Maternal Newborn
Assessment Capstone
Question Bank with
Verified Answers 2026
, A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord
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protruding through the cervix. Which of the following actions should the nurse take? - correct answerAssist
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the client into the knee-chest position.
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A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the
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following findings should the nurse expect? - correct answerModerate tremors of the extremities.
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A nurse is reviewing a client's medical record and notes that the client is taking
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tamoxifen. The nurse should identify that tamoxifen is used to treat which of the
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following conditions? - correct answerBreast cancer
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A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure
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catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the
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nurse should discontinue the infusion? - correct answerContraction duration of 100 seconds.
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A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuria. Which
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of the following suggested foods should the nurse include in the teaching? - correct answerA sliced apple and
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red grapes.
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A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia.
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Which of the following laboratory results should the nurse report to the provider? - correct answerBUN 35
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mg/dL
A nurse is providing teaching about newborn safety to a client who is being admitted for induction of labor.
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Which of the following client statements indicate and understanding of the teaching? - correct answerI will
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check the identification badge of anyone who removes my baby from our room.
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A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should the nurse
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identify as an indication of a potential prenatal complication? - correct answerBlurred vision.
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A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following findings
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should the nurse report to the provider? - correct answerHemoglobin 12 g/dL
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