COURSE CODE: VATI RN MATERNAL NEWBORN EXAM DATE TIME
COURSE TITLE: Virtual ATI — Maternal Newborn Nursing
—/—/ ALLOWED
Assessment
—— 120 Minutes
INSTRUCTOR: —
VATI RN Maternal Newborn
Assessment
Comprehensive Examination — Antepartum, Intrapartum, Postpartum & Newborn Nursing Care
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (75 Marks)
Choose the single best answer for each question. Write the correct letter (A, B, C, or D) in the space provided.
1. 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?
A. Clients prescribed methadone should avoid breastfeeding due to risk of neonatal withdrawal.
B. Encourage clients who are prescribed methadone to breastfeed.
C. Methadone is contraindicated during pregnancy due to teratogenic effects.
D. Clients on methadone should formula feed exclusively to monitor intake precisely.
✦ CORRECT ANSWER: B — Encourage clients who are prescribed methadone to breastfeed.
Breastfeeding is encouraged for mothers on methadone maintenance therapy. Minimal amounts of
methadone are excreted in breast milk, and breastfeeding can reduce the severity of neonatal abstinence
syndrome (NAS) symptoms. Breastfeeding provides comfort and promotes maternal-infant bonding. Clients
should be supported in this decision while receiving comprehensive substance use disorder care.
,2. A nurse is caring for a client who received terbutaline subcutaneously. Which of the
following findings is an indication the medication was effective?
A. Increased maternal heart rate.
B. Decreased frequency of contractions.
C. Elevated blood glucose level.
D. Increased fetal heart rate variability.
✦ CORRECT ANSWER: B — Decreased frequency of contractions.
Terbutaline is a beta-adrenergic agonist tocolytic medication that relaxes uterine smooth muscle to decrease
contraction frequency. Therapeutic effectiveness is measured by reduction or cessation of contractions.
Adverse effects include maternal tachycardia (heart rate >120 bpm is a concerning adverse effect requiring
provider notification), jitteriness, headache, and hyperglycaemia. Beta-adrenergic agonists also increase fetal
heart rate.
3. A charge nurse is discussing care of clients who are in labour with a newly licensed
nurse. Which of the following actions should the charge nurse include in the teaching
regarding situations requiring an amniotomy?
A. Administering oxytocin prior to the procedure.
B. Placing a fetal scalp electrode.
C. Performing a digital cervical examination after the procedure.
D. Positioning the client supine during the procedure.
✦ CORRECT ANSWER: B — Placing a fetal scalp electrode.
Amniotomy (artificial rupture of membranes) is performed to facilitate internal fetal monitoring via a fetal
scalp electrode, which requires direct access to the fetal presenting part. It may also be used for labour
induction/augmentation. Following the procedure, the nurse must monitor the client's temperature frequently
(every 2 hours) due to increased infection risk, assess FHR immediately for signs of cord compression, and
document the colour, amount, and odour of amniotic fluid.
, 4. 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?
A. Heart rate 54/min.
B. Blood pressure 154/96 mmHg.
C. Respiratory rate 18/min.
D. Temperature 37.2°C.
✦ CORRECT ANSWER: A — Heart rate 54/min.
Labetalol is a combined alpha- and beta-adrenergic blocker that reduces both heart rate and blood pressure. A
heart rate of 54/min indicates bradycardia, and administering labetalol could further depress the heart rate
dangerously. The medication should be withheld and the provider notified. Blood pressure of 154/96 is
elevated and is the indication for labetalol administration in preeclampsia management.
5. 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. What is the correct
sequence of steps the nurse should take?
A. Initiate chest thrusts, then stand posterior to the client, then position arms under the client's axilla.
B. Stand posterior to the client, position arms under the client's axilla and across the chest, place thumb-
side of a clenched fist to the mid-sternum area, then initiate chest thrusts using a backward motion.
C. Perform abdominal thrusts (Heimlich manoeuvre) as for a non-pregnant adult.
D. Immediately initiate CPR without attempting to clear the airway.
✦ CORRECT ANSWER: B — Stand posterior, position arms under axilla and across chest, place clenched
fist at mid-sternum, then initiate backward chest thrusts.
For a pregnant client (especially at 30 weeks with an enlarged uterus), chest thrusts are performed rather than
abdominal thrusts. Steps: (1) Stand posterior to the client; (2) Position arms under the client's axilla and across
the chest; (3) Place the thumb-side of a clenched fist against the client's mid-sternum area (avoiding the
xiphoid process); (4) Perform chest thrusts using backward motions. If the client loses consciousness, initiate
CPR and activate emergency services.
