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MATERNITY NCLEX QUESTIONS with Detailed Verified Answers (100% Correct Answers) /Already Graded A+

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Which of the following maternal factors may decrease fetal oxygenation? Select all that apply A. Asthma B. Gestational diabetes C. Hypertension D. Epidural Ans: A. Asthma C. Hypertension D. Epidural A 25 year old female is 25 weeks pregnant. she has had one previous pregnancy at 35 weeks and the baby is now 2 years old. she has no history of abortion Ans: G=2, T=0, P=1, A= 0, L=1 So I think the answer would be G=2, T=0, P=1, A= 0, L=1 More complete description of pregnancy outcomesGTPALG-gravidaTterm>37 weeksP-preterm <37 weeksA-abortions (SAB or TAB)L- living children 2. A woman is 37 weeks pregnant and experiencing contractions lasting an average of 35 seconds with varying frequency, her last ones being 12 minutes apart, 8 minutes apart and then 25 minutes. She is 2 cm dilated, her physician would explain that she is in the .... 2 Exampromax - Stuvia US2025/2026 Approved By: Exampromax - Stuvia US Ans: 1st Stage, latent phase of labor Rationale: 1st stage: (latent) frequency 5-30 minutes, duration 30-40seconds, dilation 0- 3cm ( active) frequency 3-5 minutes, duration 40-70 seconds, dilation 4-7cm (transition) frequency 2-3 minutes, duration, 45-90 seconds, 10 cm dilated Second stage: full dilation, progresses to contractions every 1-2 minutes Third stage: delivery of the neonate fourth stage: delivery of the placenta Which of the following are maternal changes during pregnancy? (select all that apply) A. Decreased cardiac output B. Increased clotting factors C. Decreased lung volume D. Skin color changes that should return to normal after pregnancy E. Supine hypertensive syndrome Ans: Answers: B, C, D A is incorrect because cardiac output increases with the 30% increased blood volume to compensate for blood loss during birth and to provide fetus with nutrient. E is incorrect because pregnant women develop supine hypotension syndrome (vena caval syndrome), from baby putting pressure on the inferior vena cava. A pregnant woman who is in her late 3rd trimester called her primary care provider complaining of contractions. Which of the following indicates that the patient is experiencing true labor? Select all that apply. A. My pain duration changes when I move around B. My contractions are occurring every 6 minutes and last 1 minute long 3 Exampromax - Stuvia US2025/2026 Approved By: Exampromax - Stuvia US C. I have pain located back to front D. My cervix is changing E. My contractions are coming 10, 7, and then 15 minutes apart Ans: Answer B,C,D Rational: True labor is regular, location is back to front, and the duration remains constant. Cervical change is a true indicator of labor. A pregnant women presents to her doctors office with nausea, vomiting, and sharp abdominal pain. The doctor suspects an ectopic pregnancy. What would her HCG levels look like? HCG level slowly declining over 48 hours HCG level rising but not doubling appropriately in 48 hours HCG level drastically drops within 24 hours No HCG hormone dete

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1 Exampromax - Stuvia US 2025/2026


MATERNITY NCLEX QUESTIONS with Detailed
Verified Answers (100% Correct Answers) /Already
Graded A+
Which of the following maternal factors may decrease fetal oxygenation?
Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural
Ans: A. Asthma
C. Hypertension
Exampromax - Stuvia US




D. Epidural
Approved By:




A 25 year old female is 25 weeks pregnant. she has had one previous
pregnancy at 35 weeks and the baby is now 2 years old. she has no history
of abortion
Ans: G=2, T=0, P=1, A= 0, L=1


So I think the answer would be
G=2, T=0, P=1, A= 0, L=1
More complete description of pregnancy outcomesGTPALG-gravidaT-
term>37 weeksP-preterm <37 weeksA-abortions (SAB or TAB)L- living
children

2. A woman is 37 weeks pregnant and experiencing contractions lasting an
average of 35 seconds with varying frequency, her last ones being 12
minutes apart, 8 minutes apart and then 25 minutes. She is 2 cm dilated, her
physician would explain that she is in the ....

, 2 Exampromax - Stuvia US 2025/2026

Ans: 1st Stage, latent phase of labor


Rationale:
1st stage: (latent) frequency 5-30 minutes, duration 30-40seconds, dilation 0-
3cm
( active) frequency 3-5 minutes, duration 40-70 seconds, dilation 4-7cm
(transition) frequency 2-3 minutes, duration, 45-90 seconds, 10 cm dilated


Second stage: full dilation, progresses to contractions every 1-2 minutes
Third stage: delivery of the neonate
Exampromax - Stuvia US




fourth stage: delivery of the placenta
Approved By:




Which of the following are maternal changes during pregnancy? (select all
that apply)
A. Decreased cardiac output
B. Increased clotting factors
C. Decreased lung volume
D. Skin color changes that should return to normal after pregnancy
E. Supine hypertensive syndrome
Ans: Answers: B, C, D
A is incorrect because cardiac output increases with the 30% increased
blood volume to compensate for blood loss during birth and to provide fetus
with nutrient. E is incorrect because pregnant women develop supine
hypotension syndrome (vena caval syndrome), from baby putting pressure
on the inferior vena cava.

A pregnant woman who is in her late 3rd trimester called her primary care
provider complaining of contractions. Which of the following indicates that
the patient is experiencing true labor? Select all that apply.
A. My pain duration changes when I move around
B. My contractions are occurring every 6 minutes and last 1 minute long

, 3 Exampromax - Stuvia US 2025/2026

C. I have pain located back to front
D. My cervix is changing
E. My contractions are coming 10, 7, and then 15 minutes apart
Ans: Answer B,C,D
Rational: True labor is regular, location is back to front, and the duration
remains constant. Cervical change is a true indicator of labor.

A pregnant women presents to her doctors office with nausea, vomiting,
and sharp abdominal pain. The doctor suspects an ectopic pregnancy. What
would her HCG levels look like?
HCG level slowly declining over 48 hours
HCG level rising but not doubling appropriately in 48 hours
Exampromax - Stuvia US




HCG level drastically drops within 24 hours
Approved By:




No HCG hormone detected
Ans: Answer B
Rational: HCG levels would still rise because the fertilized ovum is still
secreting HCG even though it is in the wrong place. The HCG level would
decline over 48 hours if their was a spontaneous abortion/loss.

Janine is a 34-year-old female who is 36 weeks pregnant with fraternal
twins, has two living children that are also fraternal twins and now 4 years
old, that she delivered at 36 weeks via c-section. She had a therapeutic
abortion at 23 years old and spontaneously aborted during her second
pregnancy at 27 years old. What is her GTPAL?
A.) G=2, T=1, P=1, A=2, L=2
B.) G=4, T=1, P=0, A=2, L=2
C.) G=4, T=0, P=1, A=2, L=2
D.) G=4, T=0, P=1, A=1, L=2
E.) G=2, T=1, P=0, A=1, L=2

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