MATERNITY NCLEX CORE EXAM 2026 TEST QUESTIONS
AND ANSWERS RATED A+
✔✔At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When
is the best time
to administer a rubella vaccine to this client? - ✔✔Early postpartum, within 72 hours of
delivery.
✔✔A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased?
A. Pain level
B. Blood pressure
C. Infusion site
D. Contraction pattern - ✔✔D. Contraction pattern.
✔✔A client delivers a viable infant , but begins to have excessive uncontrolled vaginal ..
notifying the healthcare provider of the clients condition ,What information is most
important
A. Maternal blood pressure
B. Maternal apical pulse
C. Time pitocin infusion completed
D. Total amount of pitocin infused - ✔✔A. Maternal blood pressure.
✔✔A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when
supporting the parents of a child with this anomaly?
A. Discuss the need for cortisol and aldosterone replacement therapy after discharge
B. Support the parents in their decision to assign sex of their child according to their
preference
C. Offer information about ultrasonography and genotyping to determine sex
assignment
D. Explain that corrective surgical procedures consistent with sex
assignment can be delayed - ✔✔C. Offer information about ultrasonography and
genotyping to determine sex assignment
✔✔During a 26-week gestation prenatal exam, a client reports occasional dizziness and
lightheadness
when she is lying down. What intervention is best for the nurse to recommend to this
client. - ✔✔Elevate the head with two pillows while sleeping.
✔✔The current vital signs for a primipara who delivered vaginally during the previous
shift are: temperature 100.4 F, heart rate 58 beats/minute, respiratory rate 16
,breaths/minute, and blood pressure 130/74. What action should the nurse implement? -
✔✔Document the vital signs in the record.
✔✔A 4-day postpartum client calls the clinic and reports that her nipples are so sore
that she does not know if she can continue to breastfeed her infant. What instruction is
best for the nurse to provide? - ✔✔Apply hot packs just before each feeding.
✔✔A loading dose of terbutaline (Bretine) 250 mcg IV is prescribed for a client in
preterm labor. Brethine 20 mg is added to 1000 ml D5W. How many ml of the solution
should the nurse administer? (Enter numeric value only) - ✔✔13
✔✔A newborn with myelomeningocele is admitted to the neonatal intensive care unit.
Which preoperative nursing intervention should the nurse implement first? - ✔✔Place
the infant on the abdomen to protect the sac.
✔✔The mother of a 5-week-old tells the nurse that her baby has acne and asks if she
can use her teenage son's acne cream, benzoyl peroxide, on the baby's face. Which
answer should the nurse to provide? - ✔✔" Your baby may be showing signs of a
systemic disease and needs to be seen by a healthcare
provider"
✔✔An infant is placed in a radiant warmer immediately after birth. At one hour of age,
the nurse finds the infant to be jittery, tachypneic, and hypotonic. What is the first action
that the nurse should take?
A. Notify the health care provider immediately
B. Increase the temperature of the radiant warmer
C. Assess infant heart rateD.
Determine the infants blood sugar level - ✔✔D. Determine the infant's blood sugar
level.
✔✔A 36-week primigravida is admitted to labor and delivery with severe abdominal pain
and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal
heart rate FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute.
What action should the nurse implement first?
A. Alert the neonatal team and prepare for neonatal resuscitation
B. Notify the healthcare provider from the client's bedside
C. Obtain written consent for an emergency cesarean section
D. Draw a blood sample for stat hemoglobin and hematocrit - ✔✔B. Notify the
healthcare provider from the client's bedside
✔✔A laboring client's membranes rupture spontaneously. The nurse notices that the
amniotic fluid is greenish-brown. What intervention should the nurse implement first?
A. Turn the client to her left side
B. Contact the healthcare provider
, C. Assess the fetal heart rate
D. Check the cervical dilation - ✔✔C. Assess the fetal heart rate
✔✔The nurse weighs a 6-month-old infant during a well-baby check-up and determines
that the baby's weight has triple compared to the birth weight of 7 pounds 8 ounces. The
mother asks if the baby is gaining enough weight. What response should the nurse
offer? - ✔✔"What food does your baby usually eat in a normal day?"
✔✔Artificial rupture of the membranes of a laboring client reveals meconium-stained
fluid. What intervention has the greatest priority? - ✔✔Have a meconium aspirator
available at delivery.
✔✔A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests
an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago,
were 3 cm cervical dilatation, 60% effacement, and a -2 station. What action should the
nurse implement first?
A. Decrease the oxytocin infusion rate
B. Determine current cervical dilation
C. Request placement of the epidural
D. Give a bolus of intravenous fluids - ✔✔B. Determine current cervical dilation
✔✔A client with gestational diabetes is undergoing a non-stress test at 34 weeks
gestation. Fetal heart beat is 144 beats / min. The client is instructed to mark the fetal
monitor paper by pressing each time the baby moves. After 20 mins the nurse evaluates
the fetal monitor strip
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two fetal heart accelerations of 15 beats/ min x 15 seconds are recorded
D. No FHR late decelerations occur in response to fetal movement - ✔✔C. Two FHR
accelerations of 15 beats/minute x 15 seconds are recorded.
✔✔A newborn who was a breech presentation is admitted to the nursery. Which
assessment procedure is a priority for the nurse to perform? - ✔✔Babinski's reflex.
✔✔The nurse is assessing a 38-week gestation newborn infant immediately following a
vaginal birth. Which assessment finding best indicates that the infant is transitioning well
to extrauterine life? - ✔✔Cries vigorously when stimulated.
✔✔A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the
nurse plan to include in this client's nursing care plan? - ✔✔Monitor Blood pressure,
pulse, and respirations q4h.
