VATI Maternal Newborn questions with correct
answers
What to educate a newly licensed nurse about a substance use disorder
patient prescribed methadone? Correct Answer-Encourage client to
breastfeed their newborns: it will help with withdrawal symptoms
What findings indicate that terbutaline was effective? Correct Answer-
Decreased frequency of contractions
What is terbutaline? Correct Answer-A medication used to halt preterm
labor. it causes relaxation of smooth muscle, which decreases uterine
activity.
What is an amniotomy? Correct Answer-"breaking the water" intentional
rupture of amniotic sac by provider
What should a nurse do in a situation requiring an amniotomy? Correct
Answer-Placing a fetal scalp electrode: this electrode is attached to the
presenting part of the fetus in order to provide accurate continuous
monitoring of FHR. If the client's membranes are intact, the amniotic sac
must be artifically ruptured prior to attaching the electrode to enable
access to the presenting part
If a nurse is administering labetalol to a patient with preeclampsia, what
finding would they withhold the medication? Correct Answer-HR below
60. Bradycardia is a contraindication for the administration of an
antihypertensive medication
,What is the sequence of steps a nurse should take to clear airway
obstruction for a client choking? Correct Answer-1. Stand posterior to
the patient
2. position arms under the axilla and across the patients chest
3. place thumb-side of the clenched fist to the mid-sternum area
4. Initiate chest thrust to the client using a backward motion
5. If the client becomes unconscious, the nurse should perform CPR and
activate emergency medical services
If a nurse is administering an opioid analgesic to a client who is in active
labor, which of the follow assessments should they perform? Correct
Answer-Maternal blood pressure, pain level, and fetal HR
- Opioids can cause hypotension.
- Nurse should get baseline pain level prior
- Opioids can cause fetal bradycardia
What is a risk factor to developing preeclampsia? Correct Answer-
Rheumatoid arthritis
- the presence fo connective tissue disease, such as rheumatoid arthritis
or lupus can increase a patient risk
If a postpartum patient is receiving warfarin for DVT, what lab should
the nurse monitor? Correct Answer-INR
- nurse should monitor INR for patient taking warfarin
, Nurse monitoring patient in active phase of labor and has intrauterine
pressure catheter and fetal scalp electrode. What findings should the
nurse expect? Correct Answer-MVU of 220 mm Hg
- MVUs usually range between 100 and 250 mm Hg during the first
stage of labor and increase to 300 to 400 in the second stage.
What actions should a nurse take for a patient who just undergone a C-
section and is given epidural morphine for postpartum pain relief 1 hour
ago and has a RR of 10/min Correct Answer-Administer oxygen by
nonrebreather face mask
What is placenta previa? Correct Answer-when the placenta covers the
opening of the mothers cervix
What is an expected clinical finding of placenta previa? Correct Answer-
painless vaginal bleeding
- with cervical changes, the placental blood vessels can tear, resulting in
bleeding
A nurse is assessing a client who is 33 weeks gestation. Which findings
should the nurse report to the provider? Correct Answer-episodes of
blurred vision
What is blurred vision a sign of in pregnancy? Correct Answer-
preeclampsia
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