is in active labor and receiving epidural
anesthesia. The client reports feeling nauseated and experiences a blood
pressure drop from 125/70 mm Hg to 90/50 mm Hg. Which of the following
actions should the nurse take first? - ANSWER - >Turn the client to a lateral
position.
-The greatest risk to this client is injury from maternal hypotension and decreased
placental perfusion; therefore, the first action the nurse should take is to place
WITH COMPLETE SOLUTIONS
2025/2026
A nurse is assessing a newborn. Which of the following findings indicates a need
to check the newborn's blood glucose level for hypoglycemia? - ANSWER -
>Hypotonia
-CNS findings of hypoglycemia include lethargy and hypotonia, as well as
jitteriness, twitching, poor feeding, temperature instability, apnea, respiratory
distress, and seizures.
A nurse is teaching a class to clients who are pregnant. Which of the following
topics should the nurse include in the discussion about cesarean birth? (SATA) -
ANSWER - >1. Management of postpartum pain -The nurse should discuss with
clients that they will have incisional pain associated with uterine involution.
2. Advantage of early ambulation post-surgical procedure.
-Early ambulation following a cesarean birth facilitates circulation in the lower
extremities, preventing stasis, and assists with relieving gas pains.
3. The need for an indwelling urinary catheter during delivery. -The nurse
should place an indwelling urinary catheter prior to the cesarean birth to
keep the client's bladder empty and to avoid interference with the surgical
procedure.
A nurse is providing teaching to a postpartum client about strategies to reduce
the risk of newborn abduction from the facility. Which of the following
instructions should the nurse include in the teaching? - ANSWER - >Bring your
newborn in the bassinet into the bathroom with you.
-The client should wheel the newborn in the bassinet into the bathroom with her
rather than leave the newborn unattended. The nurse should instruct the client
never to leave the newborn unattended.
,A charge nurse is providing teaching to a newly licensed nurse who is caring for a
client who has postpartum hemorrhagic shock. Which of the following
statements should the charge nurse make? - ANSWER - >The most accurate
indication of organ perfusion is a clients urine output.
-Output greater than 30 mL/hr. is an indication of adequate perfusion and
oxygenation.
A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at
48hrs after birth. Which of the following findings should the nurse report to the
provider? - ANSWER - >Depressed fontanels. Sunken or depressed fontanels are a
finding associated with dehydration of the newborn. Additionally, dry oral
mucosa, weight loss greater than 10%, and decreased urine output are findings
associated with dehydration.
A nurse is caring for a postpartum client who is breastfeeding her newborn and
reports that her nipples have become sore and cracked.
Which of the following statements should the nurse make? - ANSWER -
>Apply colostrum to the nipples after feeding to help them heal. Colostrum and
breast milk have healing properties and can help reduce soreness.
A nurse is receiving report on four newborns born in the past 12hrs. Which of the
following newborns should the nurse assess first? - ANSWER - >A newborn who
has an axillary temperature of 36C (96.8F). -Cold stress increases the newborn's
need for oxygen and can deplete glucose stores. It also can increase the
newborn's respiratory rate and cause cyanosis. The expected axillary temperature
for the newborn averages 37C (98.6F) and ranges form 36.5C (97.7F) to 37.2C
(99F).
A nurse is teaching a new guardian how to correctly use a car seat. Which of the
following statements by the guardian indicates an understanding of the teaching?
- ANSWER - >I should keep my baby in a rear-facing car seat until he is 2yrs old.
-Or until the child reaches the maximum height and weight for the seat.
, A nurse is planning to obtain a blood specimen from a newborn via a heel stick.
Which of the following actions should the nurse take? - ANSWER - >Cleanse the
puncture site with alcohol gauze prior to the procedure.
-Or a facility-approved skin cleanser prior to the procedure to minimize the risk of
infection.
A nurse is teaching a client who has hyperemesis gravidarum about dietary
modifications. Which of the following client statements indicates an
understanding of the teaching? - ANSWER - >I will eat small, frequent meals
throughout the day.
-The client should focus on eating small, frequent meals throughout the day and
consuming foods that are appealing.
A nurse is caring for a group of clients who are postpartum. Which of the
following clients is at an increased risk for a fall? - ANSWER - >A client who has an
indwelling urinary catheter.
-The client's required medical interventions, such as IVs and urinary catheters,
increase the risk for falls from tripping over tubing. The nurse should assist the
client when getting out of bed and ambulating to prevent an injury from a fall.
A nurse is caring for a client who is 3 days postpartum. Which of the following
actions should the nurse take? - ANSWER - >Obtain a vaginal culture.
-Fever for 2 consecutive days, chills, foul-smelling lochia, and abdominal
tenderness are manifestations of endometritis, an infection of the lining of the
uterus. The nurse should obtain a vaginal culture using a sterile swab to collect
the fluid from the client's vaginal cavity to identify the organism.
A nurse is caring for a client who is in active labor and receiving epidural
anesthesia. The client reports feeling nauseated and experiences a blood
pressure drop from 125/70 mm Hg to 90/50 mm Hg. Which of the following
actions should the nurse take first? - ANSWER - >Turn the client to a lateral
position.
-The greatest risk to this client is injury from maternal hypotension and decreased
placental perfusion; therefore, the first action the nurse should take is to place
