MATERNITY NCLEX LATEST 2026 TEST PAPER QUESTIONS
AND ANSWERS RATED A+
✔✔The nurse is preparing a prenatal client for a transvaginal ultrasound. What nursing
action should the nurse include in the preparations? Select all that apply.
a)Advise the client to empty her bladder.
b)Encourage the client to drink 1.5 quarts of fluid.
c)Apply transmission gel over the client's abdomen.
d)Place client in lithotomy position. - ✔✔D
After having the client void, assist her to a lithotomy position for a transvaginal
ultrasound. Preparation for a transabdominal ultrasound includes encouraging the client
to drink 1.5 quarts of fluid, maintaining a full bladder, and applying transmission gel over
the client's abdomen.
✔✔A pregnant client asks why ultrasound is used so frequently during pregnancy. The
nurse's response is based on her knowledge that the advantages of ultrasound include
which of the following? Select all that apply.
a)"It is noninvasive and painless."
b)"It can be used to estimate gestational age."
c)"Results are immediate."
d)"The ultrasound is the only test to determine gender." - ✔✔A, B, C
The ability to establish fetal age accurately by ultrasound is lost in the third trimester
because fetal growth is not as uniform as it is in the first two trimesters; however,
ultrasound can be used to approximate gestational age within 1-3 weeks' accuracy
during the third trimester. A comprehensive ultrasound is used to detect anatomical
defects, not gestational age. Ultrasound is not used to determine gender.
✔✔The physician orders an ultrasound for a prenatal client prior to an amniocentesis.
The nurse explains to the client that the purpose of the ultrasound is to:
a)Determine the gestational sac volume.
b)Measure the fetus's crown-rump length.
c)Locate the placenta.
d)Measure the fetus's biparietal diameter. - ✔✔C
During an amniocentesis, the physician scans the uterus using ultrasound to identify the
fetal and placental positions and to identify adequate pockets of amniotic fluid.
Determination of the gestational sac volume, measuring the crown-rump length, and
measuring the biparietal diameter are aspects of assessing fetal well-being (biophysical
profile, or BPP), and may or may not be done prior to the amniocentesis, depending on
gestational age.
, ✔✔The nurse is reviewing four prenatal charts. Which client would be an appropriate
candidate for a contraction stress test (CST)?
a)A client with intrauterine growth retardation
b)A client with multiple gestation
c)A client with an incompetent cervix
d)A client with placenta previa - ✔✔A
A contraction stress test (CST) is indicated for a client with intrauterine growth
retardation (IUGR), because it will assess the respiratory function of the placenta, which
may be adversely affected by the conditions causing IUGR. The CST is contraindicated
in third-trimester bleeding from placenta previa or marginal abruptio placentae, previous
cesarean with classical incision (vertical incision in the fundus of the uterus), premature
rupture of the membranes, incompetent cervix, anomalies of the maternal reproductive
organs, history of preterm labor (if being done prior to term), or multiple gestation.
✔✔A prenatal client at 22 weeks gestation is scheduled for an amniocentesis. Which
nursing action would apply to any client undergoing this procedure? Select all that
apply.
a)Assess for bleeding.
b)Administer Rh immune globulin to the client.
c)Cleanse skin with alcohol.
d)Assess vital signs and fetal heart rate. - ✔✔A, D
The skin is cleaned with a betadine solution. The use of a local anesthesia at the needle
insertion site is optional. A 22-gauge needle is then inserted into the uterine cavity and
amniotic fluid is withdrawn. After 15-20 mL of fluid has been removed, the needle is
withdrawn and the site is assessed for streaming (movement of fluid), which is an
indication of bleeding. The fetal heart rate and maternal vital signs are then assessed.
Rh immune globulin is given only to all Rh-negative women.
✔✔A prenatal client at 30 weeks gestation is scheduled for a nonstress test (NST) and
asks the nurse, "What is this test for?" The nurse correctly responds that the test is
used to determine which of the following? Select all that apply.
a)Fetal lung maturity
b)Adequate fetal oxygenation
c)Accelerations of fetal heart rate
d)Fetal well-being - ✔✔B, C, D
An NST documents fetal well-being by measuring fetal oxygenation and fetal heart rate
accelerations, but not fetal lung maturity.
