VATI MATERNAL AND NEWBORN
CERTIFICATION SCRIPT 2026 FULL
ANSWERS GRADED A+
⩥ How should a client be instructed to clean an episiotomy?
Answer: Use a squeeze bottle with warm water or antiseptic solution to
keep area clean or rinse away bacteria. Client should blot the area dry,
DO NOT WIPE-it may damage or irritate perineal tissues
⩥ How does biophysical profile test work?
Answer: Ultrasound is used to visualize pockets in amniotic fluid
surrounding fetus to evaluate fetal health.
⩥ What is the normal score for a non-stress test?
Answer: 8-10. Each variable is rated 0-2.
⩥ What is kernicterus?
Answer: Neurological syndrome caused by bilirubin depositing in brain
cells and CSF. Bilirubin levels will be >25 mg/dL.
Assessment: lethargy, hypotonia, high-pitched cry and backward arching
of neck and trunk
,*Survivors may develop cerebral palsy, epilepsy, or mental retardation.
Minor effects include learning disorders or perceptual-motor disabilities
⩥ In a normal baby, where are the ears relative to the face?
Answer: Upper tip of the pinna should be even with the eyes. (low set
ears indicate a chromosome abnormality such as Down Syndrome or a
renal disorder)
⩥ What is lanugo?
Answer: Downy, unpigmented hair that covers the body of some
newborns. It is the first type of hair that grows from hair follicles. It can
be found everywhere on a baby's body, except on the palms, lips, and
soles of the feet. Most fetuses develop lanugo around the fourth or fifth
month of pregnancy
⩥ What are mongolian spots?
Answer: bluish discoloration over buttocks of dark-skinned newborns
and base of spine, probably present on at least one of the parents. Benign
and will usually fade in 1-2 years. Document this to avoid later
confusion with bruises.
⩥ What's a normal APGAR score?
Answer: 8-9 (Perfect is a 10/10)
, ⩥ What score would a pink body, cyanotic hands and feet receive on the
APGAR?
Answer: 1 (color)
0-blue, pale
1-Pink body, cyanotic hands and feet
2-completely pink
⩥ What score would a grimace get on the APGAR? What category?
Answer: 1 (for reflex irritability)
0-none
1-grimace
2-cry
⩥ What would a well-flexed observation get on the APGAR?
Answer: 2 (for muscle tone)
0-flaccid
1-some flexion
2-well-flexed
CERTIFICATION SCRIPT 2026 FULL
ANSWERS GRADED A+
⩥ How should a client be instructed to clean an episiotomy?
Answer: Use a squeeze bottle with warm water or antiseptic solution to
keep area clean or rinse away bacteria. Client should blot the area dry,
DO NOT WIPE-it may damage or irritate perineal tissues
⩥ How does biophysical profile test work?
Answer: Ultrasound is used to visualize pockets in amniotic fluid
surrounding fetus to evaluate fetal health.
⩥ What is the normal score for a non-stress test?
Answer: 8-10. Each variable is rated 0-2.
⩥ What is kernicterus?
Answer: Neurological syndrome caused by bilirubin depositing in brain
cells and CSF. Bilirubin levels will be >25 mg/dL.
Assessment: lethargy, hypotonia, high-pitched cry and backward arching
of neck and trunk
,*Survivors may develop cerebral palsy, epilepsy, or mental retardation.
Minor effects include learning disorders or perceptual-motor disabilities
⩥ In a normal baby, where are the ears relative to the face?
Answer: Upper tip of the pinna should be even with the eyes. (low set
ears indicate a chromosome abnormality such as Down Syndrome or a
renal disorder)
⩥ What is lanugo?
Answer: Downy, unpigmented hair that covers the body of some
newborns. It is the first type of hair that grows from hair follicles. It can
be found everywhere on a baby's body, except on the palms, lips, and
soles of the feet. Most fetuses develop lanugo around the fourth or fifth
month of pregnancy
⩥ What are mongolian spots?
Answer: bluish discoloration over buttocks of dark-skinned newborns
and base of spine, probably present on at least one of the parents. Benign
and will usually fade in 1-2 years. Document this to avoid later
confusion with bruises.
⩥ What's a normal APGAR score?
Answer: 8-9 (Perfect is a 10/10)
, ⩥ What score would a pink body, cyanotic hands and feet receive on the
APGAR?
Answer: 1 (color)
0-blue, pale
1-Pink body, cyanotic hands and feet
2-completely pink
⩥ What score would a grimace get on the APGAR? What category?
Answer: 1 (for reflex irritability)
0-none
1-grimace
2-cry
⩥ What would a well-flexed observation get on the APGAR?
Answer: 2 (for muscle tone)
0-flaccid
1-some flexion
2-well-flexed