AND ANSWERS RATED A+
✔✔At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When
is the best time
to administer a rubella vaccine to this client? - ✔✔Early postpartum, within 72 hours of
delivery.
✔✔A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased?
A. Pain level
B. Blood pressure
C. Infusion site
D. Contraction pattern - ✔✔D. Contraction pattern.
✔✔A client delivers a viable infant , but begins to have excessive uncontrolled vaginal ..
notifying the healthcare provider of the clients condition ,What information is most
important
A. Maternal blood pressure
B. Maternal apical pulse
C. Time pitocin infusion completed
D. Total amount of pitocin infused - ✔✔A. Maternal blood pressure.
✔✔A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when
supporting the parents of a child with this anomaly?
A. Discuss the need for cortisol and aldosterone replacement therapy after discharge
B. Support the parents in their decision to assign sex of their child according to their
preference
C. Offer information about ultrasonography and genotyping to determine sex
assignment
D. Explain that corrective surgical procedures consistent with sex
assignment can be delayed - ✔✔C. Offer information about ultrasonography and
genotyping to determine sex assignment
✔✔During a 26-week gestation prenatal exam, a client reports occasional dizziness and
lightheadness
when she is lying down. What intervention is best for the nurse to recommend to this
client. - ✔✔Elevate the head with two pillows while sleeping.
✔✔The current vital signs for a primipara who delivered vaginally during the previous
shift are: temperature 100.4 F, heart rate 58 beats/minute, respiratory rate 16
,breaths/minute, and blood pressure 130/74. What action should the nurse implement? -
✔✔Document the vital signs in the record.
✔✔A 4-day postpartum client calls the clinic and reports that her nipples are so sore
that she does not know if she can continue to breastfeed her infant. What instruction is
best for the nurse to provide? - ✔✔Apply hot packs just before each feeding.
✔✔A loading dose of terbutaline (Bretine) 250 mcg IV is prescribed for a client in
preterm labor. Brethine 20 mg is added to 1000 ml D5W. How many ml of the solution
should the nurse administer? (Enter numeric value only) - ✔✔13
✔✔A newborn with myelomeningocele is admitted to the neonatal intensive care unit.
Which preoperative nursing intervention should the nurse implement first? - ✔✔Place
the infant on the abdomen to protect the sac.
✔✔The mother of a 5-week-old tells the nurse that her baby has acne and asks if she
can use her teenage son's acne cream, benzoyl peroxide, on the baby's face. Which
answer should the nurse to provide? - ✔✔" Your baby may be showing signs of a
systemic disease and needs to be seen by a healthcare
provider"
✔✔An infant is placed in a radiant warmer immediately after birth. At one hour of age,
the nurse finds the infant to be jittery, tachypneic, and hypotonic. What is the first action
that the nurse should take?
A. Notify the health care provider immediately
B. Increase the temperature of the radiant warmer
C. Assess infant heart rateD.
Determine the infants blood sugar level - ✔✔D. Determine the infant's blood sugar
level.
✔✔A 36-week primigravida is admitted to labor and delivery with severe abdominal pain
and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal
heart rate FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute.
What action should the nurse implement first?
A. Alert the neonatal team and prepare for neonatal resuscitation
B. Notify the healthcare provider from the client's bedside
C. Obtain written consent for an emergency cesarean section
D. Draw a blood sample for stat hemoglobin and hematocrit - ✔✔B. Notify the
healthcare provider from the client's bedside
✔✔A laboring client's membranes rupture spontaneously. The nurse notices that the
amniotic fluid is greenish-brown. What intervention should the nurse implement first?
A. Turn the client to her left side
B. Contact the healthcare provider
, C. Assess the fetal heart rate
D. Check the cervical dilation - ✔✔C. Assess the fetal heart rate
✔✔The nurse weighs a 6-month-old infant during a well-baby check-up and determines
that the baby's weight has triple compared to the birth weight of 7 pounds 8 ounces. The
mother asks if the baby is gaining enough weight. What response should the nurse
offer? - ✔✔"What food does your baby usually eat in a normal day?"
✔✔Artificial rupture of the membranes of a laboring client reveals meconium-stained
fluid. What intervention has the greatest priority? - ✔✔Have a meconium aspirator
available at delivery.
✔✔A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests
an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago,
were 3 cm cervical dilatation, 60% effacement, and a -2 station. What action should the
nurse implement first?
A. Decrease the oxytocin infusion rate
B. Determine current cervical dilation
C. Request placement of the epidural
D. Give a bolus of intravenous fluids - ✔✔B. Determine current cervical dilation
✔✔A client with gestational diabetes is undergoing a non-stress test at 34 weeks
gestation. Fetal heart beat is 144 beats / min. The client is instructed to mark the fetal
monitor paper by pressing each time the baby moves. After 20 mins the nurse evaluates
the fetal monitor strip
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two fetal heart accelerations of 15 beats/ min x 15 seconds are recorded
D. No FHR late decelerations occur in response to fetal movement - ✔✔C. Two FHR
accelerations of 15 beats/minute x 15 seconds are recorded.
✔✔A newborn who was a breech presentation is admitted to the nursery. Which
assessment procedure is a priority for the nurse to perform? - ✔✔Babinski's reflex.
✔✔The nurse is assessing a 38-week gestation newborn infant immediately following a
vaginal birth. Which assessment finding best indicates that the infant is transitioning well
to extrauterine life? - ✔✔Cries vigorously when stimulated.
✔✔A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the
nurse plan to include in this client's nursing care plan? - ✔✔Monitor Blood pressure,
pulse, and respirations q4h.
