MATERNAL NEWBORN OB FINAL WITH 200 HIGH-YIELD
QUESTIONS, DETAILED ANSWER EXPLANATIONS AND
RATIONALES, COMPREHENSIVE MATERNAL-NEWBORN
AND OBSTETRIC NURSING CONCEPT REVIEW,
PREGNANCY, LABOR AND DELIVERY, POSTPARTUM AND
NEWBORN CARE, FETAL MONITORING, OBSTETRIC
COMPLICATIONS, SAFE MATERNAL AND NEONATAL
NURSING PRACTICE, NEXT GENERATION NCLEX (NGN)
CLINICAL JUDGMENT CASE SCENARIOS, PRIORITIZATION
AND DELEGATION STRATEGIES, EVIDENCE-BASED
NURSING INTERVENTIONS, TEST-TAKING STRATEGIES,
AND COMPLETE NURSING EXAM PREPARATION TOOLKIT
– 2026/2027 LATEST UPDATED EDITION
Which of the following statements by a pregnant woman indicates she
needs additional teaching on ways to reduce risks to her unborn child
from the potential effects of exposure to toxoplasmosis?
a. "I will avoid rare lamb."
b. "I will wear a mask when cleaning my cat's litter box." ✔
c. "I understand that exposure to toxoplasmosis can cause blindness in
the baby." d. "I will avoid rare beef."
✔ Correct Answer: B
Expert Rationale:
Toxoplasmosis is caused by a protozoan parasite transmitted through
cat feces and undercooked meat. Pregnant women should avoid
handling litter boxes or use gloves and wash hands thoroughly. Wearing
a mask does not prevent ingestion of the organism, which is the
primary route of infection.
,Options A and D are correct preventive measures because undercooked
meats may contain the parasite. Option C reflects correct
understanding of fetal complications such as blindness and neurologic
damage.
NCLEX focus: Infection prevention during pregnancy.
DIF: Application
REF: Prenatal Infections / TORCH
OBJ: Identify prevention strategies for
toxoplasmosis TOP: Health Promotion and
Maintenance
The fetal circulatory structure that connects the pulmonary artery
with the descending aorta is known as which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus ✔
d. Internal iliac artery
✔ Correct Answer: C
Expert Rationale:
The ductus arteriosus shunts blood from the pulmonary artery to the
descending aorta, bypassing the nonfunctioning fetal lungs.
The ductus venosus connects the umbilical vein to the inferior vena
cava, and the foramen ovale allows blood flow between the atria. The
internal iliac arteries are not part of fetal shunting structures.
NCLEX focus: Fetal circulation.
,DIF: Knowledge
REF: Fetal Physiology
OBJ: Identify fetal circulatory structures
TOP: Physiological Adaptation
A woman at 40 weeks' gestation has a diagnosis of oligohydramnios.
Which of the following statements related to oligohydramnios is
correct?
a. It indicates that there is a 25% increase in amniotic fluid.
b. It indicates that there is a 25% reduction of amniotic fluid.
c. It indicates that there is a 50% increase in amniotic fluid.
d. It indicates that there is a 50% reduction of amniotic fluid ✔
✔ Correct Answer: D
Expert Rationale:
Oligohydramnios is defined as significantly decreased amniotic fluid,
typically a
50% reduction or less than 500 mL at term. It is associated with fetal
complications such as cord compression and growth restriction.
Options A and C describe increased fluid (polyhydramnios). Option B
underestimates the severity.
NCLEX focus: Amniotic fluid disorders.
DIF: Knowledge
REF: High-Risk Pregnancy
OBJ: Define oligohydramnios
TOP: Physiological Adaptation
, The nurse takes the history of a client, G2 P1, at her first prenatal visit.
The client is referred to a genetic counselor, due to her previous child
having a diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia ✔
d. Glomerular nephritis
✔ Correct Answer: C
Expert Rationale:
Sickle cell anemia is an inherited autosomal recessive disorder, making
genetic counseling essential for future pregnancies.
The other conditions are not typically inherited genetic disorders
requiring counseling.
NCLEX focus: Genetic risk assessment.
