2023 VATI RN Maternal Newborn LATEST EXAM 2023-2024
REAL EXAM 200 QUESTIONS AND CORRECT ANSWERS
A charge nurse is teaching a newly licensed nurse about
... [Show More] substance use disorders during
pregnancy. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
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 caring for a client who received terbutaline subcutaneously. Which of the following
findings is an indication the medication was effective?
Decreased 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?
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.
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?
Heart 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. [Show Less]