VATI RN MATERNAL NEWBORN ASSESSMENT
QUESTIONS & RATIONALES | ATI NCLEX-RN
PREP
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? - ---correct answer ---Encourage client who are
prescribed methadone to breastfeed.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the following
findings is an indication the medication was effective? - ---correct answer ---
Decreased frequency of contractions.
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.
QUESTIONS & RATIONALES | ATI NCLEX-RN
PREP
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? - ---correct answer ---Encourage client who are
prescribed methadone to breastfeed.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the following
findings is an indication the medication was effective? - ---correct answer ---
Decreased frequency of contractions.
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.
