PRIORITIZATION DELEGATION AND
ASSIGNMENT EXAM SCRIPT 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
◉ Which task could be appropriately delegated to the unlicensed
assistive personnel (UAP) working with the nurse at the obstetric
clinic?
•Checking the blood pressure of a patient who is 36 weeks' pregnant
and reports a headache
•Removing the adhesive skin closure strips of a patient who had a
cesarean section 2 weeks ago
•Giving community resource information and emergency numbers
to a prenatal patient who may be experiencing domestic violence
•Dispensing a breast pump with instruction to a lactating patient
having trouble with milk supply 4 weeks postpartum. Answer:
•Checking the blood pressure of a patient who is 36 weeks' pregnant
and reports a headache
•The UAP can check the blood pressure of this patient and report it
to the RN. The RN would include this information in her full
assessment of the patient, who may be showing signs of
preeclampsia. The other tasks listed require nursing assessment,
analysis, and planning and should be performed by the RN. Provision
of accurate and supportive education about breast feeding and
,breast pumping supports the Perinatal Core Measure of increasing
the percentage of women who exclusively breast-feed.
◉ Several patients have just come into the obstetric triage unit.
Which patient should the nurse assess *first*?
•A 17-year-old gravida 1, para 0 (G1P0) woman at 40 weeks'
gestation with contractions every 6 minutes who is crying loudly
and is surrounded by anxious family members
•A 22-year-old G3P2 woman at 38 weeks' gestation with
contractions every 3 minutes who is requesting to go to the
bathroom to have a bowel movement
•A 32-year-old G4P3 woman at 27 weeks' gestation who noted
vaginal bleeding today after intercourse
•A 27-year-old G2P1 woman at 37 weeks' gestation who
experienced spontaneous rupture of membranes 30 minutes ago but
feels no contractions. Answer: •A 22-year-old G3P2 woman at 38
weeks' gestation with contractions every 3 minutes who is
requesting to go to the bathroom to have a bowel movement
•A multiparous patient in active labor with an urge to have a bowel
movement will probably give birth imminently. She needs to be the
first assessed, the health care provider must be notified immediately,
and she must be moved to a safe location for the birth. She should
not be allowed up to the bathroom at this time. The other patients
all have needs requiring prompt assessment, but the imminent birth
,takes priority. Vaginal bleeding after intercourse could be caused by
cervical irritation or a vaginal infection or could have a more serious
cause such as placenta previa. This patient should be the second one
assessed.
◉ A 19-year-old gravida 1, para 0 patient at 40 weeks' gestation who
is in labor is being treated with magnesium sulfate for seizure
prophylaxis in preeclampsia. Which are *priority* assessments with
this medication? *Select all that apply.*
•Check deep tendon reflexes
•Observe for vaginal bleeding
•Check the respiratory rate
•Note the urine output
•Monitor for calf pain. Answer: •Check deep tendon reflexes
•Check the respiratory rate
•Note the urine output
•Magnesium sulfate toxicity can cause fatal cardiovascular events or
respiratory depression or arrest, so monitoring of respiratory rate is
of utmost importance. The drug is excreted by the kidneys, and
therefore monitoring for adequate urine output is essential. Deep
tendon reflexes disappear when serum magnesium is reaching a
toxic level. Vaginal bleeding is not associated with magnesium
, sulfate use. Calf pain can be a sign of a deep vein thrombosis but is
not associated with magnesium sulfate therapy.
◉ Which action would *best* demonstrate evidence-based nursing
practice in the care of a patient who is 1 day postpartum and
reporting nipple soreness while breast feeding?
•Give the baby a bottle after 5 minutes of nursing to allow soreness
to resolve
•Assess the mother-baby couplet for nursing position and latch and
correct as indicated
•Advise the use of a breast pump until nipple soreness resolves
•Advise alternating breast and bottle feedings to avoid excess
sucking at the nipple. Answer: •Assess the mother-baby couplet for
nursing position and latch and correct as indicated
•It is recommended to avoid artificial nipples and pacifiers while
establishing breast feeding unless medically indicated. Improper
latch and position are common causes of nipple soreness and can be
corrected with assessment and assistance to the mother. This
practice supports the Perinatal Core Measure of increasing the
percentage of newborns who are fed breast milk only.
