VATI RN RN VATI MATERNAL NEWBORN
TEST BANK SOLVED QUESTIONS AND
VERIFIED RESPONSES GRADED A+
⩥ A 38-week primigravida is admitted to labor and delivery after a non-
reactive stress test (NST). The nurse begins a contraction stress test
(CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations.
Answer: D. A pattern of fetal late decelerations.
⩥ In determining the one minute Apgar score of a male infant the nurse
asses a heart rate of 120 per min....respiration.. He has a loud cry with
stimualtion, good muscle tone, color is acrocyanotic . What should the
nurse assign?
A. 7
B. 8
C. 9
D. 10
Answer: C. 9
,⩥ The nurses assessment on a preterm infant reveals decreased muscle
tone , sign of respiratory distress , irritability , mottled cool skin.Which
intervention should the nurse implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water
Answer: A. Position a radiant warmer on the crib
⩥ Vaginal prostiglandin gel is used to induce labor women who are 42
weeks of gestation. Thirty minutes after insertion of the gel , the client
complains of vaginal warmth, and is experiencing 90 second
contractions with fetal heart deceleration. What action should the nurse
implement first
A. Assess maternal vital signs
B. Notify the healthcare provider
C. Increase the IV infusion rate
D. Turn to a side lying position
Answer: D. Turn to a side lying position
⩥ A primigravida at 40 weeks gestation is contraction q2 minutes her
cervix is 9cm dilated and 100% effaced. The fetus heart rate is 120 beats
, per minute. The client is screaming and her husband is alarmed. What
intervention should the nurse do?A. Notify rapid response
B. Have delivery table set up
C. Ask husband to step out
D. Administer a PRN narcotic
Answer: B. Have delivery table set up
⩥ The nurse is assessing a client at 29 weeks gestation. Which
assessment measure would provide the most accurate determination of
fetal position?
A. Ultrasound
B. Vaginal examination
C. Leopolds maneuver
D. Doppler
Answer: A. Ultrasound
⩥ A client at 28 weeks gestation is admitted to the obstetrical unit
following her involvement in a motor vehicle collision. While stabilizing
the patient , the nurse obtains fetal monitor reading. Which action should
the nurse take if the fetus is tachycardic is on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask
TEST BANK SOLVED QUESTIONS AND
VERIFIED RESPONSES GRADED A+
⩥ A 38-week primigravida is admitted to labor and delivery after a non-
reactive stress test (NST). The nurse begins a contraction stress test
(CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations.
Answer: D. A pattern of fetal late decelerations.
⩥ In determining the one minute Apgar score of a male infant the nurse
asses a heart rate of 120 per min....respiration.. He has a loud cry with
stimualtion, good muscle tone, color is acrocyanotic . What should the
nurse assign?
A. 7
B. 8
C. 9
D. 10
Answer: C. 9
,⩥ The nurses assessment on a preterm infant reveals decreased muscle
tone , sign of respiratory distress , irritability , mottled cool skin.Which
intervention should the nurse implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water
Answer: A. Position a radiant warmer on the crib
⩥ Vaginal prostiglandin gel is used to induce labor women who are 42
weeks of gestation. Thirty minutes after insertion of the gel , the client
complains of vaginal warmth, and is experiencing 90 second
contractions with fetal heart deceleration. What action should the nurse
implement first
A. Assess maternal vital signs
B. Notify the healthcare provider
C. Increase the IV infusion rate
D. Turn to a side lying position
Answer: D. Turn to a side lying position
⩥ A primigravida at 40 weeks gestation is contraction q2 minutes her
cervix is 9cm dilated and 100% effaced. The fetus heart rate is 120 beats
, per minute. The client is screaming and her husband is alarmed. What
intervention should the nurse do?A. Notify rapid response
B. Have delivery table set up
C. Ask husband to step out
D. Administer a PRN narcotic
Answer: B. Have delivery table set up
⩥ The nurse is assessing a client at 29 weeks gestation. Which
assessment measure would provide the most accurate determination of
fetal position?
A. Ultrasound
B. Vaginal examination
C. Leopolds maneuver
D. Doppler
Answer: A. Ultrasound
⩥ A client at 28 weeks gestation is admitted to the obstetrical unit
following her involvement in a motor vehicle collision. While stabilizing
the patient , the nurse obtains fetal monitor reading. Which action should
the nurse take if the fetus is tachycardic is on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask
