UPDATED Maternity Evolve Exam: = = = =
NCLEX-RN Actual = ==
Test Bank 380+ Questions & Answers with
= == = = = = =
Rationales for = =
Obstetric Nursing Success Complete Q&A with
= = = = = =
Rationales =
2026/2027
=
SECTION A: ANTEPARTUM NURSING –
= = = =
PRENATAL CARE & ASSESSMENT (Questions 1-45)
= = = = = = =
=
Question 1 = =
A pregnant woman with a history of heart disease visits the prenatal c
= = = = = = = = = = = =
linic at the end of her second trimester. What does the nurse anticipat
= = = = = = = = = = = =
e about the care she will need?
= = = = = = =
A) Preparation for a cesarean birth = = = = =
B) Bedrest during the last trimester
= = = = =
C) Prophylactic antibiotics at the time of birth = = = = = = =
D) Increasing dosages of cardiac medications as pregnancy progres
= = = = = = =
ses =
,Answer: C) Prophylactic antibiotics at the time of birth
= = = = = = = = =
Rationale: Women with a history of heart disease are at increased ris
= = = = = = = = = = =
k for bacterial endocarditis during labor and delivery. Prophylactic a
= = = = = = = = =
ntibiotics are administered at the time of birth to prevent this serious co
= = = = = = = = = = = =
mplication . = =
=
Question 2 = =
During a prenatal examination, a nurse draws blood from an Rhnega
= = = = = = = = = =
tive client. The nurse explains that an indirect Coombs test will be perf
= = = = = = = = = = = =
ormed to predict whether the fetus is at risk for:
= = = = = = = = = =
A) Acute hemolytic anemia = = =
B) Respiratory distress syndrome = = =
C) Protein metabolism deficiency = = =
D) Physiologic hyperbilirubinemia = =
Answer: A) Acute hemolytic anemia= = = = =
Rationale: The indirect Coombs test detects Rh antibodies in the mater
= = = = = = = = = =
nal blood. If the mother has developed antibodies against Rh-
= = = = = = = = =
positive fetal blood, the fetus is at risk for hemolytic disease of the new
= = = = = = = = = = = = =
born, which can cause acute hemolytic anemia .
= = = = = = = =
=
,Question 3 = =
A client is to undergo a tuberculin test as part of her prenatal workup.
= = = = = = = = = = = = = =
Before administering the test, what information about the client shoul
= = = = = = = = =
d the nurse obtain?
= = = =
A) Whether she has had a previous tuberculin test = = = = = = = =
B) Whether the client is prone to respiratory diseases = = = = = = = =
C) Whether an earlier tuberculin test's result was positive = = = = = = = =
D) Whether the client's family has a history of tuberculosis = = = = = = = = =
Answer: C) Whether an earlier tuberculin test's result was positive
= = = = = = = = = =
Rationale: A positive tuberculin test in the past means the client may h
= = = = = = = = = = = =
ave a positive reaction now due to prior sensitization, not necessarily n
= = = = = = = = = = =
ew infection. This information is critical for accurate interpretation of t
= = = = = = = = = =
he current test result .
= = = = =
=
Question 4 = =
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic
= = = = = = = = = = = = = =
= that she is experiencing severe nausea and frequent vomiting. The nu
= = = = = = = = = =
rse suspects that the client has hyperemesis gravidarum. What factor
= = = = = = = = = =
is frequently associated with this disorder?
= = = = = =
A) History of cholecystitis = = =
, B) Large amount of amniotic fluid
= = = = =
C) High level of chorionic gonadotropin
= = = = =
D) Increased maternal age = = =
Answer: C) High level of chorionic gonadotropin
= = = = = = =
Rationale: Hyperemesis gravidarum is frequently associated with el
= = = = = = =
evated levels of human chorionic gonadotropin (hCG) in early pregn
= = = = = = = = =
ancy. This condition is more common in multiple gestations and molar p
= = = = = = = = = = =
regnancies where hCG levels are higher .
= = = = = = =
=
Question 5 = =
A client at the prenatal clinic has mild preeclampsia. What should the
= = = = = = = = = = = =
nurse teach her to do in regard to her fluid and nutritional intake?
= = = = = = = = = = = = =
A) Restrict fluid intake = = =
B) Stay on a low-salt diet
= = = = =
C) Continue the pregnancy diet = = = =
D) Increase carbohydrate consumption = = =
Answer: C) Continue the pregnancy diet
= = = = = =
Rationale: Clients with mild preeclampsia should maintain a regular
= = = = = = = = =
pregnancy diet with adequate protein and calories. Fluid restriction
= = = = = = = = =
and low-salt diets are not recommended and may be harmful .
