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“ARCHER MATERNITY NCLEX RN 2026 ”
LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
Archer Maternity NCLEX RN 2025
The nurse is working in the NICU for the morning shift. While assessing four
neonates less than 6-hours old, which neonate warrants additional attention
from the nurse?
A. A neonate with a molded head and overriding sutures.
B. A neonate with cyanotic hands and feet that has not passed meconium.
C. A neonate that is spitting up excessive mucus, with a temperature of 36.1 °C
(97°F), and is dusky in appearance.
D. A neonate with abdominal respirations and intermittent tremors of the
extremities.
Submit Answer
Explanation
Choice C is correct. A neonate is expected to be pinkish in appearance. Saliva
should be minimal and the normal temperature for a newborn is from 36.5 °C to 37
°C. These signs need to be evaluated by the nurse to determine whether the baby
needs further assessment.
Choice A is incorrect. Molding and overriding sutures in a neonate are normal and
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may persist for a few days.
Choice B is incorrect. Acrocyanosis in the newborn may be present for 2 to 6 hours.
Meconium is expected to be passed within 24 hours after delivery.
Choice D is incorrect. Tremors in the neonate are common. There is no need to
worry about this sign.
Last Updated - 15, Jan 2022
The nurse is caring for a client in labor experiencing early decelerations.
Which of the following actions should the nurse take?
A. Reposition the patient on her side
B. Document the findings
C. Discontinue oxytocin infusion
D. Prepare for an amnioinfusion
Explanation
Choice B is correct. Early decelerations are a reassuring finding caused by infant
head compression, which is a normal part of labor.
Choices A, C, and D are incorrect. Repositioning the client and discontinuing an
oxytocin infusion would all be appropriate interventions for a client experiencing
variable or late decelerations. Early decelerations are a reassuring pattern and do
not require the nurse to intervene.
Additional Info
Source: Archer ReviewSource : Source: Archer Review
✓ Early decelerations are not associated with fetal compromise and do not require
intervention.
✓ Early decelerations occur during contractions as the fetal head is pressed against
the client's pelvis or cervix.
Last Updated - 31, Dec 2022
The nurse just finished receiving the shift report from the night nurse. Which
of the following newborns should the nurse assess first?
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A. A 3-hour old newborn weighing 6 pounds
B. A 4-hour old newborn delivered at 42 weeks
C. A 6-hour old newborn that is 21 inches long
D. An 8-hour old newborn delivered at 40 weeks
Submit Answer
Explanation
Choice B is correct. Post-maturity refers to any baby born at or beyond 42 weeks
gestation (42 0/7 weeks) or at or beyond 294 days from the first day of the mother's
last menstrual period (LMP). Post-maturity is also referred to as prolonged
pregnancy, post-term, and post-dates pregnancy. At about 40-42 weeks, placental
insufficiency ensues due to the aging placenta. Therefore, the infants rely on their
subcutaneous fat reserves to sustain them after 40 to 42 weeks since the aging
placenta is unable to provide the necessary nutrition. Due to these depleted
subcutaneous fat reserves, the post-term infant is at risk for hypoglycemia and
hypothermia. In at-risk infants, the incidence of neonatal hypoglycemia is highest in
the first few hours after birth. In this case (Choice B), a 4-hour old infant delivered at
42 weeks is at-risk. Additionally, the risk of meconium aspiration is high in the post-
term fetuses and can cause respiratory distress when the baby is born. The nurse
should prioritize and assess this post-term infant first.
Choice A is incorrect. According to the World Health Organization (WHO), the
average birth weight for a full-term baby is around 7.5 lb. However, a birth weight
range between 5.5 lb. (2.5 kg) and 8.2 lb. (4.0 kg) is considered normal. Small for
gestational age (SGA) is defined as a birth weight of less than 10th percentile for
gestational age. Large for gestational age (LGA) refers to a birth weight equal to or
more than the 90th percentile for a given gestational age. Macrosomia refers to a
birth weight greater than 4000 to 4500 grams ( 4 to 4.5 kg), regardless of gestational
age. The infant weighing 6 pounds (Choice A) is within the normal weight range for a
newborn; the nurse does not need to see this infant first.
