VATI RN Maternal Newborn Exam 2025
ss ss ss ss ss
Questions & 100% Correct
ss ss ss ss
Answers(Rated A+)
ss ss ss
ss
A sscharge ssnurse ssis ssteaching ssa ssnewly sslicensed ssnurse ssabout sssubstance ssuse ssdisorders
ssduring sspregnancy. ssWhich ssof ssthe ssfollowing ss statements ssby ssthe ssnewly sslicensed ssnurse
ssindicates ssan ssunderstanding ssof ssthe ssteaching? ss- ss Encourage ssclient sswho ssare ssprescribed
ssmethadone ssto ssbreastfeed. ss
-The ssnurse ssshould ssencourage ssclients sswho ssare ssprescribed ssmethadone ssduring sspregnancy
ssto ssbreastfeed sstheir ssnewborns ssto sshelp sswith sswithdrawal sssymptoms. ss
ss
A ssnurse ssis sscaring ssfor ssa ssclient sswho ssreceived ssterbutaline sssubcutaneously. ssWhich ssof ssthe
ssfollowing ssfindings ssis ssan ssindication ssthe ssmedication sswas sseffective? ss- ssDecreased
ssfrequency ssof sscontractions. ss
-Terbutaline ssis ssa sstocolytic ssmedication ssthat ssis ssused ssto sshalt sspreterm sslabor. ssTerbutaline
sscause ssrelaxation ssof sssmooth ssmuscle, sswhich ssdecrease ssuterine ssactivity. ssTherefore, ssthe
ssnurse ss should ssidentify ssthat ssa ssdecrease ssin ssfrequency ssof sscontractions ssis ssan ssindication
ssthat ssterbutaline sswas sseffective. ss
ss
A sscharge ssnurse ssis ssdiscussing sscare ssof ssclients sswho ssare ssin sslabor sswith ssa ssnewly sslicensed
ssnurse. ssWhich ssof ssthe ssfollowing ssactions ssshould ssthe sscharge ssnurse ssinclude ssin ssthe
ssteaching ssregarding ss situations ssrequiring ssan ssamniotomy? ss- ssPlacing ss a ssfetal ssscalp
sselectrode. ss
-A ssfetal ssscalp sselectrode ssis ssattached ssto ssthe sspresenting sspart ssof ssthe ssfetus ssin ssorder ssto
ssprovide ssaccurate sscontinuous ssmonitoring ssof ssthe ssfetal ssheart ssrate. ssIf ssthe ssclient's
ssmembranes ssare ssintact, ssthe ssamniotic ss sac ssmust ss be ssartificially ssruptured ssprior ssto
ssattaching ssthe sselectrode ssto ssenable ssaccess ssto ssthe sspresenting sspart. ss
ss
A ssnurse ssis ssreviewing ssthe ssmedical ssrecord ssof ssa ssclient sswho sshas sspreeclampsia ssprior ssto
ssadministering sslabetalol. ssFor sswhich ssof ssthe ssfollowing ssfindings ss should ssthe ssnurse
sswithhold ssthe ssmedication? ss- ss Heart ssrate ss54/min ss
-The ssnurse ssshould ssidentify ssthat ssa ssheart ssrate ssof ss54/min ssis ssbelow ssthe ssexpected
ssreference ssrange ssof ss60 ssto ss100/min. ssDuring sspregnancy, ssthe ssheart ssrate ssincreases ss10 ssto
ss15/min ssdue ssto ssincreased ssblood ssvolume ssand ssincrease sstissue ssdemands ssfor ssoxygen.
ssBradycardia ssis ssa sscontraindication ssfor ssthe ssadministration ssof sslabetalol, ssan
ssantihypertensive ssmedication. ssTherefore, ssthe ssnurse ssshould sswithhold ssthe ssmedication ssand
ssnotify ssthe ssprovider. ss
ss
A ssnurse ssis sscaring ssfor ssa ssclient sswho ssis ssat ss30 ssweeks ssof ssgestation ssand ssobserves ssthe
ssclient sschoking sswhile sseating sslunch. ssThe ssclient ss is ssunable ssto ss speak ssor sscough. ssIdentify
ssthe sssequence ssof sssteps ssthe ssnurse ss should sstake ssto ssclear ssthe ssairway ssobstruction. ss- ss1.
