VATI RN Maternal Newborn Assessment 1 of 22
A charge nurse is discussing care of clients who are in Placing a fetal scalp electrode.
labor with a newly licensed nurse. Which of the
following actions should the charge nurse include in
the teaching regarding situations requiring an
amniotomy?
A charge nurse is discussing syphilis with a newly A chancre lesion appears within 90 day after infection during the primary
licensed nurse. Which of the following statements stage.
should the charge nurse make?
A charge nurse is providing teaching to a newly The most accurate indication of organ perfusion is a clients urine output.
licensed nurse who is caring for a client who has
postpartum hemorrhagic shock. Which of the
following statements should the charge nurse make?
A charge nurse is teaching a newly licensed nurse Encourage client who are prescribed methadone to breastfeed.
about substance use disorders during pregnancy.
Which of the following statements by the newly
licensed nurse indicates an understanding of the
teaching?
2/5/2026 1
,VATI RN Maternal Newborn Assessment 2 of 22
A client who is in active labor is admitted to a labor Check fetal heart tones.
and delivery unit and reports, "My water just broke
and my baby is breech." Which of the following
actions should the nurse take first?
A nurse is admitting a client who is at 39wks of Administer IV antibiotic prophylaxis.
gestation and in active labor. The client reports being
positive for group B streptococcus (GBS) when
screened at 36wks of gestation. Which of the
following actions should the nurse expect to take?
A nurse is assessing a 1-hr-old newborn. Which of the Generalized petechiae
following findings should the nurse report to the
provider?
2/5/2026 2
, VATI RN Maternal Newborn Assessment 3 of 22
A nurse is assessing a client who delivered a 4.5kg C is correct.
(10lbs) newborn 2hrs ago. Identify the level in the -Immediately after birth, the fundus should be firm, midline with the
abdomen a nurse should expect to find the client's umbilicus, and approximately 2cm below the level of the umbilicus. At 12hrs
uterus when assessing the fundus. postpartum the nurse should palpate the fundus at 1cm (0.4in) above the
umbilicus. Every 24hrs the fundus should descend approximately 1-2cm (0.4-
0.8in) It should be halfway between the symphysis pubis and the umbilicus
by 6 days postpartum.
A nurse is assessing a client who gave birth 4hrs ago Urinary output.
and is receiving 2 units packed RBCs due to a
postpartum hemorrhage. Which of the following
findings is the best indication of adequate perfusion
and oxygenation?
A nurse is assessing a client who has genital herpes. Ulcerated lesions on the labia.
Which of the following findings should the nurse
expect?
2/5/2026 3
A charge nurse is discussing care of clients who are in Placing a fetal scalp electrode.
labor with a newly licensed nurse. Which of the
following actions should the charge nurse include in
the teaching regarding situations requiring an
amniotomy?
A charge nurse is discussing syphilis with a newly A chancre lesion appears within 90 day after infection during the primary
licensed nurse. Which of the following statements stage.
should the charge nurse make?
A charge nurse is providing teaching to a newly The most accurate indication of organ perfusion is a clients urine output.
licensed nurse who is caring for a client who has
postpartum hemorrhagic shock. Which of the
following statements should the charge nurse make?
A charge nurse is teaching a newly licensed nurse Encourage client who are prescribed methadone to breastfeed.
about substance use disorders during pregnancy.
Which of the following statements by the newly
licensed nurse indicates an understanding of the
teaching?
2/5/2026 1
,VATI RN Maternal Newborn Assessment 2 of 22
A client who is in active labor is admitted to a labor Check fetal heart tones.
and delivery unit and reports, "My water just broke
and my baby is breech." Which of the following
actions should the nurse take first?
A nurse is admitting a client who is at 39wks of Administer IV antibiotic prophylaxis.
gestation and in active labor. The client reports being
positive for group B streptococcus (GBS) when
screened at 36wks of gestation. Which of the
following actions should the nurse expect to take?
A nurse is assessing a 1-hr-old newborn. Which of the Generalized petechiae
following findings should the nurse report to the
provider?
2/5/2026 2
, VATI RN Maternal Newborn Assessment 3 of 22
A nurse is assessing a client who delivered a 4.5kg C is correct.
(10lbs) newborn 2hrs ago. Identify the level in the -Immediately after birth, the fundus should be firm, midline with the
abdomen a nurse should expect to find the client's umbilicus, and approximately 2cm below the level of the umbilicus. At 12hrs
uterus when assessing the fundus. postpartum the nurse should palpate the fundus at 1cm (0.4in) above the
umbilicus. Every 24hrs the fundus should descend approximately 1-2cm (0.4-
0.8in) It should be halfway between the symphysis pubis and the umbilicus
by 6 days postpartum.
A nurse is assessing a client who gave birth 4hrs ago Urinary output.
and is receiving 2 units packed RBCs due to a
postpartum hemorrhage. Which of the following
findings is the best indication of adequate perfusion
and oxygenation?
A nurse is assessing a client who has genital herpes. Ulcerated lesions on the labia.
Which of the following findings should the nurse
expect?
2/5/2026 3
