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 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
