RN VATI Maternal Newborn 2019 Exam| 100 % Correct Questions and Verified Answers with Rationales| 2023 Update

RN VATI Maternal Newborn 2019 Exam| 100 % Correct Questions and Verified Answers with Rationales| 2023 Update 1. 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? ~ Answer: Montevideo units (MVU) of 220 mm Hg. R 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. 2. 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? ~ Answer: Administer oxygen by nonrebreather face mask. R 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. 3. A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical findings should the nurse expect? ~ Answer: Painless vaginal bleeding. R The placenta implants in the lower uterine segment, partially or completely covering the cervix. With cervical changes, the placental blood vessels can tear, which results in bleeding. 4. 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. R 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. 5. 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. R 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. 6. 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? ~ Answer: BUN 30 mg/dL R 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