VATI RN Maternal Newborn
Assessment
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 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 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 assessing a client who has just undergone a cesarean birth and was given
epidural morphine for postpartum pain relief 1hr ago. The nurse notes that the
clients respiratory rate is 10/min. Which of the following actions should the nurse
take first? - ANSWER Administer oxygen by nonrebreather face mask.
Assessment
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 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 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 assessing a client who has just undergone a cesarean birth and was given
epidural morphine for postpartum pain relief 1hr ago. The nurse notes that the
clients respiratory rate is 10/min. Which of the following actions should the nurse
take first? - ANSWER Administer oxygen by nonrebreather face mask.