Choice C is incorrect. The average length of full-term babies a
The prenatal client is 7 months pregnant and wants to start an exercise
program. The nurse should suggest which of the following exercises to the
patient?
A. Bike riding
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B. Circuit training
C. Aerial yoga
D. Swimming
Explanation
Choice D is correct. Swimming is the best exercise at this point in the mother's
pregnancy. Swimming is low impact and requires no balance, which can be
troublesome with the weight a woman carries in her third trimester.
Choices A, B, and C are incorrect. These activities are too high of an intensity for a
woman who is just starting an exercise regimen and require careful steadiness.
NCSBN client need Topic: Health Promotion and Maintenance
Last Updated - 29, Jan 2022
Which of the following clinical manifestations should the nurse document as a
positive sign of pregnancy?
A. Amenorrhea
B. Uterine soufflé
C. Positive pregnancy test
D. Fetal heartbeat
Explanation
Choice D is correct. A fetal heartbeat can be detected with a doppler as early as 10-
12 weeks of pregnancy and is considered a positive or diagnostic sign of fertility.
Signs of pregnancy can be possible, probable, or definite. Because likely signs of
pregnancy may also occur when other conditions are present, the nurse needs to
know what each possible indicator of pregnancy means.
Choice A is incorrect. Amenorrhea, the absence of menses, is considered a possible
sign of pregnancy. It is a more helpful sign when more than one cycle has been
missed.
Choice B is incorrect. Uterine soufflé is the sound heard on auscultation over the
uterus that is caused by blood flow through the placenta. It is considered a probable
sign of pregnancy, but not a definite sign of pregnancy since other conditions like
uterine myomas or ovarian tumors can cause it.
Choice C is incorrect. A positive pregnancy test is based on the detection of human
“ARCHER MATERNITY NCLEX RN 2026 ”
LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
Archer Maternity NCLEX RN 2025
The nurse is working in the NICU for the morning shift. While assessing four
neonates less than 6-hours old, which neonate warrants additional attention
from the nurse?
A. A neonate with a molded head and overriding sutures.
B. A neonate with cyanotic hands and feet that has not passed meconium.
C. A neonate that is spitting up excessive mucus, with a temperature of 36.1 °C
(97°F), and is dusky in appearance.
D. A neonate with abdominal respirations and intermittent tremors of the
extremities.
Submit Answer
Explanation
Choice C is correct. A neonate is expected to be pinkish in appearance. Saliva
should be minimal and the normal temperature for a newborn is from 36.5 °C to 37
°C. These signs need to be evaluated by the nurse to determine whether the baby
needs further assessment.
Choice A is incorrect. Molding and overriding sutures in a neonate are normal and
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may persist for a few days.
Choice B is incorrect. Acrocyanosis in the newborn may be present for 2 to 6 hours.
Meconium is expected to be passed within 24 hours after delivery.
Choice D is incorrect. Tremors in the neonate are common. There is no need to
worry about this sign.
Last Updated - 15, Jan 2022
The nurse is caring for a client in labor experiencing early decelerations.
Which of the following actions should the nurse take?
A. Reposition the patient on her side
B. Document the findings
C. Discontinue oxytocin infusion
D. Prepare for an amnioinfusion
Explanation
Choice B is correct. Early decelerations are a reassuring finding caused by infant
head compression, which is a normal part of labor.
Choices A, C, and D are incorrect. Repositioning the client and discontinuing an
oxytocin infusion would all be appropriate interventions for a client experiencing
variable or late decelerations. Early decelerations are a reassuring pattern and do
not require the nurse to intervene.
Additional Info
Source: Archer ReviewSource : Source: Archer Review
✓ Early decelerations are not associated with fetal compromise and do not require
intervention.
