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“HIGH RISK ANTEPARTUM NCLEX“ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
HIGH RISK ANTEPARTUM NCLEX
A nurse is teaching a client about fertilization. Where does fertilization
typically occur?
A. Lower uterine segment
B. Cervix
C. Outer third of the fallopian tube
D. Endometrium
C
Rationale: Fertilization usually occurs in the outer third of the fallopian tube before
implantation in the uterine lining.
Which hormone, secreted early in pregnancy, is detected by most pregnancy
tests?
A. Progesterone
B. Human chorionic gonadotropin (hCG)
C. Estrogen
D. Prolactin
B
Rationale: hCG is produced by the chorion and is the basis for most pregnancy
tests.
Which fetal structure allows blood to bypass the lungs?
A. Ductus venosus
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B. Foramen ovale
C. Hepatic vein
D. Pulmonary vein
B
Rationale: The foramen ovale shunts blood from the right atrium to the left atrium,
bypassing the fetal lungs.
A nurse is reviewing the embryonic stage of development. Which statement is
correct?
A. It lasts from fertilization to the 2nd week.
B. It is the longest stage of fetal development.
C. It ends when all major organ structures are formed.
D. It occurs during the last trimester of pregnancy.
C
Rationale: The embryonic stage (weeks 2–8) is when major organs and structures
are formed.
Which of the following are considered probable signs of pregnancy? (Select all
that apply.)
A. Chadwick’s sign
B. Nausea and vomiting
C. Goodell’s sign
D. Positive fetal heart tones
E. Hegar’s sign
A, C, E
Rationale: Probable signs include Chadwick’s (bluish cervix), Goodell’s (softened
cervix), and Hegar’s (softened lower uterine segment). Nausea is presumptive, and
fetal heart tones are positive.
A pregnant client asks about the function of the placenta. The nurse explains
that the placenta:
A. Produces estrogen and progesterone
B. Filters waste through the maternal kidneys
C. Stores nutrients for the fetus
D. Produces amniotic fluid
A
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Rationale: The placenta secretes hormones such as estrogen and progesterone,
supporting pregnancy.
Which adaptation is a normal gastrointestinal change during pregnancy?
A. Increased gastric motility
B. Decreased lower esophageal sphincter tone
C. Reduced saliva production
D. Decreased risk of constipation
B
Rationale: Relaxation of the lower esophageal sphincter increases reflux and
heartburn during pregnancy.
The nurse is teaching about genetic inheritance. Which statement best
describes a recessive disorder?
A. It requires only one copy of the gene to be expressed.
B. It is carried on the Y chromosome.
C. It requires two copies of the defective gene to be expressed.
D. It cannot be inherited by offspring.
C
Rationale: Recessive disorders require two copies of the abnormal gene for the trait
to be expressed.
During the second trimester, a woman reports nasal stuffiness and
nosebleeds. The nurse explains this is due to:
A. Increased blood pressure
B. Increased vascularity in the respiratory tract
C. Decreased oxygen demand
D. Reduced estrogen levels
B
Rationale: Estrogen increases vascularity, leading to congestion and epistaxis.
Which maternal sign indicates adaptation of the musculoskeletal system
during pregnancy?
A. Increased bone density
B. Decreased spinal curvature
C. Relaxation of ligaments
D. Forward shift in center of gravity
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D
Rationale: The enlarging uterus shifts the center of gravity forward, causing
swayback and balance changes.
What is the function of amniotic fluid?
A. Provides oxygen to the fetus
B. Cushions the fetus and maintains temperature
C. Produces red blood cells
D. Forms the placenta
B
Rationale: Amniotic fluid protects, cushions, and maintains a constant temperature
for the fetus.
A nurse reviews lab results for a pregnant client. Which finding is expected?
A. Decreased glomerular filtration rate (GFR)
B. Increased GFR by 40-60%
C. Reduced renal blood flow
D. Increased risk of kidney stones from reduced flow
B
Rationale: Pregnancy increases GFR by 40–60% to meet metabolic demands.
Which integumentary change is commonly associated with pregnancy?
A. Alopecia
B. Linea nigra
C. Pallor
D. Vitiligo
B
Rationale: Linea nigra is a dark line on the abdomen caused by hormonal changes.
Which genetic abnormality involves an extra chromosome?
A. Monosomy
B. Trisomy
C. Deletion
D. Translocation
B
Rationale: Trisomy is the presence of an extra chromosome, as seen in Down
syndrome.
