ATI VATI MATERNAL NEWBORN FINAL PAPER
2026 COMPLETE QUESTIONS SOLUTIONS
GRADED A+
◉ What is the Montevideo unit (MVU) range? Answer: 100-
250mmHg during first stage of labor and increase to 300-400 mmHg
during second stage
-Calculated by subtracting baseline uterine pressure from peak
contraction pressure for every contraction occurring in 10 min
period. Then add pressure produced by each contraction
◉ What is a presumptive sign of pregnancy? Answer: Amenorrhea
◉ What is a common adverse effect of terbutaline? Answer: Tremors
◉ Important considerations when teaching about an IUD? Answer: -
If at risk for STDs you'll need to have cultures before IUD placement
-Effective for 3-10 years
-May experience irregular spotting during first few months after
placement
-Can still use tampons
-Sign consent form before procedure
,◉ How long are IUDs effective at preventing pregnancy? Answer: 3-
10 years
◉ A nurses is assessing a client in labor. What lab findings should
the nurse expects? Answer: -Increased WBCs (from physical and
emotional stress)
-Decreased in B/G from maternal metabolism, physical exertion, and
delivery of placenta
-Increased temp., flushed cheeks, and warm skin from vascular
changes
◉ How long should a child be kept in a rear-facing car seat? Answer:
Until age 2 or until child reaches maximum height and weight for the
seat
◉ At what angle should a baby's carseat be set at? Answer: 45
degree angle to keep newborn from slumping and experiencing an
airway obstruction
◉ How often must a client saturate a perineal pad to be considered
excessive vaginal bleeding/postpartum hemorrhage? Answer: <1 hr.
This can cause dizziness and syncope, increasing fall risk
◉ Fever for 2 consecutive days, chills, foul-smelling lochia and
abdominal tenderness indicate what? Answer: An infection of lining
,of uterus. Nurse should obtain a vaginal culture using a sterile swab
to collect the fluid from the client's vaginal cavity to identify
organism
◉ Do you need to check deep tendon reflexes before administering
opioids? Answer: NO
◉ What does generalized petechiae indicate on a newborn? Answer:
Clotting factor deficiency or infection. Report finding to provider
immediately
◉ What is Chadwick sign? Answer: Bluish discoloration of the vagina
and cervix
-a probable sign of pregnancy
-indication of early pregnancy
◉ A nurse is caring for a client who had a vaginal delivery 2 hr ago
and is reporting increasing perineal pain and pressure. The nurse
examines the client's perineum and sees a 4 cm (1.6 in) area of
purplish discoloration with swelling. This should be interpreted as
what? Answer: A hematoma. This is a collection of blood in
connective tissue while overlying skin or mucous membranes
remain intact. Small ones reabsorb on their own but large ones may
require incision and ligation of bleeding vessels
, ◉ A nurse is assessing a client who is 6 hrs postpartum, tachycardic
and has cool skin. The client reports bleeding excessively. What
should the nurse do? Answer: Initiate oxytocin infusion. Client is
exhibiting signs of hypovolemic shock caused by uterine atony (this
is a medical emergency). Initiate 10-20 units of oxytocin that will
cause uterus to contract and decrease bleeding
◉ What are the assessment findings of preeclampsia? Answer: -
Severe HA
-Blurred vision
-Confusion
-N/V
-Decreased urinary output
◉ What should the nurse monitor when a newborn is on
phototherapy to reduce bilirubin? Answer: Intake and output.
Phototherapy increases rate of insensible water loss, contributing to
fluid loss and dehydration
◉ A nurse is preparing to administer methotrexate to a client who is
experiencing an ectopic pregnancy. What should the nurse do?
Answer: Wear two pairs of gloves when handling the med. It's an
antineoplastic agent
2026 COMPLETE QUESTIONS SOLUTIONS
GRADED A+
◉ What is the Montevideo unit (MVU) range? Answer: 100-
250mmHg during first stage of labor and increase to 300-400 mmHg
during second stage
-Calculated by subtracting baseline uterine pressure from peak
contraction pressure for every contraction occurring in 10 min
period. Then add pressure produced by each contraction
◉ What is a presumptive sign of pregnancy? Answer: Amenorrhea
◉ What is a common adverse effect of terbutaline? Answer: Tremors
◉ Important considerations when teaching about an IUD? Answer: -
If at risk for STDs you'll need to have cultures before IUD placement
-Effective for 3-10 years
-May experience irregular spotting during first few months after
placement
-Can still use tampons
-Sign consent form before procedure
,◉ How long are IUDs effective at preventing pregnancy? Answer: 3-
10 years
◉ A nurses is assessing a client in labor. What lab findings should
the nurse expects? Answer: -Increased WBCs (from physical and
emotional stress)
-Decreased in B/G from maternal metabolism, physical exertion, and
delivery of placenta
-Increased temp., flushed cheeks, and warm skin from vascular
changes
◉ How long should a child be kept in a rear-facing car seat? Answer:
Until age 2 or until child reaches maximum height and weight for the
seat
◉ At what angle should a baby's carseat be set at? Answer: 45
degree angle to keep newborn from slumping and experiencing an
airway obstruction
◉ How often must a client saturate a perineal pad to be considered
excessive vaginal bleeding/postpartum hemorrhage? Answer: <1 hr.
This can cause dizziness and syncope, increasing fall risk
◉ Fever for 2 consecutive days, chills, foul-smelling lochia and
abdominal tenderness indicate what? Answer: An infection of lining
,of uterus. Nurse should obtain a vaginal culture using a sterile swab
to collect the fluid from the client's vaginal cavity to identify
organism
◉ Do you need to check deep tendon reflexes before administering
opioids? Answer: NO
◉ What does generalized petechiae indicate on a newborn? Answer:
Clotting factor deficiency or infection. Report finding to provider
immediately
◉ What is Chadwick sign? Answer: Bluish discoloration of the vagina
and cervix
-a probable sign of pregnancy
-indication of early pregnancy
◉ A nurse is caring for a client who had a vaginal delivery 2 hr ago
and is reporting increasing perineal pain and pressure. The nurse
examines the client's perineum and sees a 4 cm (1.6 in) area of
purplish discoloration with swelling. This should be interpreted as
what? Answer: A hematoma. This is a collection of blood in
connective tissue while overlying skin or mucous membranes
remain intact. Small ones reabsorb on their own but large ones may
require incision and ligation of bleeding vessels
, ◉ A nurse is assessing a client who is 6 hrs postpartum, tachycardic
and has cool skin. The client reports bleeding excessively. What
should the nurse do? Answer: Initiate oxytocin infusion. Client is
exhibiting signs of hypovolemic shock caused by uterine atony (this
is a medical emergency). Initiate 10-20 units of oxytocin that will
cause uterus to contract and decrease bleeding
◉ What are the assessment findings of preeclampsia? Answer: -
Severe HA
-Blurred vision
-Confusion
-N/V
-Decreased urinary output
◉ What should the nurse monitor when a newborn is on
phototherapy to reduce bilirubin? Answer: Intake and output.
Phototherapy increases rate of insensible water loss, contributing to
fluid loss and dehydration
◉ A nurse is preparing to administer methotrexate to a client who is
experiencing an ectopic pregnancy. What should the nurse do?
Answer: Wear two pairs of gloves when handling the med. It's an
antineoplastic agent