DIF: Application
REF: Genetic Disorders
OBJ: Identify indications for genetic
counseling TOP: Health Promotion
A nurse is teaching a woman about her menstrual cycle. The nurse
states that __________ is the most important change that happens
during the secretory phase of the menstrual cycle.
a. Maturation of the graafian follicle ✔
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
QUESTIONS, DETAILED ANSWER EXPLANATIONS AND
RATIONALES, COMPREHENSIVE MATERNAL-NEWBORN
AND OBSTETRIC NURSING CONCEPT REVIEW,
PREGNANCY, LABOR AND DELIVERY, POSTPARTUM AND
NEWBORN CARE, FETAL MONITORING, OBSTETRIC
COMPLICATIONS, SAFE MATERNAL AND NEONATAL
NURSING PRACTICE, NEXT GENERATION NCLEX (NGN)
CLINICAL JUDGMENT CASE SCENARIOS, PRIORITIZATION
AND DELEGATION STRATEGIES, EVIDENCE-BASED
NURSING INTERVENTIONS, TEST-TAKING STRATEGIES,
AND COMPLETE NURSING EXAM PREPARATION TOOLKIT
– 2026/2027 LATEST UPDATED EDITION
Which of the following statements by a pregnant woman indicates she
needs additional teaching on ways to reduce risks to her unborn child
from the potential effects of exposure to toxoplasmosis?
a. "I will avoid rare lamb."
b. "I will wear a mask when cleaning my cat's litter box." ✔
c. "I understand that exposure to toxoplasmosis can cause blindness in
the baby." d. "I will avoid rare beef."
✔ Correct Answer: B
Expert Rationale:
Toxoplasmosis is caused by a protozoan parasite transmitted through
cat feces and undercooked meat. Pregnant women should avoid
handling litter boxes or use gloves and wash hands thoroughly. Wearing
a mask does not prevent ingestion of the organism, which is the
primary route of infection.
,Options A and D are correct preventive measures because undercooked
meats may contain the parasite. Option C reflects correct
understanding of fetal complications such as blindness and neurologic
damage.
NCLEX focus: Infection prevention during pregnancy.
DIF: Application
REF: Prenatal Infections / TORCH
OBJ: Identify prevention strategies for
toxoplasmosis TOP: Health Promotion and
Maintenance
The fetal circulatory structure that connects the pulmonary artery
with the descending aorta is known as which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus ✔
d. Internal iliac artery
✔ Correct Answer: C
Expert Rationale:
The ductus arteriosus shunts blood from the pulmonary artery to the
descending aorta, bypassing the nonfunctioning fetal lungs.
The ductus venosus connects the umbilical vein to the inferior vena
cava, and the foramen ovale allows blood flow between the atria. The
internal iliac arteries are not part of fetal shunting structures.
NCLEX focus: Fetal circulation.
,DIF: Knowledge
REF: Fetal Physiology
OBJ: Identify fetal circulatory structures
TOP: Physiological Adaptation
A woman at 40 weeks' gestation has a diagnosis of oligohydramnios.
Which of the following statements related to oligohydramnios is
correct?
a. It indicates that there is a 25% increase in amniotic fluid.
b. It indicates that there is a 25% reduction of amniotic fluid.
c. It indicates that there is a 50% increase in amniotic fluid.
d. It indicates that there is a 50% reduction of amniotic fluid ✔
✔ Correct Answer: D
Expert Rationale:
Oligohydramnios is defined as significantly decreased amniotic fluid,
typically a
50% reduction or less than 500 mL at term. It is associated with fetal
complications such as cord compression and growth restriction.
Options A and C describe increased fluid (polyhydramnios). Option B
underestimates the severity.
NCLEX focus: Amniotic fluid disorders.
DIF: Knowledge
REF: High-Risk Pregnancy
OBJ: Define oligohydramnios
TOP: Physiological Adaptation
, The nurse takes the history of a client, G2 P1, at her first prenatal visit.
The client is referred to a genetic counselor, due to her previous child
having a diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia ✔
d. Glomerular nephritis
✔ Correct Answer: C
Expert Rationale:
Sickle cell anemia is an inherited autosomal recessive disorder, making
genetic counseling essential for future pregnancies.
The other conditions are not typically inherited genetic disorders
requiring counseling.
NCLEX focus: Genetic risk assessment.
DIF: Application
REF: Genetic Disorders
OBJ: Identify indications for genetic
counseling TOP: Health Promotion
A nurse is teaching a woman about her menstrual cycle. The nurse
states that __________ is the most important change that happens
during the secretory phase of the menstrual cycle.
a. Maturation of the graafian follicle ✔
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