“HIGH RISK ANTEPARTUM NCLEX“ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
HIGH RISK ANTEPARTUM NCLEX
A nurse is teaching a client about fertilization. Where does fertilization
typically occur?
A. Lower uterine segment
B. Cervix
C. Outer third of the fallopian tube
D. Endometrium
C
Rationale: Fertilization usually occurs in the outer third of the fallopian tube before
implantation in the uterine lining.
Which hormone, secreted early in pregnancy, is detected by most pregnancy
tests?
A. Progesterone
B. Human chorionic gonadotropin (hCG)
C. Estrogen
D. Prolactin
B
Rationale: hCG is produced by the chorion and is the basis for most pregnancy
tests.
Which fetal structure allows blood to bypass the lungs?
A. Ductus venosus
, Page 2 of 41
B. Foramen ovale
C. Hepatic vein
D. Pulmonary vein
B
Rationale: The foramen ovale shunts blood from the right atrium to the left atrium,
bypassing the fetal lungs.
A nurse is reviewing the embryonic stage of development. Which statement is
correct?
A. It lasts from fertilization to the 2nd week.
B. It is the longest stage of fetal development.
C. It ends when all major organ structures are formed.
D. It occurs during the last trimester of pregnancy.
C
Rationale: The embryonic stage (weeks 2–8) is when major organs and structures
are formed.
Which of the following are considered probable signs of pregnancy? (Select all
that apply.)
A. Chadwick’s sign
B. Nausea and vomiting
C. Goodell’s sign
D. Positive fetal heart tones
E. Hegar’s sign
A, C, E
Rationale: Probable signs include Chadwick’s (bluish cervix), Goodell’s (softened
cervix), and Hegar’s (softened lower uterine segment). Nausea is presumptive, and
fetal heart tones are positive.
A pregnant client asks about the function of the placenta. The nurse explains
that the placenta:
A. Produces estrogen and progesterone
B. Filters waste through the maternal kidneys
C. Stores nutrients for the fetus
D. Produces amniotic fluid
A
, Page 3 of 41
Rationale: The placenta secretes hormones such as estrogen and progesterone,
supporting pregnancy.
Which adaptation is a normal gastrointestinal change during pregnancy?
A. Increased gastric motility
B. Decreased lower esophageal sphincter tone
C. Reduced saliva production
D. Decreased risk of constipation
B
Rationale: Relaxation of the lower esophageal sphincter increases reflux and
heartburn during pregnancy.
The nurse is teaching about genetic inheritance. Which statement best
describes a recessive disorder?
A. It requires only one copy of the gene to be expressed.
B. It is carried on the Y chromosome.
C. It requires two copies of the defective gene to be expressed.
D. It cannot be inherited by offspring.
C
Rationale: Recessive disorders require two copies of the abnormal gene for the trait
to be expressed.
During the second trimester, a woman reports nasal stuffiness and
nosebleeds. The nurse explains this is due to:
A. Increased blood pressure
B. Increased vascularity in the respiratory tract
C. Decreased oxygen demand
D. Reduced estrogen levels
B
Rationale: Estrogen increases vascularity, leading to congestion and epistaxis.
Which maternal sign indicates adaptation of the musculoskeletal system
during pregnancy?
A. Increased bone density
B. Decreased spinal curvature
C. Relaxation of ligaments
D. Forward shift in center of gravity
, Page 4 of 41
D
Rationale: The enlarging uterus shifts the center of gravity forward, causing
swayback and balance changes.
What is the function of amniotic fluid?
A. Provides oxygen to the fetus
B. Cushions the fetus and maintains temperature
C. Produces red blood cells
D. Forms the placenta
B
Rationale: Amniotic fluid protects, cushions, and maintains a constant temperature
for the fetus.
A nurse reviews lab results for a pregnant client. Which finding is expected?
A. Decreased glomerular filtration rate (GFR)
B. Increased GFR by 40-60%
C. Reduced renal blood flow
D. Increased risk of kidney stones from reduced flow
B
Rationale: Pregnancy increases GFR by 40–60% to meet metabolic demands.
Which integumentary change is commonly associated with pregnancy?
A. Alopecia
B. Linea nigra
C. Pallor
D. Vitiligo
B
Rationale: Linea nigra is a dark line on the abdomen caused by hormonal changes.
Which genetic abnormality involves an extra chromosome?
A. Monosomy
B. Trisomy
C. Deletion
D. Translocation
B
Rationale: Trisomy is the presence of an extra chromosome, as seen in Down
syndrome.
