1
VATI RN MATERNAL NEWBORN 2019 STUDY GUIDE
COMPLETE CONCEPT REVIEW & PRACTICE
MATERIALS (2026-27 LATEST UPDATED EDITION)
NOTE: This study guide is similar to screenshot exams version
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)
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?
,2
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?
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?
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?
Administer oxygen by nonrebreather face mask.
,3
-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?
, 4
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?
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)
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 indication of a prenatal complication?
BUN 30 mg/dL
-Above the expected reference range of 10-20 mg/dL for a client who is
pregnant. The BUN typically decreases during pregnancy due to the
increase in the glomerular filtration rate. The nurse should identify that
an elevated BUN is a manifestation of preeclampsia or HELLP
syndrome, potentially serous complications of pregnancy's.
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?
VATI RN MATERNAL NEWBORN 2019 STUDY GUIDE
COMPLETE CONCEPT REVIEW & PRACTICE
MATERIALS (2026-27 LATEST UPDATED EDITION)
NOTE: This study guide is similar to screenshot exams version
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)
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?
,2
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?
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?
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?
Administer oxygen by nonrebreather face mask.
,3
-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?
, 4
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?
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)
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 indication of a prenatal complication?
BUN 30 mg/dL
-Above the expected reference range of 10-20 mg/dL for a client who is
pregnant. The BUN typically decreases during pregnancy due to the
increase in the glomerular filtration rate. The nurse should identify that
an elevated BUN is a manifestation of preeclampsia or HELLP
syndrome, potentially serous complications of pregnancy's.
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?
