VATI RN MATERNAL NEWBORN EXAM 2019
VATI RN MATERNAL NEWBORN EXAM 2019 LATEST GUIDE CORRECT AND VERIFIED TO BEST SCORES 1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to the provider? 2. A nurse is assessing a newborn following a circumcision 48 hr ago. The nurse should identify that yellow exudate covering the newborn’s glans penis indicates which of the following? 3. A nurse is developing a plan of care for a client who is in the latent phase of labor. Which of the following interventions should the nurse include in the plan to manage the client’s pain? 4. 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? 5. 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? 6. A nurse is assessing a client who is in labor. Which of the following findings should the nurse expect? 7. 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? 8. A nurse is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following are findings of this condition? (Select all that apply.) 9. 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 crying, has irregular respiratory effort, and has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the soles of the newborn’s feet. The newborn’s skin color is pink with blue extremities. What is the correct Apgar score? 10. 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? 11. 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? (Select all that apply.) 12. A nurse is assessing a 1 HOUR-old newborn. Which of the following findings should the nurse report to the provider? 13. A nurse is assessing a newborn. Which of the following findings indicates a need to check the newborn’s blood glucose level for hypoglycemia? 14. A nurse is caring for a client who had a vaginal delivery 2 hr ago and is reporting increasing perineal pain and pressure. The nurse examines the client’s perineum and sees a 4 cm (1.6 in) area of purplish discoloration with swelling. The nurse should interpret these findings as which of the following? 15. A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the following nonpharmacological interventions should the nurse provide to manage the client’s pain? 16. A nurse is performing an initial assessment during a client’s first prenatal visit. The client states that her last menstrual period began April 22. Use Nägele’s rule to calculate the expected date of birth (EDB). (Use the MMDD format to enter exactly four numerals, with no spaces or punctuation between the numbers.) 17. A nurse is caring for a client who is 3 days postpartum. Which of the following actions should the nurse take? 18. 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? 19. A nurse is reviewing the results of a nonstress test for a client who is at 37 weeks of gestation. Which of the following findings indicates a reactive nonstress test? 20. A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was effective? 21. 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? 22. A nurse is caring for a client who received terbutaline subcutaneously. Which of the following findings is an indication the medication was effective? 23. A nurse is admitting a client who is at 39 weeks of gestation and in active labor. The client reports being positive for group B streptococcus (GBS) when screened at 36 weeks of gestation. Which of the following actions should the nurse expect to take? 24. 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? 25. A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation. The results of the test indicate a negative CST. Which of the following actions should the nurse take? 26. 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? 27. A nurse is caring for a 2-day-old newborn who has a bilirubin level of 14 mg/dL and is to begin phototherapy. Which of the following actions should the nurse take? 28. A nurse is monitoring a client who is receiving oxytocin to augment labor and observes a pattern of late decelerations on the fetal monitor tracing. Which of the following actions is the nurse’s priority? 29. 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. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 30. A nurse is reviewing the medical record of a client who is at 8 weeks of gestation. Which of the following findings should the nurse identify as a risk factor for developing preeclampsia? 31. 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? 32. 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? 33. A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the following statements should the nurse include in the teaching? (Select all that apply.) 34. 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? 35. A client who is in active labor is admitted to a labor and delivery unit and reports, “My water just broke and my baby is breech.” Which of the following actions should the nurse take first? 36. A nurse is assessing a client who delivered a 4.5 kg (10 lb) newborn 2 hr ago. Identify the level in the abdomen a nurse should expect to find the client’s uterus when assessing the fundus. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) 37. 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? 38. 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? (Select all that apply.) 39. 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?. 40. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to the provider?. 41. 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? A nurse is assessing a newborn who is breastfed and has a weight loss of 11% at 48 hr after birth. Which of the following findings should the nurse report to the provider? 43. 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? 44. A nurse is preparing to administer methotrexate to a client who is experiencing an ectopic pregnancy. Which of the following actions should the nurse take? 45. A nurse is preparing to administer methotrexate 1 mg/kg IM to a client who weighs 110 lb and is receiving care for an ectopic pregnancy. Available is methotrexate 25 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) CONTINUED……DOWNLOAD FOR REVISION GUIDE TO GRADE ‘A’
