VATI RN Maternal Newborn Assessment
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? - ANS 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? - ANS 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? - ANS 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? - ANS
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. - ANS 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) - ANS 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? - ANS
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? - ANS
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? - ANS 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? - ANS 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? - ANS 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? - ANS 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) - ANS 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? - ANS
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? - ANS 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? - ANS 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? - ANS 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 teaching? - ANS I will have
monthly prenatal visits for the first 28wks of pregnancy.
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the
following statements should the nurse include in the teaching? (SATA) - ANS 1. You might have
to have cultures for sexually transmitted infections prior to placement of the device.
2. You might experience irregular spotting the first few months after placement of the device.
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? - ANS 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? - ANS 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? - ANS 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? - ANS
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. - ANS 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) - ANS 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? - ANS
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? - ANS
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? - ANS 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? - ANS 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? - ANS 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? - ANS 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) - ANS 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? - ANS
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? - ANS 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? - ANS 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? - ANS 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 teaching? - ANS I will have
monthly prenatal visits for the first 28wks of pregnancy.
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the
following statements should the nurse include in the teaching? (SATA) - ANS 1. You might have
to have cultures for sexually transmitted infections prior to placement of the device.
2. You might experience irregular spotting the first few months after placement of the device.