ssStand ssposterior ssto ssthe ssclient. ss
2. Position ssarms ssunder ssthe ssclient's ssaxilla ssand ssacross ssthe ssclient's sschest. ss
3. Place ssthumb-side ssof ssa ssclenched ssfist ssto ssthe ssclient's ssmid-sternum ssarea. ss
4. Initiate sschest ssthrust ssto ssthe ssclient ssusing ssa ssbackward ssmotion. ss
-If ssthe ssclient ssbecomes ssunconscious, ssthe ssnurse ssshould ssperform ssCPR ssand ssactivate
ssemergency ssmedical ss services. ss
ss
, A ssnurse ssis sspreparing ssto ssadminister ssan ssopioid ssanalgesic ssto ssa ssclient sswho ssis ssin ssactive
sslabor. ssWhich ssof ssthe ssfollowing ssassessments ss should ssthe ssnurse ssperform? ss(SATA) ss-
ssMaternal ssblood sspressure. ss ss
-Opioid ssanalgesic sscan sscause sshypotension. ssThe ssnurse ssshould ssassess ssthe ssclients ssblood
sspressure ssbefore ssand ssafter ssadministering ssopioids. ss
Pain sslevel. ss
-The ssnurse ssshould ssassess ssthe ssclients ssbaseline sspain sslevel ssprior ssto ssadministering sspain
ssmedication ssand ssagain ssafter ssadministering sspain ssmedication ssto ssdetermine ssthe
sseffectiveness ssof ssthe ssmedication. ssOpioid ssanalgesic ssare ssindicated ssfor ssthe ssrelief ssof
ssmoderate ssto ss sever sslabor sspain. ss
Fetal ssheart ssrate. ss
-Opioid ssanalgesics sscan sscause ssfetal ssbradycardia ssand sschanges ssin ssvariability. ssThe ssnurse
ssshould ssassess ssthe ssfetal ssheart ssrate ssprior ssto ssadministering ssan ssopioid ssanalgesic ssto
ssensure ssthe ssrate ssis sswithin ssthe ssexpedited ssreference ssrange ssand ssto sshave ssa ssbaseline ssfor
ssfuture ssassessments. ssThe ssnurse ss should ssprovide ss ongoing ssassessments ssof ssfetal ssheart ssrate
ssthroughout sslabor ssaccording ssto ssfacility ssprotocol. ss
ss
A ssnurse ssis ssreviewing ssthe ssmedical ssrecords ssof ssa ssclient sswho ssis ssat ss8 sswks. ssof ssgestation.
ssWhich ssof ssthe ssfollowing ssfindings ssshould ssthe ssnurse ssidentify ssas ssa ssrisk ssfactor ssfor
ssdeveloping sspreeclampsia? ss
- ssRheumatoid ssArthritis. ss
-The sspresence ssof ssa ssconnective sstissue ssdisease, sssuch ssas ssrheumatoid ssarthritis ssor sssystemic
sslupus sserythematosus, ssincrease ss a ssclients ssrisk ssfor ssdeveloping sspreeclampsia. ss
ss
A ssnurse ssis ssreviewing ssthe sslaboratory ssresults ssfor ssa sspostpartum ssclient sswho ssis ssreceiving
sswarfarin ssfor ssdeep-vein ssthrombosis. ssWhich ssof ss the ssfollowing sslaboratory sstests ss should
ssthe ssnurse ssmonitor? ss- ssInternational ssnormalized ss ratio ss(INR). ss
-The ssnurse ssshould ssmonitor ssthe ssINR ssof ssa ssclient sswho ssis sstaking sswarfarin. ssProthrombin
sstime(PT) ssis ssalso ssmeasure ssto ssregulate sswarfarin sstherapy. ssHowever, ssPT ssvalues ssare ssmore
ssdifficult ssto ssinterpret. ssINR ssdetermined ssby ssmultiplying ssthe ssPT ssby ssa ss correction ssfactor
ssbased sson ssthe ssspecific ssthromboplastin sspreparation ssused ssfor ssthe sstest, ssas ss a ssway ssof
ssequalizing sslaboratory ssto sslaboratory ssvariations. ss
ss
A ssnurse ssis ssmonitoring ssa ssclient sswho ssis ssin ssthe ssactive ssphase ssof sslabor ssand sshas ssan
