New Update !! updated RN VATI Maternal Newborn
2019/ Exam and Answers Updated 2023-2024
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? --------- Answer --------- Episodes of
blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial vasospasms and decreased
perfusion to the retina cause visual disturbances, such as blurred vision, double vision,
or dark spots in the visual field.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) ---------
Answer --------- 1. Tachycardia.
-Hyperemesis gravidarum typically occurs during the first trimester and results in
electrolyte imbalance, excessive weight loss, ketonuria, and nutritional deficiencies.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is assessing a client who is in labor, Which of the following findings should the
nurse expect? --------- Answer --------- Decrease in blood glucose level.
-Maternal metabolism, physical exertion, and delivery of the placenta can lead to a
decreased blood glucose level.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should
identify that yellow exudate covering the newborn's glans penis indicates which of the
following? --------- Answer --------- Healing.
-After 24hrs, yellow exudate usually forms over the glans penis and remains for the next
2-3 days. It sometimes forms a crust, which is expected. The nurse should explain that
the yellow film the guardians will see is granulation tissue as the circumcision heals.
The guardians should not remove this tissue.
A nurse is performing an initial assessment during a client's first prenatal visit. The client
states that her last menstrual period began April 22. Use Nagele's rule to calculate the
expected date of birth (EDB). --------- Answer --------- 0129
-Begin with the first day of the clients last menstrual period, subtract 3 months, and add
7 days.
A nurse is assessing a newborn. Which of the following findings indicates a need to
check the newborn's blood glucose level for hypoglycemia? --------- Answer ---------
Hypotonia
-CNS findings of hypoglycemia include lethargy and hypotonia, as well as jitteriness,
twitching, poor feeding, temperature instability, apnea, respiratory distress, and
seizures.
, A nurse is teaching a class to clients who are pregnant. Which of the following topics
should the nurse include in the discussion about cesarean birth? (SATA) ---------
Answer --------- 1. Management of postpartum pain
-The nurse should discuss with clients that they will have incisional pain associated with
uterine involution.
2. Advantage of early ambulation post-surgical procedure.
-Early ambulation following a cesarean birth facilitates circulation in the lower
extremities, preventing stasis, and assists with relieving gas pains.
3. The need for an indwelling urinary catheter during delivery.
-The nurse should place an indwelling urinary catheter prior to the cesarean birth to
keep the client's bladder empty and to avoid interference with the surgical procedure.
A nurse is providing teaching to a postpartum client about strategies to reduce the risk
of newborn abduction from the facility. Which of the following instructions should the
nurse include in the teaching? --------- Answer --------- Bring your newborn in the
bassinet into the bathroom with you.
-The client should wheel the newborn in the bassinet into the bathroom with her rather
than leave the newborn unattended. The nurse should instruct the client never to leave
the newborn unattended.
A charge nurse is providing teaching to a newly licensed nurse who is caring for a client
who has postpartum hemorrhagic shock. Which of the following statements should the
charge nurse make? --------- Answer --------- The most accurate indication of organ
perfusion is a clients urine output.
-Output greater than 30 mL/hr. is an indication of adequate perfusion and oxygenation.
A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48hrs
after birth. Which of the following findings should the nurse report to the provider? --------
- Answer --------- Depressed fontanels.
-Sunken or depressed fontanels are a finding associated with dehydration of the
newborn. Additionally, dry oral mucosa, weight loss greater than 10%, and decreased
urine output are findings associated with dehydration.
A nurse is caring for a postpartum client who is breastfeeding her newborn and reports
that her nipples have become sore and cracked. Which of the following statements
should the nurse make? --------- Answer --------- Apply colostrum to the nipples after
feeding to help them heal.
-Colostrum and breast milk have healing properties and can help reduce soreness.
A nurse is receiving report on four newborns born in the past 12hrs. Which of the
following newborns should the nurse assess first? --------- Answer --------- A newborn
who has an axillary temperature of 36C (96.8F).
-Cold stress increases the newborn's need for oxygen and can deplete glucose stores.
It also can increase the newborn's respiratory rate and cause cyanosis. The expected
axillary temperature for the newborn averages 37C (98.6F) and ranges form 36.5C
(97.7F) to 37.2C (99F).
