ASSESSMENT 2026 UPDATED
QUESTIONS WITH ANSWERS
1
, Maternal Newborn Assessment
1. A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes
the umbilical cord protruding through the cervix. Which of the following actions should
the nurse take?
Administer oxytocin to the client via intravenous infusion.
Apply oxygen at 2 L/min via nasal cannula.
Prepare for insertion of an intrauterine pressure catheter.
Assist the client into the knee-chest position.
2. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals.
Which of the following findings should the nurse expect?
Hypotonicity
Moderate tremors of the extremities
Axillary temperature 36.1° C (96.9° F)
Excessive sleeping
1. A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has
phenylketonuria. Which of the following suggested foods should the nurse include in the
teaching?
A peanut butter sandwich on wheat bread
A sliced apple and red grapes
A chocolate chip cookie with a glass of skim milk
A scrambled egg with cheddar cheese
2. A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and
has preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
BUN 35 mg/dL
Hgb 15 mg/dL
Bilirubin 0.6 mg/dL
2