VATI RN MATERNAL NEWBORN PROCTORED EXAM
2019 ACTUAL QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT) AND RATIONALES /A+
GRADE ASSURED
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? - 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? - 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? - 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? - 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. - 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) -
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? - 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? - 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? - 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? - 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? -
ANSWER: Painless vaginal 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? - ANSWER: Episodes of blurred
vision.
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) - ANSWER:
1. Tachycardia.
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? - ANSWER: BUN 30 mg/dL
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? - ANSWER: Firmly massage the fundus.
A nurse is caring for a client who is at 28wks of gestation and has received two doses
of terbutaline subcutaneously. Which of the following adverse effects is the priority
for the nurse to report to the provider? - ANSWER: Heart rate: 132/min
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? -
ANSWER: Apply moist heat to the affected breast.
A nurse is teaching routine prenatal care to a group of clients who are pregnant.
Which of the following statements by a client indicates an understanding of the
2019 ACTUAL QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT) AND RATIONALES /A+
GRADE ASSURED
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? - 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? - 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? - 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? - 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. - 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) -
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? - 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? - 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? - 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? - 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? -
ANSWER: Painless vaginal 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? - ANSWER: Episodes of blurred
vision.
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) - ANSWER:
1. Tachycardia.
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? - ANSWER: BUN 30 mg/dL
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? - ANSWER: Firmly massage the fundus.
A nurse is caring for a client who is at 28wks of gestation and has received two doses
of terbutaline subcutaneously. Which of the following adverse effects is the priority
for the nurse to report to the provider? - ANSWER: Heart rate: 132/min
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? -
ANSWER: Apply moist heat to the affected breast.
A nurse is teaching routine prenatal care to a group of clients who are pregnant.
Which of the following statements by a client indicates an understanding of the
