VATI RN MATERNAL NEWBORN UPDATED FINAL
EXAM QUESTIONS AND ANSWERS SURE A+
✔✔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? - ✔✔Heart rate: 132/min
✔✔A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? - ✔✔Apply
moist heat to the affected breast.
✔✔A nurse is teaching routine prenatal care to a group of clients who are pregnant.
Which of the following statements by a client indicates an understanding of the
teaching? - ✔✔I will have monthly prenatal visits for the first 28wks of pregnancy.
✔✔A nurse is providing client teaching regarding an intrauterine device (IUD). Which of
the following statements should the nurse include in the teaching? (SATA) - ✔✔1. You
might have to have cultures for sexually transmitted infections prior to placement of the
device.
2. You might experience irregular spotting the first few months after placement of the
device.
3. You will need to sign informed consent prior to the procedure.
, ✔✔A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - ✔✔Epigastric pain.
✔✔A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool
skin. The client reports that they have been bleeding excessively. Which of the following
actions should the nurse take? - ✔✔Initiate and infusion of oxytocin.
✔✔A nurse is monitoring a client who is in active labor and observes a pattern of late
decelerations on the fetal monitor tracing. Which of the following findings should the
nurse recognize as the potential cause of the deceleration? - ✔✔Fetal hypoxia
✔✔A nurse is teaching a prenatal class to a group of parents and is discussing
facilitation of sibling acceptance of the newborn. Which of the following instructions
should the nurse include in the teaching? - ✔✔The patent should plan to spend
individual time with the older sibling.
✔✔A nurse is caring for a newborn immediately following birth who has meconium-
stained amniotic fluid and exhibits good muscle tone and respiratory efforts. Which of
the following actions should the nurse take first? - ✔✔Begin suctioning of mouth and
nose.
✔✔A nurse is teaching a client about iron supplementation during pregnancy. Which of
the following client statements indicates an understanding of the teaching? - ✔✔I will be
certain to consume 29 grams of fiber daily.
✔✔A nurse is performing a contraction stress test (CST) on a client who is at 40wks of
gestation. The results of the test indicate a negative CST. Which of the following actions
should the nurse take? - ✔✔Allow the labor to progress naturally.
✔✔A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and
displays some flexion of the extremities, is not cry, has irregular respiratory effort, and
has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the
soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What
is the correct Apgar score? - ✔✔1 min is 5.
✔✔A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago.
Identify the level in the abdomen a nurse should expect to find the client's uterus when
assessing the fundus. - ✔✔C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and
approximately 2cm below the level of the umbilicus. At 12hrs 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.
EXAM QUESTIONS AND ANSWERS SURE A+
✔✔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? - ✔✔Heart rate: 132/min
✔✔A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? - ✔✔Apply
moist heat to the affected breast.
✔✔A nurse is teaching routine prenatal care to a group of clients who are pregnant.
Which of the following statements by a client indicates an understanding of the
teaching? - ✔✔I will have monthly prenatal visits for the first 28wks of pregnancy.
✔✔A nurse is providing client teaching regarding an intrauterine device (IUD). Which of
the following statements should the nurse include in the teaching? (SATA) - ✔✔1. You
might have to have cultures for sexually transmitted infections prior to placement of the
device.
2. You might experience irregular spotting the first few months after placement of the
device.
3. You will need to sign informed consent prior to the procedure.
, ✔✔A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - ✔✔Epigastric pain.
✔✔A nurse is assessing a client who is 6hrs postpartum, tachycardia, and has cool
skin. The client reports that they have been bleeding excessively. Which of the following
actions should the nurse take? - ✔✔Initiate and infusion of oxytocin.
✔✔A nurse is monitoring a client who is in active labor and observes a pattern of late
decelerations on the fetal monitor tracing. Which of the following findings should the
nurse recognize as the potential cause of the deceleration? - ✔✔Fetal hypoxia
✔✔A nurse is teaching a prenatal class to a group of parents and is discussing
facilitation of sibling acceptance of the newborn. Which of the following instructions
should the nurse include in the teaching? - ✔✔The patent should plan to spend
individual time with the older sibling.
✔✔A nurse is caring for a newborn immediately following birth who has meconium-
stained amniotic fluid and exhibits good muscle tone and respiratory efforts. Which of
the following actions should the nurse take first? - ✔✔Begin suctioning of mouth and
nose.
✔✔A nurse is teaching a client about iron supplementation during pregnancy. Which of
the following client statements indicates an understanding of the teaching? - ✔✔I will be
certain to consume 29 grams of fiber daily.
✔✔A nurse is performing a contraction stress test (CST) on a client who is at 40wks of
gestation. The results of the test indicate a negative CST. Which of the following actions
should the nurse take? - ✔✔Allow the labor to progress naturally.
✔✔A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and
displays some flexion of the extremities, is not cry, has irregular respiratory effort, and
has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the
soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What
is the correct Apgar score? - ✔✔1 min is 5.
✔✔A nurse is assessing a client who delivered a 4.5kg (10lbs) newborn 2hrs ago.
Identify the level in the abdomen a nurse should expect to find the client's uterus when
assessing the fundus. - ✔✔C is correct.
-Immediately after birth, the fundus should be firm, midline with the umbilicus, and
approximately 2cm below the level of the umbilicus. At 12hrs 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.