AND ANSWERS RATED A+
✔✔The nurse is preparing a prenatal client for a transvaginal ultrasound. What nursing
action should the nurse include in the preparations? Select all that apply.
a)Advise the client to empty her bladder.
b)Encourage the client to drink 1.5 quarts of fluid.
c)Apply transmission gel over the client's abdomen.
d)Place client in lithotomy position. - ✔✔D
After having the client void, assist her to a lithotomy position for a transvaginal
ultrasound. Preparation for a transabdominal ultrasound includes encouraging the client
to drink 1.5 quarts of fluid, maintaining a full bladder, and applying transmission gel over
the client's abdomen.
✔✔A pregnant client asks why ultrasound is used so frequently during pregnancy. The
nurse's response is based on her knowledge that the advantages of ultrasound include
which of the following? Select all that apply.
a)"It is noninvasive and painless."
b)"It can be used to estimate gestational age."
c)"Results are immediate."
d)"The ultrasound is the only test to determine gender." - ✔✔A, B, C
The ability to establish fetal age accurately by ultrasound is lost in the third trimester
because fetal growth is not as uniform as it is in the first two trimesters; however,
ultrasound can be used to approximate gestational age within 1-3 weeks' accuracy
during the third trimester. A comprehensive ultrasound is used to detect anatomical
defects, not gestational age. Ultrasound is not used to determine gender.
✔✔The physician orders an ultrasound for a prenatal client prior to an amniocentesis.
The nurse explains to the client that the purpose of the ultrasound is to:
a)Determine the gestational sac volume.
b)Measure the fetus's crown-rump length.
c)Locate the placenta.
d)Measure the fetus's biparietal diameter. - ✔✔C
During an amniocentesis, the physician scans the uterus using ultrasound to identify the
fetal and placental positions and to identify adequate pockets of amniotic fluid.
Determination of the gestational sac volume, measuring the crown-rump length, and
measuring the biparietal diameter are aspects of assessing fetal well-being (biophysical
profile, or BPP), and may or may not be done prior to the amniocentesis, depending on
gestational age.
, ✔✔The nurse is reviewing four prenatal charts. Which client would be an appropriate
candidate for a contraction stress test (CST)?
a)A client with intrauterine growth retardation
b)A client with multiple gestation
c)A client with an incompetent cervix
d)A client with placenta previa - ✔✔A
A contraction stress test (CST) is indicated for a client with intrauterine growth
retardation (IUGR), because it will assess the respiratory function of the placenta, which
may be adversely affected by the conditions causing IUGR. The CST is contraindicated
in third-trimester bleeding from placenta previa or marginal abruptio placentae, previous
cesarean with classical incision (vertical incision in the fundus of the uterus), premature
rupture of the membranes, incompetent cervix, anomalies of the maternal reproductive
organs, history of preterm labor (if being done prior to term), or multiple gestation.
✔✔A prenatal client at 22 weeks gestation is scheduled for an amniocentesis. Which
nursing action would apply to any client undergoing this procedure? Select all that
apply.
a)Assess for bleeding.
b)Administer Rh immune globulin to the client.
c)Cleanse skin with alcohol.
d)Assess vital signs and fetal heart rate. - ✔✔A, D
The skin is cleaned with a betadine solution. The use of a local anesthesia at the needle
insertion site is optional. A 22-gauge needle is then inserted into the uterine cavity and
amniotic fluid is withdrawn. After 15-20 mL of fluid has been removed, the needle is
withdrawn and the site is assessed for streaming (movement of fluid), which is an
indication of bleeding. The fetal heart rate and maternal vital signs are then assessed.
Rh immune globulin is given only to all Rh-negative women.
✔✔A prenatal client at 30 weeks gestation is scheduled for a nonstress test (NST) and
asks the nurse, "What is this test for?" The nurse correctly responds that the test is
used to determine which of the following? Select all that apply.
a)Fetal lung maturity
b)Adequate fetal oxygenation
c)Accelerations of fetal heart rate
d)Fetal well-being - ✔✔B, C, D
An NST documents fetal well-being by measuring fetal oxygenation and fetal heart rate
accelerations, but not fetal lung maturity.