= = = = = = = = = = =
NCLEX-RN Actual = ==
Test Bank 380+ Questions & Answers with
= == = = = = =
Rationales for = =
Obstetric Nursing Success Complete Q&A with
= = = = = =
Rationales =
2026/2027
=
SECTION A: ANTEPARTUM NURSING –
= = = =
PRENATAL CARE & ASSESSMENT (Questions 1-45)
= = = = = = =
=
Question 1 = =
A pregnant woman with a history of heart disease visits the prenatal c
= = = = = = = = = = = =
linic at the end of her second trimester. What does the nurse anticipat
= = = = = = = = = = = =
e about the care she will need?
= = = = = = =
A) Preparation for a cesarean birth = = = = =
B) Bedrest during the last trimester
= = = = =
C) Prophylactic antibiotics at the time of birth = = = = = = =
D) Increasing dosages of cardiac medications as pregnancy progres
= = = = = = =
ses =
,Answer: C) Prophylactic antibiotics at the time of birth
= = = = = = = = =
Rationale: Women with a history of heart disease are at increased ris
= = = = = = = = = = =
k for bacterial endocarditis during labor and delivery. Prophylactic a
= = = = = = = = =
ntibiotics are administered at the time of birth to prevent this serious co
= = = = = = = = = = = =
mplication . = =
=
Question 2 = =
During a prenatal examination, a nurse draws blood from an Rhnega
= = = = = = = = = =
tive client. The nurse explains that an indirect Coombs test will be perf
= = = = = = = = = = = =
ormed to predict whether the fetus is at risk for:
= = = = = = = = = =
A) Acute hemolytic anemia = = =
B) Respiratory distress syndrome = = =
C) Protein metabolism deficiency = = =
D) Physiologic hyperbilirubinemia = =
Answer: A) Acute hemolytic anemia= = = = =
Rationale: The indirect Coombs test detects Rh antibodies in the mater
= = = = = = = = = =
nal blood. If the mother has developed antibodies against Rh-
= = = = = = = = =
positive fetal blood, the fetus is at risk for hemolytic disease of the new
= = = = = = = = = = = = =
born, which can cause acute hemolytic anemia .
= = = = = = = =
=
,Question 3 = =
A client is to undergo a tuberculin test as part of her prenatal workup.
= = = = = = = = = = = = = =
Before administering the test, what information about the client shoul
= = = = = = = = =
d the nurse obtain?
= = = =
A) Whether she has had a previous tuberculin test = = = = = = = =
B) Whether the client is prone to respiratory diseases = = = = = = = =
C) Whether an earlier tuberculin test's result was positive = = = = = = = =
D) Whether the client's family has a history of tuberculosis = = = = = = = = =
Answer: C) Whether an earlier tuberculin test's result was positive
= = = = = = = = = =
Rationale: A positive tuberculin test in the past means the client may h
= = = = = = = = = = = =
ave a positive reaction now due to prior sensitization, not necessarily n
= = = = = = = = = = =
ew infection. This information is critical for accurate interpretation of t
= = = = = = = = = =
he current test result .
= = = = =
=
Question 4 = =
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic
= = = = = = = = = = = = = =
= that she is experiencing severe nausea and frequent vomiting. The nu
= = = = = = = = = =
rse suspects that the client has hyperemesis gravidarum. What factor
= = = = = = = = = =
is frequently associated with this disorder?
= = = = = =
A) History of cholecystitis = = =
, B) Large amount of amniotic fluid
= = = = =
C) High level of chorionic gonadotropin
= = = = =
D) Increased maternal age = = =
Answer: C) High level of chorionic gonadotropin
= = = = = = =
Rationale: Hyperemesis gravidarum is frequently associated with el
= = = = = = =
evated levels of human chorionic gonadotropin (hCG) in early pregn
= = = = = = = = =
ancy. This condition is more common in multiple gestations and molar p
= = = = = = = = = = =
regnancies where hCG levels are higher .
= = = = = = =
=
Question 5 = =
A client at the prenatal clinic has mild preeclampsia. What should the
= = = = = = = = = = = =
nurse teach her to do in regard to her fluid and nutritional intake?
= = = = = = = = = = = = =
A) Restrict fluid intake = = =
B) Stay on a low-salt diet
= = = = =
C) Continue the pregnancy diet = = = =
D) Increase carbohydrate consumption = = =
Answer: C) Continue the pregnancy diet
= = = = = =
Rationale: Clients with mild preeclampsia should maintain a regular
= = = = = = = = =
pregnancy diet with adequate protein and calories. Fluid restriction
= = = = = = = = =
and low-salt diets are not recommended and may be harmful .
= = = = = = = = = = =
