MATERNITY NCLEX FINAL EXAM 2026 ACTUAL QUESTIONS
AND ANSWERS RATED A+
✔✔The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction should the nurse provide? - ✔✔An informed consent
needs to be signed before the procedure.
✔✔A pregnant client in the first trimester calls the nurse at a health care clinic and
reports that she has noticed a thin, colorless vaginal drainage. The nurse should make
which statement to the client? - ✔✔"The vaginal discharge may be bothersome, but is a
normal occurrence."
✔✔The nurse has performed a nonstress test on a pregnant client and is reviewing the
fetal monitor strip. The nurse interprets the test as reactive. How should the nurse
document this finding? - ✔✔Normal
✔✔A nonstress test is performed on a client who is pregnant, and the results of the test
indicate nonreactive findings. The health care provider prescribes a contraction stress
test, and the results are documented as negative. How should the nurse document this
finding? - ✔✔A normal test result
✔✔A pregnant client tells the nurse that she has been craving "unusual foods." The
nurse gathers additional assessment data and discovers that the client has been
ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are
performed and the nurse determines that which finding indicates a physiological
consequence of the client's practice? - ✔✔Hemoglobin 9.1 g/dL
✔✔A pregnant client asks the nurse about the types of exercises that are allowable
during pregnancy. The nurse should tell that client that which exercise is safest? -
✔✔Swimming
✔✔A health care provider has prescribed transvaginal ultrasonography for a client in the
first trimester of pregnancy and the client asks the nurse about the procedure. How
should the nurse respond to the client? - ✔✔"The probe that will be inserted into the
vagina will be covered with a disposable cover and coated with a gel."
✔✔The nurse has instructed a pregnant client in measures to prevent varicose veins
during pregnancy. Which statement by the client indicates a need for further
instructions? - ✔✔"I should wear knee-high hose, but I should not leave them on longer
than 8 hours."
✔✔A pregnant client calls a clinic and tells the nurse that she is experiencing leg
cramps that awaken her at night. What should the nurse tell the client to provide relief
, from the leg cramps? - ✔✔"Bend your foot toward your body while extending the knee
when the cramps occur."
✔✔A rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus
vaccine is prescribed to be administered before discharge. The nurse provides which
information to the client about the vaccine? Select all that apply. - ✔✔2.
Pregnancy needs to be avoided for 1 to 3 months.
3.
The vaccine is administered by the subcutaneous route.
4.
Exposure to immunosuppressed individuals needs to be avoided.
5.
A hypersensitivity reaction can occur if the client has an allergy to eggs.
✔✔The nurse in a health care clinic is instructing a pregnant client how to perform "kick
counts." Which statement by the client indicates a need for further instructions? - ✔✔"I
need to lie flat on my back to perform the procedure."
✔✔The nurse is providing instructions regarding treatment of hemorrhoids to a client
who is in the second trimester of pregnancy. Which statement by the client indicates a
need for further instruction? - ✔✔"I should apply heat packs to the hemorrhoids to help
the hemorrhoids shrink."
✔✔The nurse is providing instructions to a client in the first trimester of pregnancy
regarding measures to assist in reducing breast tenderness. Which instruction should
the nurse provide? - ✔✔Wash the breasts with warm water and keep them dry.
✔✔The nurse is describing cardiovascular system changes that occur during pregnancy
to a client and understands that which finding would be normal for a client in the second
trimester? - ✔✔Increase in pulse rate
✔✔The clinic nurse is providing instructions to a pregnant client regarding measures
that assist in alleviating heartburn. Which statement by the client indicates an
understanding of the instructions? - ✔✔"I should avoid eating foods that produce gas
and fatty foods."
✔✔The nurse is providing instructions to a pregnant client with human
immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The
client asks the nurse about the feeding options that are available. Which response
should the nurse make to the client? - ✔✔"You will need to bottle-feed your newborn."
AND ANSWERS RATED A+
✔✔The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction should the nurse provide? - ✔✔An informed consent
needs to be signed before the procedure.
✔✔A pregnant client in the first trimester calls the nurse at a health care clinic and
reports that she has noticed a thin, colorless vaginal drainage. The nurse should make
which statement to the client? - ✔✔"The vaginal discharge may be bothersome, but is a
normal occurrence."
✔✔The nurse has performed a nonstress test on a pregnant client and is reviewing the
fetal monitor strip. The nurse interprets the test as reactive. How should the nurse
document this finding? - ✔✔Normal
✔✔A nonstress test is performed on a client who is pregnant, and the results of the test
indicate nonreactive findings. The health care provider prescribes a contraction stress
test, and the results are documented as negative. How should the nurse document this
finding? - ✔✔A normal test result
✔✔A pregnant client tells the nurse that she has been craving "unusual foods." The
nurse gathers additional assessment data and discovers that the client has been
ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are
performed and the nurse determines that which finding indicates a physiological
consequence of the client's practice? - ✔✔Hemoglobin 9.1 g/dL
✔✔A pregnant client asks the nurse about the types of exercises that are allowable
during pregnancy. The nurse should tell that client that which exercise is safest? -
✔✔Swimming
✔✔A health care provider has prescribed transvaginal ultrasonography for a client in the
first trimester of pregnancy and the client asks the nurse about the procedure. How
should the nurse respond to the client? - ✔✔"The probe that will be inserted into the
vagina will be covered with a disposable cover and coated with a gel."
✔✔The nurse has instructed a pregnant client in measures to prevent varicose veins
during pregnancy. Which statement by the client indicates a need for further
instructions? - ✔✔"I should wear knee-high hose, but I should not leave them on longer
than 8 hours."
✔✔A pregnant client calls a clinic and tells the nurse that she is experiencing leg
cramps that awaken her at night. What should the nurse tell the client to provide relief
, from the leg cramps? - ✔✔"Bend your foot toward your body while extending the knee
when the cramps occur."
✔✔A rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus
vaccine is prescribed to be administered before discharge. The nurse provides which
information to the client about the vaccine? Select all that apply. - ✔✔2.
Pregnancy needs to be avoided for 1 to 3 months.
3.
The vaccine is administered by the subcutaneous route.
4.
Exposure to immunosuppressed individuals needs to be avoided.
5.
A hypersensitivity reaction can occur if the client has an allergy to eggs.
✔✔The nurse in a health care clinic is instructing a pregnant client how to perform "kick
counts." Which statement by the client indicates a need for further instructions? - ✔✔"I
need to lie flat on my back to perform the procedure."
✔✔The nurse is providing instructions regarding treatment of hemorrhoids to a client
who is in the second trimester of pregnancy. Which statement by the client indicates a
need for further instruction? - ✔✔"I should apply heat packs to the hemorrhoids to help
the hemorrhoids shrink."
✔✔The nurse is providing instructions to a client in the first trimester of pregnancy
regarding measures to assist in reducing breast tenderness. Which instruction should
the nurse provide? - ✔✔Wash the breasts with warm water and keep them dry.
✔✔The nurse is describing cardiovascular system changes that occur during pregnancy
to a client and understands that which finding would be normal for a client in the second
trimester? - ✔✔Increase in pulse rate
✔✔The clinic nurse is providing instructions to a pregnant client regarding measures
that assist in alleviating heartburn. Which statement by the client indicates an
understanding of the instructions? - ✔✔"I should avoid eating foods that produce gas
and fatty foods."
✔✔The nurse is providing instructions to a pregnant client with human
immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The
client asks the nurse about the feeding options that are available. Which response
should the nurse make to the client? - ✔✔"You will need to bottle-feed your newborn."
