VATI RN MATERNAL NEWBORN
ASSESSMENT EXAM WITH
CORRECT ANSWERS
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? -
ANSWER --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. - ANSWER --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 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? - ANSWER --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? - ANSWER --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? - ANSWER --Placing a fetal scalp electrode.
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) - ANSWER --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? -
ANSWER --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? -
ANSWER --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? - ANSWER --Montevideo units (MVU) of 220 mm Hg.
A nurse is caring for a client who is at 28wks of gestation and has received two doses of
terbutaline subcutaneously. Which of the following adverse effects is the priority for the nurse
to report to the provider? - ANSWER --Heart rate: 132/min
ASSESSMENT EXAM WITH
CORRECT ANSWERS
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? -
ANSWER --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. - ANSWER --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 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? - ANSWER --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? - ANSWER --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? - ANSWER --Placing a fetal scalp electrode.
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) - ANSWER --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? -
ANSWER --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? -
ANSWER --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? - ANSWER --Montevideo units (MVU) of 220 mm Hg.
A nurse is caring for a client who is at 28wks of gestation and has received two doses of
terbutaline subcutaneously. Which of the following adverse effects is the priority for the nurse
to report to the provider? - ANSWER --Heart rate: 132/min
