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VATI RN Maternal Newborn 2024/2025 already graded A+
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VATIRN
Maternal
Newborn
2019
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?
-
ANSEncourage
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?
-
ANSDecreased
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?
-
ANSPlacing
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?
-
ANSHeart
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.
-
ANS1.
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)
-
ANSMaternal
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?
-
ANSRheumatoid
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?
-
ANSInternational
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?
-
ANSMontevideo
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?
-
ANSAdminister
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.
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