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VATI RN Maternal Newborn Questions and Answers 2022/2023
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VATI RN Maternal Newborn Questions and Answers 2022/2023A 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. 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?
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?
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?
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?
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