ssintrauterine sspressure ss catheter ssand ssfetal ss scalp sselectrode. ssWhich ssof ssthe ssfollowing
ssfindings ssshould ssthe ssnurse ssexpect? ss- ssMontevideo ssunits ss(MVU) ssof ss220 ssmm ssHg. ss
- ssThe ssnurse ssshould ssidentify ssthat ssan ssMVU ssof ss220 ssmm ssHg ssis sswithin ssthe ssexpected
ssrange ssduring ssthe ssactive ssphase ssof sslabor. ss MVUs ssgenerally ssrange ssbetween ss100 ssto ss250
ssmm ssHg ssduring ssthe ssfirst ss stage ssof sslabor ssand ssincrease ssto ss300 ssto ss400 ssmm ssHg ssduring
ssthe sssecond ss stage ssof sslabor. ss MVUs ssare ss calculated ssby ss subtracting ssthe ssbaseline ssuterine
sspressure ssfrom ssthe sspeak sscontraction sspressure ssfor ssevery sscontraction ssthat ssoccurs ssduring
ssa ss10-min ssperiod. ssThe ssnurse ssthen ssadds ssthe sspressure ssproduced ssby sseach sscontraction
ssduring ssthat sstime ssto ssdetermine ssthe ss MVUs. ss
ss
A ssnurse ssis ssassessing ssa ssclient sswho sshas ssjust ssundergone ssa sscesarean ssbirth ssand sswas ssgiven
ssepidural ssmorphine ssfor sspostpartum sspain ssrelief ss 1hr ssago. ssThe ssnurse ssnotes ssthat ssthe
ssclients ssrespiratory ssrate ssis ss10/min. ssWhich ssof ssthe ssfollowing ssactions ss should ssthe ssnurse
sstake ssfirst? ss- ssAdminister ssoxygen ssby ssnonrebreather ssface ssmask. ss
ss ss ss ss ss
Questions & 100% Correct
ss ss ss ss
Answers(Rated A+)
ss ss ss
ss
A sscharge ssnurse ssis ssteaching ssa ssnewly sslicensed ssnurse ssabout sssubstance ssuse ssdisorders
ssduring sspregnancy. ssWhich ssof ssthe ssfollowing ss statements ssby ssthe ssnewly sslicensed ssnurse
ssindicates ssan ssunderstanding ssof ssthe ssteaching? ss- ss Encourage ssclient sswho ssare ssprescribed
ssmethadone ssto ssbreastfeed. ss
-The ssnurse ssshould ssencourage ssclients sswho ssare ssprescribed ssmethadone ssduring sspregnancy
ssto ssbreastfeed sstheir ssnewborns ssto sshelp sswith sswithdrawal sssymptoms. ss
ss
A ssnurse ssis sscaring ssfor ssa ssclient sswho ssreceived ssterbutaline sssubcutaneously. ssWhich ssof ssthe
ssfollowing ssfindings ssis ssan ssindication ssthe ssmedication sswas sseffective? ss- ssDecreased
ssfrequency ssof sscontractions. ss
-Terbutaline ssis ssa sstocolytic ssmedication ssthat ssis ssused ssto sshalt sspreterm sslabor. ssTerbutaline
sscause ssrelaxation ssof sssmooth ssmuscle, sswhich ssdecrease ssuterine ssactivity. ssTherefore, ssthe
ssnurse ss should ssidentify ssthat ssa ssdecrease ssin ssfrequency ssof sscontractions ssis ssan ssindication
ssthat ssterbutaline sswas sseffective. ss
ss
A sscharge ssnurse ssis ssdiscussing sscare ssof ssclients sswho ssare ssin sslabor sswith ssa ssnewly sslicensed
ssnurse. ssWhich ssof ssthe ssfollowing ssactions ssshould ssthe sscharge ssnurse ssinclude ssin ssthe
ssteaching ssregarding ss situations ssrequiring ssan ssamniotomy? ss- ssPlacing ss a ssfetal ssscalp
sselectrode. ss
-A ssfetal ssscalp sselectrode ssis ssattached ssto ssthe sspresenting sspart ssof ssthe ssfetus ssin ssorder ssto
ssprovide ssaccurate sscontinuous ssmonitoring ssof ssthe ssfetal ssheart ssrate. ssIf ssthe ssclient's
ssmembranes ssare ssintact, ssthe ssamniotic ss sac ssmust ss be ssartificially ssruptured ssprior ssto
