NEWBORN SAUNDERS NCLEX EXAMPREP
STUDY GUIDE 2026 DETAILED QUESTIONS
AND CORRECT ANSWERS GRADED A+
●● The nurse working in a prenatal clinic reviews a client's chart and
notes that the health care provider documents that the client has a
gynecoid pelvis. The nurse understands that which is a characteristic of
this type of pelvis? Answer: The most favorable for labor and birth
●● The client asks the nurse about the purpose of the placenta. The
nurse plans to respond to the client knowing which about the placenta?
Answer: Provides an exchange of nutrients and waste products between
the mother and the fetus
●● The nurse is describing the process of fetal circulation to a client
during a prenatal visit. The nurse should tell the client that fetal
circulation consists of which? Answer: Two umbilical arteries and one
umbilical vein
●● A nursing student is assigned to a client in labor. The nursing
instructor asks the student to describe fetal circulation, specifically the
ductus venosus. The instructor determines that the student understands
the structure of the ductus venosus if the student states which about the
ductus venosus? Answer: Connects the umbilical vein to the inferior
vena cava
,●● During a prenatal visit, the nurse checks the fetal heart rate (FHR) of
a client in the third trimester of pregnancy. The nurse determines that the
FHR is normal if which heart rate is noted? Answer: 150 beats per
minute
●● The nurse is reinforcing teaching to a pregnant woman about the
physiological effects and hormone changes that occur during pregnancy.
The woman asks the nurse about the purpose of estrogen. The nurse
bases the response on which purpose of estrogen? Answer: It stimulates
uterine development to provide an environment for the fetus and
stimulates the breasts to prepare for lactation.
●● (Select all that apply) A nurse is assigned to assist with the admission
of a client who is in labor. Which of the following actions are
appropriate? Answer: (1) Asking about the estimated date of delivery
(EDD), (3) Taking maternal and fetal vital signs, (6) Asking about the
amount of time between contractions
●● Which of the following is the most serious adverse effect associated
with oxytocin (Pitocin) administration during labor? Answer: Tetanic
contractions
●● Which intervention should be included in the safety plan for the
maternal-infant unit? Answer: Making sure that the spouse or significant
other wears an identification band
,●● When caring for a client in the first stage of labor, the nurse
documents cervical dilation of 9 cm and intense contractions lasting 45
to 60 seconds and occurring about every 2 minutes. Based on these
findings, the nurse should recognize that the client is in which phase of
labor? Answer: Transitional phase
●● After admission to the labor and delivery area, a client undergoes
routine tests, including a complete blood count, urinalysis, Venereal
Disease Research Laboratory test, and gonorrhea culture. The gonorrhea
culture is positive, although the client doesn't have signs and symptoms
of this disease. What is the significance of this finding? Answer:
Maternal gonorrhea may cause an eye infection in the neonate.
●● A client is recovering in the labor and delivery area after delivering a
6-lb, 3-oz boy. On assessment, the nurse finds that the client's fundus is
firm and located two fingerbreadths below the umbilicus. Although she
didn't have an episiotomy, her perineal pad reveals a steady trickle of
blood. What is the probable cause of these assessment findings? Answer:
A vaginal laceration
●● A client in the early stages of active labor wants to get out of bed and
walk around the room. Which action by the nurse is best? Answer:
Assisting the client to ambulate in the room
, ●● When caring for a client who's a primigravida, the nurse would
expect the second stage of labor to last how long? Answer:
Approximately 2 hours
●● (SELECT ALL THAT APPLY) A client receives an epidural block
for pain relief during labor. Which interventions by the nurse are
important when caring for a client with an epidural block? Answer: (1)
Make sure oxygen is available., (3) Monitor vital signs frequently., (5)
Monitor fetal heart rate and contractions closely.
●● A client is in the second stage of labor. During this stage, how
frequently should the nurse assess her uterine contractions? Answer:
Every 15 minutes
●● Which of the following physiologic changes during labor makes it
necessary for the nurse to check blood pressure frequently? Answer:
Alterations in cardiovascular function affect the fetus.