ASSIGNMENT EXAM SCRIPT 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
◉ Which task could be appropriately delegated to the unlicensed
assistive personnel (UAP) working with the nurse at the obstetric
clinic?
•Checking the blood pressure of a patient who is 36 weeks' pregnant
and reports a headache
•Removing the adhesive skin closure strips of a patient who had a
cesarean section 2 weeks ago
•Giving community resource information and emergency numbers
to a prenatal patient who may be experiencing domestic violence
•Dispensing a breast pump with instruction to a lactating patient
having trouble with milk supply 4 weeks postpartum. Answer:
•Checking the blood pressure of a patient who is 36 weeks' pregnant
and reports a headache
•The UAP can check the blood pressure of this patient and report it
to the RN. The RN would include this information in her full
assessment of the patient, who may be showing signs of
preeclampsia. The other tasks listed require nursing assessment,
analysis, and planning and should be performed by the RN. Provision
of accurate and supportive education about breast feeding and
,breast pumping supports the Perinatal Core Measure of increasing
the percentage of women who exclusively breast-feed.
◉ Several patients have just come into the obstetric triage unit.
Which patient should the nurse assess *first*?
•A 17-year-old gravida 1, para 0 (G1P0) woman at 40 weeks'
gestation with contractions every 6 minutes who is crying loudly
and is surrounded by anxious family members
•A 22-year-old G3P2 woman at 38 weeks' gestation with
contractions every 3 minutes who is requesting to go to the
bathroom to have a bowel movement
•A 32-year-old G4P3 woman at 27 weeks' gestation who noted
vaginal bleeding today after intercourse
•A 27-year-old G2P1 woman at 37 weeks' gestation who
experienced spontaneous rupture of membranes 30 minutes ago but
feels no contractions. Answer: •A 22-year-old G3P2 woman at 38
weeks' gestation with contractions every 3 minutes who is
requesting to go to the bathroom to have a bowel movement
•A multiparous patient in active labor with an urge to have a bowel
movement will probably give birth imminently. She needs to be the
first assessed, the health care provider must be notified immediately,
and she must be moved to a safe location for the birth. She should
not be allowed up to the bathroom at this time. The other patients
all have needs requiring prompt assessment, but the imminent birth
,takes priority. Vaginal bleeding after intercourse could be caused by
cervical irritation or a vaginal infection or could have a more serious
cause such as placenta previa. This patient should be the second one
assessed.
◉ A 19-year-old gravida 1, para 0 patient at 40 weeks' gestation who
is in labor is being treated with magnesium sulfate for seizure
prophylaxis in preeclampsia. Which are *priority* assessments with
this medication? *Select all that apply.*
•Check deep tendon reflexes
•Observe for vaginal bleeding
•Check the respiratory rate
•Note the urine output
•Monitor for calf pain. Answer: •Check deep tendon reflexes
•Check the respiratory rate
•Note the urine output
•Magnesium sulfate toxicity can cause fatal cardiovascular events or
respiratory depression or arrest, so monitoring of respiratory rate is
of utmost importance. The drug is excreted by the kidneys, and
therefore monitoring for adequate urine output is essential. Deep
tendon reflexes disappear when serum magnesium is reaching a
toxic level. Vaginal bleeding is not associated with magnesium
, sulfate use. Calf pain can be a sign of a deep vein thrombosis but is
not associated with magnesium sulfate therapy.
◉ Which action would *best* demonstrate evidence-based nursing
practice in the care of a patient who is 1 day postpartum and
reporting nipple soreness while breast feeding?
•Give the baby a bottle after 5 minutes of nursing to allow soreness
to resolve
•Assess the mother-baby couplet for nursing position and latch and
correct as indicated
•Advise the use of a breast pump until nipple soreness resolves
•Advise alternating breast and bottle feedings to avoid excess
sucking at the nipple. Answer: •Assess the mother-baby couplet for
nursing position and latch and correct as indicated
•It is recommended to avoid artificial nipples and pacifiers while
establishing breast feeding unless medically indicated. Improper
latch and position are common causes of nipple soreness and can be
corrected with assessment and assistance to the mother. This
practice supports the Perinatal Core Measure of increasing the
percentage of newborns who are fed breast milk only.
