RNSG 1517 A Maternity Exam | Complete Questions with Correct Answers and Detailed Rationales - Latest Update 2026

RNSG 1517 A Maternity Exam | Complete
Questions with Correct Answers and Detailed
Rationales - Latest Update 2026

RNSG 1517 Maternity Nursing Comprehensive Exam
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Instructions: Choose the one best answer for each question.
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Section 1: Antepartum (Prenatal) Care
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1. A client at 12 weeks gestation presents for her first prenatal visit. Her obstetrical histo
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ry includes a term delivery of twins, one preterm delivery at 34 weeks, and one elective
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abortion at 6 weeks. How would the nurse document her GTPAL?
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• A) G=4, T=1, P=1, A=1, L=2
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• B) G=3, T=1, P=1, A=1, L=3
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• C) G=4, T=1, P=1, A=0, L=3
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• D) G=3, T=0, P=2, A=1, L=2
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2. A nurse is providing education to a client at 8 weeks gestation about common discom
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forts of pregnancy. Which statement indicates a need for further teaching regarding urin
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ary frequency?
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• A) "I will decrease my fluid intake in the evening to help with nighttime urination."
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• B) "This is happening because my growing uterus is pressing on my bladder."
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• C) "I should report any burning or pain with urination to my doctor."
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• D) "This will likely get better during the second trimester."
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3. The nurse is calculating the estimated date of birth (EDB) using Naegele's rule for a cli
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ent whose last menstrual period (LMP) was May 8, 2025. What is the correct EDB?
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• A) February 1, 2026
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• B) February 15, 2026
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, • C) February 22, 2026
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• D) March 1, 2026
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4. A client at 10 weeks gestation is Rh-negative and her partner is Rh-
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positive. The nurse explains the purpose of Rh immune globulin (RhoGAM). When will t
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his medication be administered?
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• A) At 28 weeks gestation and within 72 hours after birth if the newborn is Rh-positive.
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• B) Immediately upon confirmation of pregnancy.
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• C) Only at the time of delivery.
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• D) At 36 weeks gestation to prevent premature labor.
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5. A nurse is assessing a pregnant client at 24 weeks gestation. Which fundal height mea
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surement indicates that the fetus is growing appropriately for gestational age?
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• A) 20 cm
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• B) 24 cm
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• C) 28 cm
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• D) 32 cm
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Section 2: Intrapartum (Labor & Delivery)
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6. A client in active labor is complaining of intense pain in her lower back during contrac
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tions. The nurse notes the fetus is in a posterior position. Which position change is most
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likely to help relieve this "back labor"?
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• A) Supine with legs elevated.
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• B) Lithotomy position.
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• C) Hands-and-knees (all-fours) position.
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• D) High-Fowler's position.
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7. A nurse is assessing a client in labor and notes a late deceleration on the fetal heart ra
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te monitor. Which of the following is the nurse's priority action?
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, • A) Reposition the client to her left side.
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• B) Increase the rate of the IV oxytocin infusion.
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• C) Prepare for an immediate vacuum-assisted delivery.
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• D) Document the finding and continue to monitor.
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8. A client's cervix is dilated to 6 cm, 100% effaced, and the fetus is at 0 station. What st
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age and phase of labor is the client experiencing?
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• A) First stage, latent phase.
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• B) First stage, active phase.
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• C) Second stage.
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• D) First stage, transition phase.
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9. A nurse is preparing to administer an epidural block to a client in labor. Which assess
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ment finding would be a contraindication for this type of anesthesia?
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• A) Maternal platelet count of 100,000/mm³.
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• B) Blood pressure of 120/78 mmHg.
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• C) Fetal heart rate of 140 bpm.
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• D) Cervical dilation of 5 cm.
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10. A client's amniotic membranes rupture spontaneously during labor. What is the nurs
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e's priority action?
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• A) Assess the fetal heart rate.
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• B) Check the client's temperature.
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• C) Assess the color, odor, and amount of fluid.
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• D) Change the client's underpad.
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Section 3: Postpartum Care
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, 11. A nurse is assessing a client who is 2 hours postpartum. The client has saturated a pe
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rineal pad in 15 minutes. Which action should the nurse take first?
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• A) Document the finding as a heavy lochia.
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• B) Encourage the client to ambulate to the bathroom.
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• C) Massage the uterine fundus while supporting the lower uterine segment.
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• D) Notify the healthcare provider.
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12. A client who is 2 days postpartum is crying, states she feels overwhelmed, and has di
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fficulty sleeping even when the baby is sleeping. The nurse recognizes these symptoms a
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s indicative of:
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• A) Postpartum depression.
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• B) Postpartum psychosis.
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• C) Postpartum "blues."
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• D) Normal fatigue.
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13. A nurse is providing education to a breastfeeding client about preventing mastitis. W
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hich instruction is the most important to include?
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• A) "Apply ice packs to your breasts before feeding."
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• B) "Ensure your baby latches on correctly and fully empties the breast."
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• C) "Wash your nipples with soap and water before each feeding."
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• D) "Limit feeding time to 5 minutes per breast to prevent cracking."
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14. A nurse is assessing a client's lochia on the second postpartum day. The nurse would
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document a normal finding as:
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• A) Scant, serosa.
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• B) Moderate, rubra.
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• C) Heavy, alba.
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• D) Small, pink.
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