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VATI RN MATERNAL NEWBORN EXAM 2025 LATEST ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS, Exams of Nursing

Utica CollegeNursing

VATI RN MATERNAL NEWBORN EXAM 2025 LATEST ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+ GUARANTEE PASS BRAND NEW

Typology: Exams

2024/2025

Available from 04/23/2025

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VATI RN MATERNAL NEWBORN EXAM 2025 LATEST
ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ GUARANTEE PASS BRAND NEW
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? - CORRECT ANSWER 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? - CORRECT ANSWER 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.
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Download VATI RN MATERNAL NEWBORN EXAM 2025 LATEST ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS and more Exams Nursing in PDF only on Docsity!

VATI RN MATERNAL NEWBORN EXAM 2025 LATEST

ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS

ALREADY GRADED A+ GUARANTEE PASS BRAND NEW

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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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

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. 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? - CORRECT ANSWER Rheumatoid Arthritis.

  • The presence of a connective tissue disease, such as rheumatoid arthritis or systemic lupus erythematosus, increase a clients risk for developing preeclampsia. A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis. Which of the following laboratory tests should the nurse monitor? - CORRECT ANSWER 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. 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? - CORRECT ANSWER 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 during the second stage of labor. MVUs are calculated by subtracting the baseline uterine pressure from the peak contraction pressure for every contraction that occurs during a 10-min period. The nurse then adds the pressure produced by each contraction during that time to determine the MVUs. A nurse is assessing a client who has just undergone a cesarean birth and was given epidural morphine for postpartum pain relief 1hr ago. The nurse notes that the clients respiratory rate is 10/min. Which of the following actions should the nurse take first? - CORRECT ANSWER Administer oxygen by nonrebreather face mask.
  • The first action the nurse should take when using the airway, breathing, circulation approach to client care is to administer oxygen by nonrebreather mask to treat manifestations of respiratory depression due to morphine administration. A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical findings

A nurse is reviewing the laboratory results for a client who is at 29wks of gestation. Which of the following results should the nurse identify as an indication of a prenatal complication? - CORRECT ANSWER BUN 30 mg/dL

  • Above the expected reference range of 10-20 mg/dL for a client who is pregnant. The BUN typically decreases during pregnancy due to the increase in the glomerular filtration rate. The nurse should identify that an elevated BUN is a manifestation of preeclampsia or HELLP syndrome, potentially serous complications of pregnancy's. A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The clients skin is cool and clammy to touch. Which of the following actions should the nurse take first? - CORRECT ANSWER Firmly massage the fundus.
  • The greatest risk for a postpartum client who is experiencing excessive vaginal bleeding is the development of hypovolemic shock, which can lead to coma and death. Uterine atony is a frequent cause of excessive vaginal bleeding. Therefore, the first action the nurse should take is to massage the clients fundus to encourage muscular contractions, which will decrease bleeding. A nurse is caring for a client who is at 28wks of gestation and has received two doses of terbutaline subcutaneously. Which of the following adverse effects is the priority for the nurse to report to the provider? - CORRECT ANSWER Heart rate: 132/min
  • The nurse should notify the provider of tachycardia greater than 130/min; therefore, this is the priority finding. The client might also report chest discomfort, palpitations and have arrhythmias. A nurse is providing teaching for a client who is 2wks postpartum and has mastitis. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Apply moist heat to the affected breast.
  • The application of warm compresses prior to feeding or pumping promotes the flow of the breast milk and assists to ensure complete emptying of the breast. This is important to prevent the development of further complications such as the formation of a breast abscess or chronic mastitis. A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which of the following statements by a client indicates an understanding of the teaching? - CORRECT ANSWER I will have monthly prenatal visits for the first 28wks of pregnancy.
  • The initial visit should occur in the first trimester with monthly visits through week 28, and every 2 weeks until week 36, and then every week until the birth of the newborn. A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the following statements should the nurse include in the teaching? (SATA) - CORRECT ANSWER 1. You might have to

medication. This will cause the uterus to contract and decrease bleeding. A nurse is monitoring a client who is in active labor and observes a pattern of late decelerations on the fetal monitor tracing. Which of the following findings should the nurse recognize as the potential cause of the deceleration? - CORRECT ANSWER Fetal hypoxia

  • Late decelerations are caused by uteroplacental insufficiency or a decreased blood flow from the uterus to the placenta during contractions. This results in a decreased supply of oxygen to the fetus during the contraction. This pattern can be cause by a wide variety of reasons including uterine tone, maternal hypotension, and disorders that affect the placenta such as maternal diabetes, preeclampsia and post maturity. A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER The patent should plan to spend individual time with the older sibling.
  • To enhance and facilitate sibling acceptance of the newborn. A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits good muscle tone and respiratory efforts. Which of the following actions should

the nurse take first? - CORRECT ANSWER Begin suctioning of mouth and nose.

