VATI Maternal Newborn Exam 2026
Questions and Answers
What is abstinence syndrome? - Correct answer-Symptoms of drug withdrawal as a
result of physical dependence of the mother
What are the indications for a non-stress test? - Correct answer-Pregnancy
problems such as suspected intrauterine growth restriction (IUGR), maternal
diabetes, or when mother has twins in womb
Over how much time should morphine be administered over? - Correct answer-4-5
minutes to prevent hypotension and respiratory depression
A client who does not wish to breastfeed can alleviate engorgement and swelling
by wearing what type of bra? - Correct answer-Tight-fitting bra or breast binders to
alleviate engorgement and swelling
A nurse is planning care for a client who has Hep B with jaundice. What
intervention should the nurse include in the plan? - Correct answer-Provide high-
calorie, high protein diet. Clients w/ Hep B are at increased risk for inadequate
nutrition d/t N/V, anorexia, and fatigue
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,A nurse is caring for a client in active labor who has meconium staining of the
amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal
monitor. What action should the nurse perform? - Correct answer-Prepare
equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort, decreased
muscle tone, and bradycardia after delivery
What is the Bishop score? - Correct answer-Used to determine maternal readiness
for labor by evaluating whether the cervix is favorable by rating the following: 1.
dilation, 2. effacement, 3. cervical consistency, 4. cervical position and 5. station of
presenting part
A nurse in a clinic is providing education to a client at 32 weeks gestation who has
pruritis gravidarum. What should the nurse teach as the treatment. - Correct
answer-Slightly increase exposure to sunlight b/c it can reduce itching. Pruritis
gravidarum is a condition of pregnancy that causes generalized itching without the
presence of a rash d/t stretching of the skin
For what clients is isotretinoin cream contraindicated in? - Correct answer-
(Accutane).. Contraindicated in pregnant clients b/c it is teratogenic
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,What is the moro reflex? - Correct answer-startle reflex-initiated by clapping hands
and infant will have symmetric movement of arms and legs
How long does it take for respiratory depression to occur after an IV bolus of
morphine? - Correct answer-Can occur within 7 minutes after
What are characteristics of the fetus that are reviewed to determine the biophysical
profile (BPP) during an ultrasound? - Correct answer--Fetal tone
-Relative FHR in relation to activity
-Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings
should the nurse anticipate? - Correct answer--Facial anomalies- eyes with
epicanthal folds, strabismus, ptosis, mouth with a poor suck, small teeth, cleft lip
or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
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, -Sleep disturbance
A nurse is caring for a client who is in active labor with ROM. On assessment, the
nurse notes the client has extrusion of the umbilical cord at the vaginal introitus.
What is the priority nursing intervention? - Correct answer-Use a sterile gloved
hand and apply finger pressure to elevate the presenting part of the fetus.
Compression of cord prevents adequate fetal blood flow and can cause anoxic
brain damage. Nurse should emergently elevate part of fetus that is compressing
the umbilical cord
A client complaining of pain or vaginal pressure and has a large amount of bright
lochia with a firm uterus likely has what? - Correct answer-A perineal laceration
What are the types of perineal lacerations? - Correct answer-1st degree-4th degree
depending on size and depth of cut
1st degree-only perineal skin (skin between vaginal opening and rectum). Typically
heals on its own
4th degree-extends through anal sphincter and into mucous membrane lining
rectum
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and Answers
What is abstinence syndrome? - Correct answer-Symptoms of drug withdrawal as a
result of physical dependence of the mother
What are the indications for a non-stress test? - Correct answer-Pregnancy
problems such as suspected intrauterine growth restriction (IUGR), maternal
diabetes, or when mother has twins in womb
Over how much time should morphine be administered over? - Correct answer-4-5
minutes to prevent hypotension and respiratory depression
A client who does not wish to breastfeed can alleviate engorgement and swelling
by wearing what type of bra? - Correct answer-Tight-fitting bra or breast binders to
alleviate engorgement and swelling
A nurse is planning care for a client who has Hep B with jaundice. What
intervention should the nurse include in the plan? - Correct answer-Provide high-
calorie, high protein diet. Clients w/ Hep B are at increased risk for inadequate
nutrition d/t N/V, anorexia, and fatigue
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A nurse is caring for a client in active labor who has meconium staining of the
amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal
monitor. What action should the nurse perform? - Correct answer-Prepare
equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort, decreased
muscle tone, and bradycardia after delivery
What is the Bishop score? - Correct answer-Used to determine maternal readiness
for labor by evaluating whether the cervix is favorable by rating the following: 1.
dilation, 2. effacement, 3. cervical consistency, 4. cervical position and 5. station of
presenting part
A nurse in a clinic is providing education to a client at 32 weeks gestation who has
pruritis gravidarum. What should the nurse teach as the treatment. - Correct
answer-Slightly increase exposure to sunlight b/c it can reduce itching. Pruritis
gravidarum is a condition of pregnancy that causes generalized itching without the
presence of a rash d/t stretching of the skin
For what clients is isotretinoin cream contraindicated in? - Correct answer-
(Accutane).. Contraindicated in pregnant clients b/c it is teratogenic
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,What is the moro reflex? - Correct answer-startle reflex-initiated by clapping hands
and infant will have symmetric movement of arms and legs
How long does it take for respiratory depression to occur after an IV bolus of
morphine? - Correct answer-Can occur within 7 minutes after
What are characteristics of the fetus that are reviewed to determine the biophysical
profile (BPP) during an ultrasound? - Correct answer--Fetal tone
-Relative FHR in relation to activity
-Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings
should the nurse anticipate? - Correct answer--Facial anomalies- eyes with
epicanthal folds, strabismus, ptosis, mouth with a poor suck, small teeth, cleft lip
or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, -Sleep disturbance
A nurse is caring for a client who is in active labor with ROM. On assessment, the
nurse notes the client has extrusion of the umbilical cord at the vaginal introitus.
What is the priority nursing intervention? - Correct answer-Use a sterile gloved
hand and apply finger pressure to elevate the presenting part of the fetus.
Compression of cord prevents adequate fetal blood flow and can cause anoxic
brain damage. Nurse should emergently elevate part of fetus that is compressing
the umbilical cord
A client complaining of pain or vaginal pressure and has a large amount of bright
lochia with a firm uterus likely has what? - Correct answer-A perineal laceration
What are the types of perineal lacerations? - Correct answer-1st degree-4th degree
depending on size and depth of cut
1st degree-only perineal skin (skin between vaginal opening and rectum). Typically
heals on its own
4th degree-extends through anal sphincter and into mucous membrane lining
rectum
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
