VATI RN MATERNAL NEWBORN EXAM
WITH 100% CORRECT ANSWERS {
GRADED A+}
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 pregnancy to breastfeed their newborns to help with withdrawal
symptoms.
A nurse is caring for a client who received terbutaline subcutaneously.
Which of the following findings is an indication the medication was
effective? - ✔✔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.
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 include 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.
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.
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.
-If the client becomes unconscious, the nurse should perform CPR and
activate emergency medical services.
, 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.
WITH 100% CORRECT ANSWERS {
GRADED A+}
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 pregnancy to breastfeed their newborns to help with withdrawal
symptoms.
A nurse is caring for a client who received terbutaline subcutaneously.
Which of the following findings is an indication the medication was
effective? - ✔✔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.
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 include 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.
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.
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.
-If the client becomes unconscious, the nurse should perform CPR and
activate emergency medical services.
, 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.
