NEWBORN SAUNDERS NCLEX
EXAMINATION TEST 2026 ADVANCED
QUESTIONS AND SOLUTIONS FULLY
SOLVED A+
●● A nursing student is assigned to care for a client in labor. A nursing
instructor asks the student to describe fetal circulation, specifically the
ductus venous. The nursing instructor determines that the student
understands fetal circulation if the student states that the ductus venous:
Answer: Connects the umbilical vein to the inferior vena cava.
●● A pregnant client tells the clinic nurse that she wants to know the sex
of her baby as soon as it can be determined. The nurse understands that
he client should be able to find out at 12 weeks' gestation because by the
end of the twelfth week: Answer: The sex of the fetus can be determined
by the appearance of the external genitalia.
●● A nurse is performing as assessment on a client who is at 38 weeks'
gestation & notes that the fetal heart rate is 174 beats/min. On the basis
of this finding, the appropriate nursing action is to: Answer: Notify the
physician.
●● A nurse is conducting a prenatal class on the female reproductive
system. When a client in the class asks why the fertilized ovum stays in
the fallopian tube for 3 days, the nurse responds that the reason for this
,is that it: Answer: Promotes the fertilized ovum's normal implantation in
the top portion of the uterus.
●● A nursing instructor is reviewing the menstrual cycle with a nursing
student who will be conducting a prenatal teaching session. The
instructor asks the student to describe the follicle-stimulating hormone
(FSH) & the luteinizing hormone (LH). The student accurately responds
by stating that: Answer: FSH & LH are released from the anterior
pituitary gland.
●● A couple comes to the family planning clinic & asks about
sterilization procedures. Which question by the nurse would determine if
this method of family planning would be appropriate? Answer: "Do you
plan to have any other children?"
●● A nurse should explain which of the following to a pregnant client
found to have a gynecoid pelvis? Answer: That her type of pelvis is the
most favorable for labor & birth.
●● A nurse explains some of the purposes of the placenta to a client
during a prenatal visit. The nurse determines that the client understands
some of these purposes when the client states that the placenta: Answer:
Is the way the baby gets food & oxygen.
●● A nursing instructor asks a nursing student to list the functions of the
amniotic fluid. The student responds correctly by stating that which of
, the following are functions of amniotic fluid: Answer: * Allows for fetal
movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
●● A nurse is performing an assessment of a pregnant client who is at 28
weeks of gestation. The nurse measures the fundal height in centimeters
& expects the finding to be which of the following? Answer: 30 cm
●● A nurse is collecting data during an admission assessment of a client
who is pregnant with twins. The client has a healthy 5-year-old child
who was delivered at 38 weeks & tells the nurse that she does not have a
Hx of any type of abortion or fetal demise. The nurse would document
the GTPAL for this client as Answer: G=2, T=1, P=0, A=0, L=1
●● A pregnant client is seen in a health care clinic for a regular prenatal
visit. The client tells the nurse that she is experiencing irregular
contractions, & the nurse determines that she is experiencing Braxton
Hicks contractions. Based on this finding, which nursing action is
appropriate? Answer: Inform the client that these contractions are
common & may occur throughout the pregnancy.
●● A nurse is providing instructions to a pregnant client with genital
herpes about the measures that are needed to protect the fetus. The nurse
EXAMINATION TEST 2026 ADVANCED
QUESTIONS AND SOLUTIONS FULLY
SOLVED A+
●● A nursing student is assigned to care for a client in labor. A nursing
instructor asks the student to describe fetal circulation, specifically the
ductus venous. The nursing instructor determines that the student
understands fetal circulation if the student states that the ductus venous:
Answer: Connects the umbilical vein to the inferior vena cava.
●● A pregnant client tells the clinic nurse that she wants to know the sex
of her baby as soon as it can be determined. The nurse understands that
he client should be able to find out at 12 weeks' gestation because by the
end of the twelfth week: Answer: The sex of the fetus can be determined
by the appearance of the external genitalia.
●● A nurse is performing as assessment on a client who is at 38 weeks'
gestation & notes that the fetal heart rate is 174 beats/min. On the basis
of this finding, the appropriate nursing action is to: Answer: Notify the
physician.
●● A nurse is conducting a prenatal class on the female reproductive
system. When a client in the class asks why the fertilized ovum stays in
the fallopian tube for 3 days, the nurse responds that the reason for this
,is that it: Answer: Promotes the fertilized ovum's normal implantation in
the top portion of the uterus.
●● A nursing instructor is reviewing the menstrual cycle with a nursing
student who will be conducting a prenatal teaching session. The
instructor asks the student to describe the follicle-stimulating hormone
(FSH) & the luteinizing hormone (LH). The student accurately responds
by stating that: Answer: FSH & LH are released from the anterior
pituitary gland.
●● A couple comes to the family planning clinic & asks about
sterilization procedures. Which question by the nurse would determine if
this method of family planning would be appropriate? Answer: "Do you
plan to have any other children?"
●● A nurse should explain which of the following to a pregnant client
found to have a gynecoid pelvis? Answer: That her type of pelvis is the
most favorable for labor & birth.
●● A nurse explains some of the purposes of the placenta to a client
during a prenatal visit. The nurse determines that the client understands
some of these purposes when the client states that the placenta: Answer:
Is the way the baby gets food & oxygen.
●● A nursing instructor asks a nursing student to list the functions of the
amniotic fluid. The student responds correctly by stating that which of
, the following are functions of amniotic fluid: Answer: * Allows for fetal
movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
●● A nurse is performing an assessment of a pregnant client who is at 28
weeks of gestation. The nurse measures the fundal height in centimeters
& expects the finding to be which of the following? Answer: 30 cm
●● A nurse is collecting data during an admission assessment of a client
who is pregnant with twins. The client has a healthy 5-year-old child
who was delivered at 38 weeks & tells the nurse that she does not have a
Hx of any type of abortion or fetal demise. The nurse would document
the GTPAL for this client as Answer: G=2, T=1, P=0, A=0, L=1
●● A pregnant client is seen in a health care clinic for a regular prenatal
visit. The client tells the nurse that she is experiencing irregular
contractions, & the nurse determines that she is experiencing Braxton
Hicks contractions. Based on this finding, which nursing action is
appropriate? Answer: Inform the client that these contractions are
common & may occur throughout the pregnancy.
●● A nurse is providing instructions to a pregnant client with genital
herpes about the measures that are needed to protect the fetus. The nurse
