VATI Maternal Newborn QUESTIONS AND ANSWERS| GRADED A
What is abstinence syndrome? Correct Answer: Symptoms of drug withdrawal as a result of physical
dependence of the mother
What are the indications for a non-stress test? Correct Answer: Pregnancy problems such as suspected
intrauterine growth restriction (IUGR), maternal diabetes, or when mother has twins in womb
Over how much time should morphine be administered over? Correct Answer: 4-5 minutes to prevent
hypotension and respiratory depression
A client who does not wish to breastfeed can alleviate engorgement and swelling by wearing what type
of bra? Correct Answer: Tight-fitting bra or breast binders to alleviate engorgement and swelling
A nurse is planning care for a client who has Hep B with jaundice. What intervention should the nurse
include in the plan? Correct Answer: Provide high-calorie, high protein diet. Clients w/ Hep B are at
increased risk for inadequate nutrition d/t N/V, anorexia, and fatigue
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse
notes a reassuring FHR tracing from the external fetal monitor. What action should the nurse perform?
Correct Answer: Prepare equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort, decreased muscle tone, and
bradycardia after delivery
What is the Bishop score? Correct Answer: Used to determine maternal readiness for labor by
evaluating whether the cervix is favorable by rating the following: 1. dilation, 2. effacement, 3. cervical
consistency, 4. cervical position and 5. station of presenting part
A nurse in a clinic is providing education to a client at 32 weeks gestation who has pruritis gravidarum.
What should the nurse teach as the treatment. Correct Answer: Slightly increase exposure to sunlight
b/c it can reduce itching. Pruritis gravidarum is a condition of pregnancy that causes generalized itching
without the presence of a rash d/t stretching of the skin
For what clients is isotretinoin cream contraindicated in? Correct Answer: (Accutane).. Contraindicated
in pregnant clients b/c it is teratogenic
What is the moro reflex? Correct Answer: startle reflex-initiated by clapping hands and infant will have
symmetric movement of arms and legs
How long does it take for respiratory depression to occur after an IV bolus of morphine? Correct Answer:
Can occur within 7 minutes after
What are characteristics of the fetus that are reviewed to determine the biophysical profile (BPP) during
an ultrasound? Correct Answer: -Fetal tone
-Relative FHR in relation to activity
, -Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse
anticipate? Correct Answer: -Facial anomalies- eyes with epicanthal folds, strabismus, ptosis, mouth
with a poor suck, small teeth, cleft lip or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
-Sleep disturbance
A nurse is caring for a client who is in active labor with ROM. On assessment, the nurse notes the client
has extrusion of the umbilical cord at the vaginal introitus. What is the priority nursing intervention?
Correct Answer: Use a sterile gloved hand and apply finger pressure to elevate the presenting part of
the fetus. Compression of cord prevents adequate fetal blood flow and can cause anoxic brain damage.
Nurse should emergently elevate part of fetus that is compressing the umbilical cord
A client complaining of pain or vaginal pressure and has a large amount of bright lochia with a firm
uterus likely has what? Correct Answer: A perineal laceration
What are the types of perineal lacerations? Correct Answer: 1st degree-4th degree depending on size
and depth of cut
1st degree-only perineal skin (skin between vaginal opening and rectum). Typically heals on its own
4th degree-extends through anal sphincter and into mucous membrane lining rectum
A nurse notes late decelerations on the fetal monitor. What priority actions should the nurse take?
Correct Answer: -Monitor BP-Turn client onto side
-Administer IV fluids
-Discontinue oxytocin
-Give O2
-Prepare for delivery
What are the indications for an amniotomy? Correct Answer: Inducing or expediting labor or in
anticipation of the placement of internal monitors (uterine pressure catheters or fetal scalp electrodes)
Ptosis Correct Answer: Eyelid drooping. Upper eyelid is lower than it should be in infants and children
(can occur in one or both eyes)
When does breast engorgement occur and how should it be managed? Correct Answer: 3-5 days after
birth.
