VATI RN Maternal Newborn 2023; Questions & Answers;100%
Verified: Guaranteed A+ latest 2023 verified by expert
, VATI RN Maternal Newborn 2019 GRADED A
1. A charge nurse is teaching a newly licensed nurse about substance use
disorders during pregnancy. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?: Encourage client
who are prescribed methadone to breastfeed.
-The nurse should encourage clients who are prescribed methadone during preg-
nancy to breastfeed their newborns to help with withdrawal symptoms.
2. A nurse is caring for a client who received terbutaline subcutaneously.
Which of the following findings is an indication the medication was effec-
tive?: Decreased frequency of contractions.
-Terbutaline is a tocolytic medication that is used to halt preterm labor. Terbutaline
cause relaxation of smooth muscle, which decrease uterine activity. Therefore, the
nurse should identify that a decrease in frequency of contractions is an indication
that terbutaline was effective.
3. 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 in-
clude in the teaching regarding situations requiring an amniotomy?: Placing
a fetal scalp electrode.
-A fetal scalp electrode is attached to the presenting part of the fetus in order
to provide accurate continuous monitoring of the fetal heart rate. If the client's
membranes are intact, the amniotic sac must be artificially ruptured prior to
attaching the electrode to enable access to the presenting part.
4. 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?: Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the expected
reference range of 60 to 100/min. During pregnancy, the heart rate increases
10 to 15/min due to increased blood volume and increase tissue demands for
oxygen. Bradycardia is a contraindication for the administration of labetalol, an
antihypertensive medication. Therefore, the nurse should withhold the medication
and notify the provider.
5. 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.: 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.
, VATI RN Maternal Newborn 2019 GRADED A
-If the client becomes unconscious, the nurse should perform CPR and activate
emergency medical services.
6. 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): Maternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess the clients
blood pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to administering
pain medication and again after administering pain medication to determine the
effectiveness of the medication. Opioid analgesic are indicated for the relief of
moderate to sever labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in variability. The
nurse should assess the fetal heart rate prior to administering an opioid analgesic
to ensure the rate is within the expedited reference range and to have a baseline
for future assessments. The nurse should provide ongoing assessments of fetal
heart rate throughout labor according to facility protocol.
7. 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?: Rheumatoid Arthritis.
-The presence of a connective tissue disease, such as rheumatoid arthritis or
systemic lupus erythematosus, increase a clients risk for developing preeclampsia.
8. A nurse is reviewing the laboratory results for a postpartum client who is
receiving warfarin for deep-vein thrombosis. Which of the following labora-
tory tests should the nurse monitor?: International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin. Prothrombin
time(PT) is also measure to regulate warfarin therapy. However, PT values are
more difficult to interpret. INR determined by multiplying the PT by a correction
factor based on the specific thromboplastin preparation used for the test, as a way
of equalizing laboratory to laboratory variations.
9. 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?: Montevideo units (MVU) of 220
mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the expected
range during the active phase of labor. MVUs generally range between 100 to
250 mm Hg during the first stage of labor and increase to 300 to 400 mm Hg
Verified: Guaranteed A+ latest 2023 verified by expert
, VATI RN Maternal Newborn 2019 GRADED A
1. A charge nurse is teaching a newly licensed nurse about substance use
disorders during pregnancy. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?: Encourage client
who are prescribed methadone to breastfeed.
-The nurse should encourage clients who are prescribed methadone during preg-
nancy to breastfeed their newborns to help with withdrawal symptoms.
2. A nurse is caring for a client who received terbutaline subcutaneously.
Which of the following findings is an indication the medication was effec-
tive?: Decreased frequency of contractions.
-Terbutaline is a tocolytic medication that is used to halt preterm labor. Terbutaline
cause relaxation of smooth muscle, which decrease uterine activity. Therefore, the
nurse should identify that a decrease in frequency of contractions is an indication
that terbutaline was effective.
3. 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 in-
clude in the teaching regarding situations requiring an amniotomy?: Placing
a fetal scalp electrode.
-A fetal scalp electrode is attached to the presenting part of the fetus in order
to provide accurate continuous monitoring of the fetal heart rate. If the client's
membranes are intact, the amniotic sac must be artificially ruptured prior to
attaching the electrode to enable access to the presenting part.
4. 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?: Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the expected
reference range of 60 to 100/min. During pregnancy, the heart rate increases
10 to 15/min due to increased blood volume and increase tissue demands for
oxygen. Bradycardia is a contraindication for the administration of labetalol, an
antihypertensive medication. Therefore, the nurse should withhold the medication
and notify the provider.
5. 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.: 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.
, VATI RN Maternal Newborn 2019 GRADED A
-If the client becomes unconscious, the nurse should perform CPR and activate
emergency medical services.
6. 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): Maternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess the clients
blood pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to administering
pain medication and again after administering pain medication to determine the
effectiveness of the medication. Opioid analgesic are indicated for the relief of
moderate to sever labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in variability. The
nurse should assess the fetal heart rate prior to administering an opioid analgesic
to ensure the rate is within the expedited reference range and to have a baseline
for future assessments. The nurse should provide ongoing assessments of fetal
heart rate throughout labor according to facility protocol.
7. 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?: Rheumatoid Arthritis.
-The presence of a connective tissue disease, such as rheumatoid arthritis or
systemic lupus erythematosus, increase a clients risk for developing preeclampsia.
8. A nurse is reviewing the laboratory results for a postpartum client who is
receiving warfarin for deep-vein thrombosis. Which of the following labora-
tory tests should the nurse monitor?: International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin. Prothrombin
time(PT) is also measure to regulate warfarin therapy. However, PT values are
more difficult to interpret. INR determined by multiplying the PT by a correction
factor based on the specific thromboplastin preparation used for the test, as a way
of equalizing laboratory to laboratory variations.
9. 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?: Montevideo units (MVU) of 220
mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the expected
range during the active phase of labor. MVUs generally range between 100 to
250 mm Hg during the first stage of labor and increase to 300 to 400 mm Hg
