VATI RN Maternal newborn 2019 ,question and answers 100%correct answer 2023 update

VATI RN Maternal newborn 2019 ,question and
answers 100%correct answer 2023 update
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 reviewing the laboratory report of a client who is at 31wks of gestation and
has gestation hypertension. Which of the following laboratory results should the nurse
report to the provider? - CORRECT ANSWER-Platelet count 99,000/mm3.
-A platelet count of 99,000/mm3, or thrombocytopenia, is an indication of HELLP
syndrome, a serious complication of gestational HTN.
A nurse is reviewing the laboratory report of a term newborn who is 24hrs old. Which of
the following laboratory results should the nurse report to the provider? - CORRECT
ANSWER-Glucose 35 mg/dL.
-Reference range is 40-45 mg/dL for a newborn who is 24hrs old.
A nurse is assessing a newborn who was born 15mins ago. Which of the following
actions should the nurse take? - CORRECT ANSWER-Count the respiratory rate for 60
seconds.
-Newborn often have an irregular respiratory rate. Short periods of apnea, and shallow
respirations are expected findings for a newborn. The nurse should also assess for
symmetry of chest and abdominal movements during inhalation and exhalation.
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 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 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. - CORRECT
ANSWER-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 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. - CORRECT
ANSWER-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 assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER-Epigastric pain.
-This is a manifestation of preeclampsia. Other findings the nurse should report include
severe HA, Blurred vision, confusion, N&V, and decrease urinary output.
A nurse is assessing a newborn following a circumcision 48hrs ago. The nurse should
identify that yellow exudate covering the newborn's glans penis indicates which of the
following? - CORRECT ANSWER-Healing.
-After 24hrs, yellow exudate usually forms over the glans penis and remains for the next
2-3 days. It sometimes forms a crust, which is expected. The nurse should explain that
the yellow film the guardians will see is granulation tissue as the circumcision heals.
The guardians should not remove this tissue.
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 Nagele's rule to calculate the
expected date of birth (EDB). - CORRECT ANSWER-0129
-Begin with the first day of the clients last menstrual period, subtract 3 months, and add
7 days.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the
following findings is an indication the medication was effective? - CORRECT ANSWERDecreased 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.