-Cold compresses applied AFTER breastfeeding
-Warm shower or warm compresses applied before breastfeeding can increase milk flow and facilitate
letdown reflex
What is abstinence syndrome? Correct Answer: Symptoms of drug withdrawal as a result of physical
dependence of the mother
What are the indications for a non-stress test? Correct Answer: Pregnancy problems such as suspected
intrauterine growth restriction (IUGR), maternal diabetes, or when mother has twins in womb
Over how much time should morphine be administered over? Correct Answer: 4-5 minutes to prevent
hypotension and respiratory depression
A client who does not wish to breastfeed can alleviate engorgement and swelling by wearing what type
of bra? Correct Answer: Tight-fitting bra or breast binders to alleviate engorgement and swelling
A nurse is planning care for a client who has Hep B with jaundice. What intervention should the nurse
include in the plan? Correct Answer: Provide high-calorie, high protein diet. Clients w/ Hep B are at
increased risk for inadequate nutrition d/t N/V, anorexia, and fatigue
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse
notes a reassuring FHR tracing from the external fetal monitor. What action should the nurse perform?
Correct Answer: Prepare equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort, decreased muscle tone, and
bradycardia after delivery
What is the Bishop score? Correct Answer: Used to determine maternal readiness for labor by
evaluating whether the cervix is favorable by rating the following: 1. dilation, 2. effacement, 3. cervical
consistency, 4. cervical position and 5. station of presenting part
A nurse in a clinic is providing education to a client at 32 weeks gestation who has pruritis gravidarum.
What should the nurse teach as the treatment. Correct Answer: Slightly increase exposure to sunlight
b/c it can reduce itching. Pruritis gravidarum is a condition of pregnancy that causes generalized itching
without the presence of a rash d/t stretching of the skin
For what clients is isotretinoin cream contraindicated in? Correct Answer: (Accutane).. Contraindicated
in pregnant clients b/c it is teratogenic
What is the moro reflex? Correct Answer: startle reflex-initiated by clapping hands and infant will have
symmetric movement of arms and legs
How long does it take for respiratory depression to occur after an IV bolus of morphine? Correct Answer:
Can occur within 7 minutes after
What are characteristics of the fetus that are reviewed to determine the biophysical profile (BPP) during
an ultrasound? Correct Answer: -Fetal tone
-Relative FHR in relation to activity
, -Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse
anticipate? Correct Answer: -Facial anomalies- eyes with epicanthal folds, strabismus, ptosis, mouth
with a poor suck, small teeth, cleft lip or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
-Sleep disturbance
A nurse is caring for a client who is in active labor with ROM. On assessment, the nurse notes the client
has extrusion of the umbilical cord at the vaginal introitus. What is the priority nursing intervention?
Correct Answer: Use a sterile gloved hand and apply finger pressure to elevate the presenting part of
the fetus. Compression of cord prevents adequate fetal blood flow and can cause anoxic brain damage.
Nurse should emergently elevate part of fetus that is compressing the umbilical cord
A client complaining of pain or vaginal pressure and has a large amount of bright lochia with a firm
uterus likely has what? Correct Answer: A perineal laceration
What are the types of perineal lacerations? Correct Answer: 1st degree-4th degree depending on size
and depth of cut
1st degree-only perineal skin (skin between vaginal opening and rectum). Typically heals on its own
4th degree-extends through anal sphincter and into mucous membrane lining rectum
A nurse notes late decelerations on the fetal monitor. What priority actions should the nurse take?
Correct Answer: -Monitor BP-Turn client onto side
-Administer IV fluids
-Discontinue oxytocin
-Give O2
-Prepare for delivery
What are the indications for an amniotomy? Correct Answer: Inducing or expediting labor or in
anticipation of the placement of internal monitors (uterine pressure catheters or fetal scalp electrodes)
Ptosis Correct Answer: Eyelid drooping. Upper eyelid is lower than it should be in infants and children
(can occur in one or both eyes)
When does breast engorgement occur and how should it be managed? Correct Answer: 3-5 days after
birth.
-Cold compresses applied AFTER breastfeeding
-Warm shower or warm compresses applied before breastfeeding can increase milk flow and facilitate
letdown reflex