COURSE TITLE: Virtual ATI — Maternal Newborn Nursing
—/—/ ALLOWED
Assessment
—— 120 Minutes
INSTRUCTOR: —
VATI RN Maternal Newborn
Assessment
Comprehensive Examination — Antepartum, Intrapartum, Postpartum & Newborn Nursing Care
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (75 Marks)
Choose the single best answer for each question. Write the correct letter (A, B, C, or D) in the space provided.
1. 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?
A. Clients prescribed methadone should avoid breastfeeding due to risk of neonatal withdrawal.
B. Encourage clients who are prescribed methadone to breastfeed.
C. Methadone is contraindicated during pregnancy due to teratogenic effects.
D. Clients on methadone should formula feed exclusively to monitor intake precisely.
✦ CORRECT ANSWER: B — Encourage clients who are prescribed methadone to breastfeed.
Breastfeeding is encouraged for mothers on methadone maintenance therapy. Minimal amounts of
methadone are excreted in breast milk, and breastfeeding can reduce the severity of neonatal abstinence
syndrome (NAS) symptoms. Breastfeeding provides comfort and promotes maternal-infant bonding. Clients
should be supported in this decision while receiving comprehensive substance use disorder care.
,2. A nurse is caring for a client who received terbutaline subcutaneously. Which of the
following findings is an indication the medication was effective?
A. Increased maternal heart rate.
B. Decreased frequency of contractions.
C. Elevated blood glucose level.
D. Increased fetal heart rate variability.
✦ CORRECT ANSWER: B — Decreased frequency of contractions.
Terbutaline is a beta-adrenergic agonist tocolytic medication that relaxes uterine smooth muscle to decrease
contraction frequency. Therapeutic effectiveness is measured by reduction or cessation of contractions.
Adverse effects include maternal tachycardia (heart rate >120 bpm is a concerning adverse effect requiring
provider notification), jitteriness, headache, and hyperglycaemia. Beta-adrenergic agonists also increase fetal
heart rate.
3. A charge nurse is discussing care of clients who are in labour with a newly licensed
nurse. Which of the following actions should the charge nurse include in the teaching
regarding situations requiring an amniotomy?
A. Administering oxytocin prior to the procedure.
B. Placing a fetal scalp electrode.
C. Performing a digital cervical examination after the procedure.
D. Positioning the client supine during the procedure.
✦ CORRECT ANSWER: B — Placing a fetal scalp electrode.
Amniotomy (artificial rupture of membranes) is performed to facilitate internal fetal monitoring via a fetal
scalp electrode, which requires direct access to the fetal presenting part. It may also be used for labour
induction/augmentation. Following the procedure, the nurse must monitor the client's temperature frequently
(every 2 hours) due to increased infection risk, assess FHR immediately for signs of cord compression, and
document the colour, amount, and odour of amniotic fluid.
, 4. 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?
A. Heart rate 54/min.
B. Blood pressure 154/96 mmHg.
C. Respiratory rate 18/min.
D. Temperature 37.2°C.
✦ CORRECT ANSWER: A — Heart rate 54/min.
Labetalol is a combined alpha- and beta-adrenergic blocker that reduces both heart rate and blood pressure. A
heart rate of 54/min indicates bradycardia, and administering labetalol could further depress the heart rate
dangerously. The medication should be withheld and the provider notified. Blood pressure of 154/96 is
elevated and is the indication for labetalol administration in preeclampsia management.
5. 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. What is the correct
sequence of steps the nurse should take?
A. Initiate chest thrusts, then stand posterior to the client, then position arms under the client's axilla.
B. Stand posterior to the client, position arms under the client's axilla and across the chest, place thumb-
side of a clenched fist to the mid-sternum area, then initiate chest thrusts using a backward motion.
C. Perform abdominal thrusts (Heimlich manoeuvre) as for a non-pregnant adult.
D. Immediately initiate CPR without attempting to clear the airway.
✦ CORRECT ANSWER: B — Stand posterior, position arms under axilla and across chest, place clenched
fist at mid-sternum, then initiate backward chest thrusts.
For a pregnant client (especially at 30 weeks with an enlarged uterus), chest thrusts are performed rather than
abdominal thrusts. Steps: (1) Stand posterior to the client; (2) Position arms under the client's axilla and across
the chest; (3) Place the thumb-side of a clenched fist against the client's mid-sternum area (avoiding the
xiphoid process); (4) Perform chest thrusts using backward motions. If the client loses consciousness, initiate
CPR and activate emergency services.