ssattaching ssthe sselectrode ssto ssenable ssaccess ssto ssthe sspresenting sspart. ss
ss
A ssnurse ssis ssreviewing ssthe ssmedical ssrecord ssof ssa ssclient sswho sshas sspreeclampsia ssprior ssto
ssadministering sslabetalol. ssFor sswhich ssof ssthe ssfollowing ssfindings ss should ssthe ssnurse
sswithhold ssthe ssmedication? ss- ss Heart ssrate ss54/min ss
-The ssnurse ssshould ssidentify ssthat ssa ssheart ssrate ssof ss54/min ssis ssbelow ssthe ssexpected
ssreference ssrange ssof ss60 ssto ss100/min. ssDuring sspregnancy, ssthe ssheart ssrate ssincreases ss10 ssto
ss15/min ssdue ssto ssincreased ssblood ssvolume ssand ssincrease sstissue ssdemands ssfor ssoxygen.
ssBradycardia ssis ssa sscontraindication ssfor ssthe ssadministration ssof sslabetalol, ssan
ssantihypertensive ssmedication. ssTherefore, ssthe ssnurse ssshould sswithhold ssthe ssmedication ssand
ssnotify ssthe ssprovider. ss
ss
A ssnurse ssis sscaring ssfor ssa ssclient sswho ssis ssat ss30 ssweeks ssof ssgestation ssand ssobserves ssthe
ssclient sschoking sswhile sseating sslunch. ssThe ssclient ss is ssunable ssto ss speak ssor sscough. ssIdentify
ssthe sssequence ssof sssteps ssthe ssnurse ss should sstake ssto ssclear ssthe ssairway ssobstruction. ss- ss1.
ssStand ssposterior ssto ssthe ssclient. ss
2. Position ssarms ssunder ssthe ssclient's ssaxilla ssand ssacross ssthe ssclient's sschest. ss
3. Place ssthumb-side ssof ssa ssclenched ssfist ssto ssthe ssclient's ssmid-sternum ssarea. ss
4. Initiate sschest ssthrust ssto ssthe ssclient ssusing ssa ssbackward ssmotion. ss
-If ssthe ssclient ssbecomes ssunconscious, ssthe ssnurse ssshould ssperform ssCPR ssand ssactivate
ssemergency ssmedical ss services. ss
ss
, A ssnurse ssis sspreparing ssto ssadminister ssan ssopioid ssanalgesic ssto ssa ssclient sswho ssis ssin ssactive
sslabor. ssWhich ssof ssthe ssfollowing ssassessments ss should ssthe ssnurse ssperform? ss(SATA) ss-
ssMaternal ssblood sspressure. ss ss
-Opioid ssanalgesic sscan sscause sshypotension. ssThe ssnurse ssshould ssassess ssthe ssclients ssblood
sspressure ssbefore ssand ssafter ssadministering ssopioids. ss
Pain sslevel. ss
-The ssnurse ssshould ssassess ssthe ssclients ssbaseline sspain sslevel ssprior ssto ssadministering sspain
ssmedication ssand ssagain ssafter ssadministering sspain ssmedication ssto ssdetermine ssthe
sseffectiveness ssof ssthe ssmedication. ssOpioid ssanalgesic ssare ssindicated ssfor ssthe ssrelief ssof
ssmoderate ssto ss sever sslabor sspain. ss
Fetal ssheart ssrate. ss
-Opioid ssanalgesics sscan sscause ssfetal ssbradycardia ssand sschanges ssin ssvariability. ssThe ssnurse
ssshould ssassess ssthe ssfetal ssheart ssrate ssprior ssto ssadministering ssan ssopioid ssanalgesic ssto
ssensure ssthe ssrate ssis sswithin ssthe ssexpedited ssreference ssrange ssand ssto sshave ssa ssbaseline ssfor
ssfuture ssassessments. ssThe ssnurse ss should ssprovide ss ongoing ssassessments ssof ssfetal ssheart ssrate
ssthroughout sslabor ssaccording ssto ssfacility ssprotocol. ss
ss
A ssnurse ssis ssreviewing ssthe ssmedical ssrecords ssof ssa ssclient sswho ssis ssat ss8 sswks. ssof ssgestation.