2019/ Exam and Answers Updated 2023-2024
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? --------- Answer --------- Episodes of
blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial vasospasms and decreased
perfusion to the retina cause visual disturbances, such as blurred vision, double vision,
or dark spots in the visual field.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) ---------
Answer --------- 1. Tachycardia.
-Hyperemesis gravidarum typically occurs during the first trimester and results in
electrolyte imbalance, excessive weight loss, ketonuria, and nutritional deficiencies.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is assessing a client who is in labor, Which of the following findings should the
nurse expect? --------- Answer --------- Decrease in blood glucose level.
-Maternal metabolism, physical exertion, and delivery of the placenta can lead to a
decreased blood glucose level.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should
identify that yellow exudate covering the newborn's glans penis indicates which of the
following? --------- Answer --------- Healing.
-After 24hrs, yellow exudate usually forms over the glans penis and remains for the next
2-3 days. It sometimes forms a crust, which is expected. The nurse should explain that
the yellow film the guardians will see is granulation tissue as the circumcision heals.
The guardians should not remove this tissue.
A nurse is performing an initial assessment during a client's first prenatal visit. The client
states that her last menstrual period began April 22. Use Nagele's rule to calculate the
expected date of birth (EDB). --------- Answer --------- 0129
-Begin with the first day of the clients last menstrual period, subtract 3 months, and add
7 days.
A nurse is assessing a newborn. Which of the following findings indicates a need to
check the newborn's blood glucose level for hypoglycemia? --------- Answer ---------
Hypotonia
-CNS findings of hypoglycemia include lethargy and hypotonia, as well as jitteriness,
twitching, poor feeding, temperature instability, apnea, respiratory distress, and
seizures.
, A nurse is teaching a class to clients who are pregnant. Which of the following topics
should the nurse include in the discussion about cesarean birth? (SATA) ---------
Answer --------- 1. Management of postpartum pain
-The nurse should discuss with clients that they will have incisional pain associated with
uterine involution.
2. Advantage of early ambulation post-surgical procedure.
-Early ambulation following a cesarean birth facilitates circulation in the lower
extremities, preventing stasis, and assists with relieving gas pains.
3. The need for an indwelling urinary catheter during delivery.
-The nurse should place an indwelling urinary catheter prior to the cesarean birth to
keep the client's bladder empty and to avoid interference with the surgical procedure.
A nurse is providing teaching to a postpartum client about strategies to reduce the risk
of newborn abduction from the facility. Which of the following instructions should the
nurse include in the teaching? --------- Answer --------- Bring your newborn in the
bassinet into the bathroom with you.
-The client should wheel the newborn in the bassinet into the bathroom with her rather
than leave the newborn unattended. The nurse should instruct the client never to leave
the newborn unattended.
A charge nurse is providing teaching to a newly licensed nurse who is caring for a client
who has postpartum hemorrhagic shock. Which of the following statements should the
charge nurse make? --------- Answer --------- The most accurate indication of organ
perfusion is a clients urine output.
-Output greater than 30 mL/hr. is an indication of adequate perfusion and oxygenation.
A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48hrs
after birth. Which of the following findings should the nurse report to the provider? --------
- Answer --------- Depressed fontanels.
-Sunken or depressed fontanels are a finding associated with dehydration of the
newborn. Additionally, dry oral mucosa, weight loss greater than 10%, and decreased
urine output are findings associated with dehydration.
A nurse is caring for a postpartum client who is breastfeeding her newborn and reports
that her nipples have become sore and cracked. Which of the following statements
should the nurse make? --------- Answer --------- Apply colostrum to the nipples after
feeding to help them heal.
-Colostrum and breast milk have healing properties and can help reduce soreness.
A nurse is receiving report on four newborns born in the past 12hrs. Which of the
following newborns should the nurse assess first? --------- Answer --------- A newborn
who has an axillary temperature of 36C (96.8F).
-Cold stress increases the newborn's need for oxygen and can deplete glucose stores.
It also can increase the newborn's respiratory rate and cause cyanosis. The expected
axillary temperature for the newborn averages 37C (98.6F) and ranges form 36.5C
(97.7F) to 37.2C (99F).
