VATI MATERNAL AND NEWBORN EXAM
COMPREHENSIVE OBSTETRIC NURSING STUDY
GUIDE 2026
◉ 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.
◉ A nurse is assessing a client who has placenta previa and is
receiving fetal monitoring. Which of the following clinical findings
should the nurse expect?
Answer: Painless vaginal bleeding.
◉ A nurse is assessing a client who is at 33wks of gestation. Which
of the following findings should the nurse report to the provider?
Answer: Episodes of blurred vision.
COMPREHENSIVE OBSTETRIC NURSING STUDY
GUIDE 2026
◉ 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.
◉ A nurse is assessing a client who has placenta previa and is
receiving fetal monitoring. Which of the following clinical findings
should the nurse expect?
Answer: Painless vaginal bleeding.
◉ A nurse is assessing a client who is at 33wks of gestation. Which
of the following findings should the nurse report to the provider?
Answer: Episodes of blurred vision.