ssWhich ssof ssthe ssfollowing ssfindings ssshould ssthe ssnurse ssidentify ssas ssa ssrisk ssfactor ssfor
ssdeveloping sspreeclampsia? ss
- ssRheumatoid ssArthritis. ss
-The sspresence ssof ssa ssconnective sstissue ssdisease, sssuch ssas ssrheumatoid ssarthritis ssor sssystemic
sslupus sserythematosus, ssincrease ss a ssclients ssrisk ssfor ssdeveloping sspreeclampsia. ss
ss
A ssnurse ssis ssreviewing ssthe sslaboratory ssresults ssfor ssa sspostpartum ssclient sswho ssis ssreceiving
sswarfarin ssfor ssdeep-vein ssthrombosis. ssWhich ssof ss the ssfollowing sslaboratory sstests ss should
ssthe ssnurse ssmonitor? ss- ssInternational ssnormalized ss ratio ss(INR). ss
-The ssnurse ssshould ssmonitor ssthe ssINR ssof ssa ssclient sswho ssis sstaking sswarfarin. ssProthrombin
sstime(PT) ssis ssalso ssmeasure ssto ssregulate sswarfarin sstherapy. ssHowever, ssPT ssvalues ssare ssmore
ssdifficult ssto ssinterpret. ssINR ssdetermined ssby ssmultiplying ssthe ssPT ssby ssa ss correction ssfactor
ssbased sson ssthe ssspecific ssthromboplastin sspreparation ssused ssfor ssthe sstest, ssas ss a ssway ssof
ssequalizing sslaboratory ssto sslaboratory ssvariations. ss
ss
A ssnurse ssis ssmonitoring ssa ssclient sswho ssis ssin ssthe ssactive ssphase ssof sslabor ssand sshas ssan
ssintrauterine sspressure ss catheter ssand ssfetal ss scalp sselectrode. ssWhich ssof ssthe ssfollowing
ssfindings ssshould ssthe ssnurse ssexpect? ss- ssMontevideo ssunits ss(MVU) ssof ss220 ssmm ssHg. ss
- ssThe ssnurse ssshould ssidentify ssthat ssan ssMVU ssof ss220 ssmm ssHg ssis sswithin ssthe ssexpected
ssrange ssduring ssthe ssactive ssphase ssof sslabor. ss MVUs ssgenerally ssrange ssbetween ss100 ssto ss250
ssmm ssHg ssduring ssthe ssfirst ss stage ssof sslabor ssand ssincrease ssto ss300 ssto ss400 ssmm ssHg ssduring
ssthe sssecond ss stage ssof sslabor. ss MVUs ssare ss calculated ssby ss subtracting ssthe ssbaseline ssuterine
sspressure ssfrom ssthe sspeak sscontraction sspressure ssfor ssevery sscontraction ssthat ssoccurs ssduring
ssa ss10-min ssperiod. ssThe ssnurse ssthen ssadds ssthe sspressure ssproduced ssby sseach sscontraction
ssduring ssthat sstime ssto ssdetermine ssthe ss MVUs. ss
ss
A ssnurse ssis ssassessing ssa ssclient sswho sshas ssjust ssundergone ssa sscesarean ssbirth ssand sswas ssgiven
ssepidural ssmorphine ssfor sspostpartum sspain ssrelief ss 1hr ssago. ssThe ssnurse ssnotes ssthat ssthe
ssclients ssrespiratory ssrate ssis ss10/min. ssWhich ssof ssthe ssfollowing ssactions ss should ssthe ssnurse
sstake ssfirst? ss- ssAdminister ssoxygen ssby ssnonrebreather ssface ssmask. ss
