NCLEX Maternal Newborn Nursing (Latest
2026/2027) – Questions with Rationales
Number of times a female has been pregnant, regardless of the outcome -
ANSWERS-Gravida
Number of deliveries (not children), occurred after 20 weeks gestation -
ANSWERS-Para
-Multiple births count as one
-Pregnancy loss before 20 weeks counted as abortion but add 1 to gravidity
-Fetal demise after 20 weeks added to parity - ANSWERS-Pregnancy
GTPAL? - ANSWERS-Gravida
, Term(after 37 weeks)
, Preterm (before 37 weeks)
, Abortions (loss before 20 weeks)
, Living
Naegele's Rule - ANSWERS-add 7 days to first day of LMP, subtract 3 months,
and add 1 year
______ weeks= fundus rises out of symphysis - ANSWERS-12-13 weeks
_____ weeks= fundus at umbilicus - ANSWERS-20 weeks
,___________= fundal height (in centimeters) from the symphysis is equal to
number of weeks of gestation if this is a single pregnancy - ANSWERS-24-36
weeks
First trimester average total weight gain is to ____ kg
-Approximately ____ kg per week for a woman of normal weight during 2nd
and 3rd trimester. - ANSWERS-1-2 kg
0.5 kg
Occurs early in pregnancy, even with a planned pregnancy - ANSWERS-
Ambivalence
Occurs with the woman's readiness for the experience. Prolonged
nonacceptance is a warning sign not directly related to nonacceptance of the
child. - ANSWERS-Acceptance
Rapid, unpredictable changes in mood - ANSWERS-Emotional lability
Warning signs of Physical Maternal Changes? - ANSWERS-1. Abdominal
pain/cramping or pelvic pain
2. Decreased or absent fetal movement
3. Fever or chills
4. Urinary symptoms
5. Signs or symptoms of preterm labor
6. Signs of HTN disorders
Rh negative mother requires ____ post procedure for diagnostic tests -
ANSWERS-RhoGam
, Client must have a full bladder - ANSWERS-Ultrasound
Increased in heart rate (reactivity) expected in a healthy fetus with these? -
ANSWERS-Nonstress test
_____ performed at 16 weeks to determine disorders; at 30 weeks to
determine lung maturity; bladder emptied if performed after 20 weeks
gestation - ANSWERS-Amniocentesis
A client who is at 36 weeks gestation is placed in the lithotomy position when
she suddenly complains of feeling breathless and light headed and shows
marked pallor. Which action should the nurse take first?
A. Turn to client to a lateral position
B. Place the client in Trendeleburg postion
C. Obtain VS and pulse ox reading
D. Initiate distraction techniques - ANSWERS-A
Supine hypotension when uterus compresses the vena cava
-Pain in lower back radiating to the abdomen
-regular, rhythmic contractions
-Increased intensity with ambulation
-Progressive cervical dilation and effacement - ANSWERS-True labor
-Discomfort localized to the abdomen
-No lower back pain
-Contractions often stop with ambulation or position change - ANSWERS-
False labor
2026/2027) – Questions with Rationales
Number of times a female has been pregnant, regardless of the outcome -
ANSWERS-Gravida
Number of deliveries (not children), occurred after 20 weeks gestation -
ANSWERS-Para
-Multiple births count as one
-Pregnancy loss before 20 weeks counted as abortion but add 1 to gravidity
-Fetal demise after 20 weeks added to parity - ANSWERS-Pregnancy
GTPAL? - ANSWERS-Gravida
, Term(after 37 weeks)
, Preterm (before 37 weeks)
, Abortions (loss before 20 weeks)
, Living
Naegele's Rule - ANSWERS-add 7 days to first day of LMP, subtract 3 months,
and add 1 year
______ weeks= fundus rises out of symphysis - ANSWERS-12-13 weeks
_____ weeks= fundus at umbilicus - ANSWERS-20 weeks
,___________= fundal height (in centimeters) from the symphysis is equal to
number of weeks of gestation if this is a single pregnancy - ANSWERS-24-36
weeks
First trimester average total weight gain is to ____ kg
-Approximately ____ kg per week for a woman of normal weight during 2nd
and 3rd trimester. - ANSWERS-1-2 kg
0.5 kg
Occurs early in pregnancy, even with a planned pregnancy - ANSWERS-
Ambivalence
Occurs with the woman's readiness for the experience. Prolonged
nonacceptance is a warning sign not directly related to nonacceptance of the
child. - ANSWERS-Acceptance
Rapid, unpredictable changes in mood - ANSWERS-Emotional lability
Warning signs of Physical Maternal Changes? - ANSWERS-1. Abdominal
pain/cramping or pelvic pain
2. Decreased or absent fetal movement
3. Fever or chills
4. Urinary symptoms
5. Signs or symptoms of preterm labor
6. Signs of HTN disorders
Rh negative mother requires ____ post procedure for diagnostic tests -
ANSWERS-RhoGam
, Client must have a full bladder - ANSWERS-Ultrasound
Increased in heart rate (reactivity) expected in a healthy fetus with these? -
ANSWERS-Nonstress test
_____ performed at 16 weeks to determine disorders; at 30 weeks to
determine lung maturity; bladder emptied if performed after 20 weeks
gestation - ANSWERS-Amniocentesis
A client who is at 36 weeks gestation is placed in the lithotomy position when
she suddenly complains of feeling breathless and light headed and shows
marked pallor. Which action should the nurse take first?
A. Turn to client to a lateral position
B. Place the client in Trendeleburg postion
C. Obtain VS and pulse ox reading
D. Initiate distraction techniques - ANSWERS-A
Supine hypotension when uterus compresses the vena cava
-Pain in lower back radiating to the abdomen
-regular, rhythmic contractions
-Increased intensity with ambulation
-Progressive cervical dilation and effacement - ANSWERS-True labor
-Discomfort localized to the abdomen
-No lower back pain
-Contractions often stop with ambulation or position change - ANSWERS-
False labor