●● A primigravid client is admitted to the labor and delivery area, where
the nurse evaluates her. Which data collection finding may indicate the
need for cesarean delivery? Answer: Umbilical cord prolapse
●● Which of the following behaviors would cause the nurse to suspect
that a client's labor is moving quickly and that the physician should be
notified? Answer: An increased sense of rectal pressure
STUDY GUIDE 2026 DETAILED QUESTIONS
AND CORRECT ANSWERS GRADED A+
●● The nurse working in a prenatal clinic reviews a client's chart and
notes that the health care provider documents that the client has a
gynecoid pelvis. The nurse understands that which is a characteristic of
this type of pelvis? Answer: The most favorable for labor and birth
●● The client asks the nurse about the purpose of the placenta. The
nurse plans to respond to the client knowing which about the placenta?
Answer: Provides an exchange of nutrients and waste products between
the mother and the fetus
●● The nurse is describing the process of fetal circulation to a client
during a prenatal visit. The nurse should tell the client that fetal
circulation consists of which? Answer: Two umbilical arteries and one
umbilical vein
●● A nursing student is assigned to a client in labor. The nursing
instructor asks the student to describe fetal circulation, specifically the
ductus venosus. The instructor determines that the student understands
the structure of the ductus venosus if the student states which about the
ductus venosus? Answer: Connects the umbilical vein to the inferior
vena cava
,●● During a prenatal visit, the nurse checks the fetal heart rate (FHR) of
a client in the third trimester of pregnancy. The nurse determines that the
FHR is normal if which heart rate is noted? Answer: 150 beats per
minute
●● The nurse is reinforcing teaching to a pregnant woman about the
physiological effects and hormone changes that occur during pregnancy.
The woman asks the nurse about the purpose of estrogen. The nurse
bases the response on which purpose of estrogen? Answer: It stimulates
uterine development to provide an environment for the fetus and
stimulates the breasts to prepare for lactation.
●● (Select all that apply) A nurse is assigned to assist with the admission
of a client who is in labor. Which of the following actions are
appropriate? Answer: (1) Asking about the estimated date of delivery
(EDD), (3) Taking maternal and fetal vital signs, (6) Asking about the
amount of time between contractions
●● Which of the following is the most serious adverse effect associated
with oxytocin (Pitocin) administration during labor? Answer: Tetanic
contractions
●● Which intervention should be included in the safety plan for the
maternal-infant unit? Answer: Making sure that the spouse or significant
other wears an identification band
,●● When caring for a client in the first stage of labor, the nurse
documents cervical dilation of 9 cm and intense contractions lasting 45
to 60 seconds and occurring about every 2 minutes. Based on these
findings, the nurse should recognize that the client is in which phase of
labor? Answer: Transitional phase
●● After admission to the labor and delivery area, a client undergoes
routine tests, including a complete blood count, urinalysis, Venereal
Disease Research Laboratory test, and gonorrhea culture. The gonorrhea
culture is positive, although the client doesn't have signs and symptoms
of this disease. What is the significance of this finding? Answer:
Maternal gonorrhea may cause an eye infection in the neonate.
●● A client is recovering in the labor and delivery area after delivering a
6-lb, 3-oz boy. On assessment, the nurse finds that the client's fundus is
firm and located two fingerbreadths below the umbilicus. Although she
didn't have an episiotomy, her perineal pad reveals a steady trickle of
blood. What is the probable cause of these assessment findings? Answer:
A vaginal laceration
●● A client in the early stages of active labor wants to get out of bed and
walk around the room. Which action by the nurse is best? Answer:
Assisting the client to ambulate in the room
, ●● When caring for a client who's a primigravida, the nurse would
expect the second stage of labor to last how long? Answer:
Approximately 2 hours
●● (SELECT ALL THAT APPLY) A client receives an epidural block
for pain relief during labor. Which interventions by the nurse are
important when caring for a client with an epidural block? Answer: (1)
Make sure oxygen is available., (3) Monitor vital signs frequently., (5)
Monitor fetal heart rate and contractions closely.
●● A client is in the second stage of labor. During this stage, how
frequently should the nurse assess her uterine contractions? Answer:
Every 15 minutes
●● Which of the following physiologic changes during labor makes it
necessary for the nurse to check blood pressure frequently? Answer:
Alterations in cardiovascular function affect the fetus.
●● A primigravid client is admitted to the labor and delivery area, where
the nurse evaluates her. Which data collection finding may indicate the
need for cesarean delivery? Answer: Umbilical cord prolapse
●● Which of the following behaviors would cause the nurse to suspect
that a client's labor is moving quickly and that the physician should be
notified? Answer: An increased sense of rectal pressure