✓ Early decelerations occur during contractions as the fetal head is pressed against
the client's pelvis or cervix.
Last Updated - 31, Dec 2022
The nurse just finished receiving the shift report from the night nurse. Which
of the following newborns should the nurse assess first?
, Page 3 of 308
A. A 3-hour old newborn weighing 6 pounds
B. A 4-hour old newborn delivered at 42 weeks
C. A 6-hour old newborn that is 21 inches long
D. An 8-hour old newborn delivered at 40 weeks
Submit Answer
Explanation
Choice B is correct. Post-maturity refers to any baby born at or beyond 42 weeks
gestation (42 0/7 weeks) or at or beyond 294 days from the first day of the mother's
last menstrual period (LMP). Post-maturity is also referred to as prolonged
pregnancy, post-term, and post-dates pregnancy. At about 40-42 weeks, placental
insufficiency ensues due to the aging placenta. Therefore, the infants rely on their
subcutaneous fat reserves to sustain them after 40 to 42 weeks since the aging
placenta is unable to provide the necessary nutrition. Due to these depleted
subcutaneous fat reserves, the post-term infant is at risk for hypoglycemia and
hypothermia. In at-risk infants, the incidence of neonatal hypoglycemia is highest in
the first few hours after birth. In this case (Choice B), a 4-hour old infant delivered at
42 weeks is at-risk. Additionally, the risk of meconium aspiration is high in the post-
term fetuses and can cause respiratory distress when the baby is born. The nurse
should prioritize and assess this post-term infant first.
Choice A is incorrect. According to the World Health Organization (WHO), the
average birth weight for a full-term baby is around 7.5 lb. However, a birth weight
range between 5.5 lb. (2.5 kg) and 8.2 lb. (4.0 kg) is considered normal. Small for
gestational age (SGA) is defined as a birth weight of less than 10th percentile for
gestational age. Large for gestational age (LGA) refers to a birth weight equal to or
more than the 90th percentile for a given gestational age. Macrosomia refers to a
birth weight greater than 4000 to 4500 grams ( 4 to 4.5 kg), regardless of gestational
age. The infant weighing 6 pounds (Choice A) is within the normal weight range for a
newborn; the nurse does not need to see this infant first.
Choice C is incorrect. The average length of full-term babies a
The prenatal client is 7 months pregnant and wants to start an exercise
program. The nurse should suggest which of the following exercises to the
patient?
A. Bike riding
, Page 4 of 308
B. Circuit training
C. Aerial yoga
D. Swimming
Explanation
Choice D is correct. Swimming is the best exercise at this point in the mother's
pregnancy. Swimming is low impact and requires no balance, which can be
troublesome with the weight a woman carries in her third trimester.
Choices A, B, and C are incorrect. These activities are too high of an intensity for a
woman who is just starting an exercise regimen and require careful steadiness.
NCSBN client need Topic: Health Promotion and Maintenance
Last Updated - 29, Jan 2022
Which of the following clinical manifestations should the nurse document as a
positive sign of pregnancy?
A. Amenorrhea
B. Uterine soufflé
C. Positive pregnancy test
D. Fetal heartbeat
Explanation
Choice D is correct. A fetal heartbeat can be detected with a doppler as early as 10-
12 weeks of pregnancy and is considered a positive or diagnostic sign of fertility.
Signs of pregnancy can be possible, probable, or definite. Because likely signs of
pregnancy may also occur when other conditions are present, the nurse needs to
know what each possible indicator of pregnancy means.
Choice A is incorrect. Amenorrhea, the absence of menses, is considered a possible
sign of pregnancy. It is a more helpful sign when more than one cycle has been
missed.
Choice B is incorrect. Uterine soufflé is the sound heard on auscultation over the
uterus that is caused by blood flow through the placenta. It is considered a probable
sign of pregnancy, but not a definite sign of pregnancy since other conditions like
uterine myomas or ovarian tumors can cause it.
Choice C is incorrect. A positive pregnancy test is based on the detection of human