  • The nurse should assess the newborns' condition at birth and suction the newborn's mouth and nose with a bulb syringe based on the assessment findings. If the newborns respiratory status is depressed, endotracheal suctions must be done as well to remove any meconium that has entered the newborn's airways. A nurse is teaching a client about iron supplementation during pregnancy. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWER I will be certain to consume 29 grams of fiber daily.
  • The client should consume a diet high in fiber and increase fluid intake to help reduce the occurrence of constipation. A nurse is performing a contraction stress test (CST) on a client who is at 40wks of gestation. The results of the test indicate a negative CST. Which of the following actions should the nurse take? - CORRECT ANSWER Allow the labor to progress naturally.
  • The absence of late deceleration (a negative results) indicates that the fetus will probably tolerate labor; therefore, the nurse should allow the labor to progress naturally. A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and displays some flexion of the extremities, is not
  • Methotrexate is an antineoplastic agent that a pharmacist must prepare in a syringe under a biologic safety cabinet and place in a sealed plastic bag. The nurse should wear two pairs of gloves when removing the syringe from the bag, administering the medication, and disposing of the syringe. A nurse is completing a health history and assessment for a client who reports they are pregnant. Which of the following findings is a presumptive sign of pregnancy? - CORRECT ANSWER Amenorrhea.
  • A client can present with amenorrhea for a variety of reasons besides pregnancy. A nurse is caring for a client who is in active labor and is scheduled to receive epidural anesthesia. Which of the following actions should the nurse take? - CORRECT ANSWER Administer lactated Ringer's 500 mL bolus via intermittent IV infusion prior to epidural placement.
  • To prevent hypotension. A nurse is admitting a client who is at 39wks of gestation and in active labor. The client reports being positive for group B streptococcus (GBS) when screened at 36wks of gestation. Which

of the following actions should the nurse expect to take? - CORRECT ANSWER Administer IV antibiotic prophylaxis.

  • To decrease the risk of the neonate contracting a GBS infection, it is recommended that pregnant clients who test positive for GBS receive antibiotics during labor. A nurse is reviewing the results of a nonstress test for a client who is at 37wks of gestation. Which of the following findings indicates a reactive nonstress test? - CORRECT ANSWER Fetal heart rate (FHR) accelerations occur with fetal movement.
  • A nonstress test measures the response of the FHR to fetal movement. Accelerations of the FHR with fetal movement are a reassuring sign of fetal well being. A nurse is providing teaching about nifedipine for a client who is at 34wks of gestation and has gestational HTN. For which of the following adverse effects should the nurse instruct the client to notify the provider? - CORRECT ANSWER Irregular heartbeat. Cardiac arrhythmia is a potential life-threatening adverse effect of nifedipine. Therefore, the client should report an irregular heartbeat to the provider.

A nurse is assessing a newborn. Which of the following findings indicates a need to check the newborn's blood glucose level for hypoglycemia? - CORRECT 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) - CORRECT ANSWER 1. Management of postpartum pain
  • The nurse should discuss with clients that they will have incisional pain associated with uterine involution.
  1. 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.
  2. 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? - CORRECT 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?
  • CORRECT 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? - CORRECT 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 receiving report on four newborns born in the past 12hrs. Which of the following newborns should the nurse assess first? - CORRECT 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). A nurse is teaching a new guardian how to correctly use a car seat. Which of the following statements by the guardian indicates an understanding of the teaching? - CORRECT ANSWER I should keep my baby in a rear-facing car seat until he is 2yrs old.
  • Or until the child reaches the maximum height and weight for the seat. A nurse is planning to obtain a blood specimen from a newborn via a heel stick. Which of the following actions should the nurse take? - CORRECT ANSWER Cleanse the puncture site with alcohol gauze prior to the procedure.
  • Or a facility-approved skin cleanser prior to the procedure to minimize the risk of infection.

A nurse is teaching a client who has hyperemesis gravidarum about dietary modifications. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWER I will eat small, frequent meals throughout the day.

  • The client should focus on eating small, frequent meals throughout the day and consuming foods that are appealing. A nurse is caring for a group of clients who are postpartum. Which of the following clients is at an increased risk for a fall? - CORRECT ANSWER A client who has an indwelling urinary catheter.
  • The client's required medical interventions, such as IVs and urinary catheters, increase the risk for falls from tripping over tubing. The nurse should assist the client when getting out of bed and ambulating to prevent an injury from a fall. A nurse is caring for a client who is 3 days postpartum. Which of the following actions should the nurse take? - CORRECT ANSWER Obtain a vaginal culture.
  • Fever for 2 consecutive days, chills, foul-smelling lochia, and abdominal tenderness are manifestations of endometritis, an infection of the lining of the uterus. The nurse should obtain a vaginal culture using a sterile swab to collect the fluid from the client's vaginal cavity to identify the organism.