VATI MATERNAL AND NEWBORN EXAM HIGH-
YIELD COMPLICATIONS OF PREGNANCY,
POSTPARTUM CARE, AND NEONATAL
ASSESSMENT SUMMARY 2026
◉ A nurse is collecting data from an antepartum client who reports
taking ferrous sulfate twice per day for the past month. The nurse
should notify the provider of which of the following findings?
Answer: Diarrhea
The nurse should report diarrhea to the provider because it is a
potential adverse effect of the medication. Diarrhea can lead to
dehydration, which can cause preterm labor. This finding should be
reported to the provider.
◉ A nurse is collecting data from a client who is 24 hr postpartum.
Which of the following findings is the priority for the nurse to report
to the provider?
Answer: Saturated perineal pad within 15 min
,A saturated perineal pad within 15 min can indicate a cervical or
vaginal tear. Therefore, the nurse should report this finding to the
provider immediately.
◉ Anurse is collecting data from a newborn who is 6 hr old. Which
of the following manifestations should the nurse expect? (Select all
that apply.)
Answer: Rust-stained urine is correct. A newborn's first void can
contain uric acid crystals, which will give the urine a rust-stained
appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures
should be palpable without evidence of fusion. Overlapping sutures
can occur during a vaginal birth to allow passage of the fetus
through the birth canal.
Periodic breathing is correct. A newborn's respiratory effort is
shallow and irregular and can have periods of 5 to 10 seconds with
respiratory effort.
◉ A nurse is reinforcing teaching about daily fetal movement count
with a client who is at 34 weeks of gestation. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I will notify my provider if I do not feel my baby move for
12 hours."
, The nurse should instruct the client to report absence of fetal
movement for 12 hr to the provider. This is known as the fetal alarm
signal, which can indicate fetal distress
◉ A nurse is collecting data from a newborn whose mother tested
positive for cocaine use. Which of the following newborn withdrawal
manifestations should the nurse expect?
Answer: Excessive sucking
The neurotoxic effects of cocaine can lead to excessive sucking and
poor feeding patterns in the newborn. Additional manifestations
include irritability, hypertonicity, tremors, and abnormal sleep
patterns.
◉ A nurse is contributing to the plan of care for a client who plans to
formula feed their newborn. Which of the following interventions
should the nurse recommend to include?
Answer: Dilute concentrated formula with equal parts water.
The nurse should instruct the client to dilute concentrated formula
with an equal volume of water to provide the correct amount of
nutrients to the newborn. Formula prepared with too little water is
over concentrated and can provide protein and minerals in
YIELD COMPLICATIONS OF PREGNANCY,
POSTPARTUM CARE, AND NEONATAL
ASSESSMENT SUMMARY 2026
◉ A nurse is collecting data from an antepartum client who reports
taking ferrous sulfate twice per day for the past month. The nurse
should notify the provider of which of the following findings?
Answer: Diarrhea
The nurse should report diarrhea to the provider because it is a
potential adverse effect of the medication. Diarrhea can lead to
dehydration, which can cause preterm labor. This finding should be
reported to the provider.
◉ A nurse is collecting data from a client who is 24 hr postpartum.
Which of the following findings is the priority for the nurse to report
to the provider?
Answer: Saturated perineal pad within 15 min
,A saturated perineal pad within 15 min can indicate a cervical or
vaginal tear. Therefore, the nurse should report this finding to the
provider immediately.
◉ Anurse is collecting data from a newborn who is 6 hr old. Which
of the following manifestations should the nurse expect? (Select all
that apply.)
Answer: Rust-stained urine is correct. A newborn's first void can
contain uric acid crystals, which will give the urine a rust-stained
appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures
should be palpable without evidence of fusion. Overlapping sutures
can occur during a vaginal birth to allow passage of the fetus
through the birth canal.
Periodic breathing is correct. A newborn's respiratory effort is
shallow and irregular and can have periods of 5 to 10 seconds with
respiratory effort.
◉ A nurse is reinforcing teaching about daily fetal movement count
with a client who is at 34 weeks of gestation. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I will notify my provider if I do not feel my baby move for
12 hours."
, The nurse should instruct the client to report absence of fetal
movement for 12 hr to the provider. This is known as the fetal alarm
signal, which can indicate fetal distress
◉ A nurse is collecting data from a newborn whose mother tested
positive for cocaine use. Which of the following newborn withdrawal
manifestations should the nurse expect?
Answer: Excessive sucking
The neurotoxic effects of cocaine can lead to excessive sucking and
poor feeding patterns in the newborn. Additional manifestations
include irritability, hypertonicity, tremors, and abnormal sleep
patterns.
◉ A nurse is contributing to the plan of care for a client who plans to
formula feed their newborn. Which of the following interventions
should the nurse recommend to include?
Answer: Dilute concentrated formula with equal parts water.
The nurse should instruct the client to dilute concentrated formula
with an equal volume of water to provide the correct amount of
nutrients to the newborn. Formula prepared with too little water is
over concentrated and can provide protein and minerals in
