Maternal Newborn Nursing Exam Study Guide 100 NCLEX-Style
Practice Questions with Answers & Rationales 2027/2027
Practice questions 1 to 4
1. A client at 10 weeks has cramping, bleeding, and syncope. Which assessment
should occur first?
A. Future contraception preferences
B. Airway, breathing, circulation, and hemodynamic status
C. Breastfeeding intentions
D. Routine dietary preferences
2. A client with possible ruptured ectopic pregnancy asks to walk to the
bathroom while dizzy. What is safest?
A. Allow independent walking
B. Delay all vital signs
C. Encourage stairs
D. Keep the client assisted in bed and obtain urgent evaluation
3. Early pregnancy pain is present despite no visible bleeding. Which statement
is correct?
A. Only external loss affects circulation
B. Serious internal bleeding remains possible
C. Pain alone guarantees normal pregnancy
D. No vaginal bleeding excludes rupture
4. Why might serial hCG and ultrasound both be needed in early pregnancy
evaluation?
A. They determine infant temperament
B. Either guarantees diagnosis in every single measurement
C. They replace maternal symptom assessment
D. Together they help assess pregnancy location and progression
,Practice questions 5 to 8
5. An early-pregnancy client is stable but distressed by uncertain findings.
Which response is best?
A. Guarantee viability
B. Avoid all explanation
C. Explain the follow-up plan and warning signs without promising the outcome
D. Declare loss before confirmation
6. A client at 28 weeks reports headache and blurry vision by telephone. What is
the best advice?
A. Use exercise as the sole treatment
B. Assume a new eyeglass prescription is the cause
C. Seek prompt obstetric assessment
D. Wait until the next appointment
7. In suspected preeclampsia, which assessment set is most useful?
A. Blood pressure, symptoms, platelets, renal and liver findings
B. Only maternal appetite
C. Only fetal sex
D. Only ankle size
8. A client on magnesium has urine output 15 mL/hour. What should the nurse
do?
A. Encourage independent walking without assessment
B. Automatically increase magnesium
C. Ignore it if the fetal baseline is normal
D. Report low output and evaluate clearance and toxicity risk
,Practice questions 9 to 12
9. An order calls for magnesium 2 g/hour from 20 g in 500 mL. What rate is
needed?
A. 25 mL/hour
B. 50 mL/hour
C. 200 mL/hour
D. 100 mL/hour
10. Magnesium 4 g is ordered from 40 g in 1,000 mL. How much solution
contains the dose?
A. 400 mL
B. 250 mL
C. 40 mL
D. 100 mL
11. A client with HELLP has platelets 48,000/mm3. Which concern is important?
A. Guaranteed normal clotting
B. Bleeding and anesthesia safety
C. Need for routine intramuscular injections
D. No risk if blood pressure is normal
12. The nurse notes new crackles during treatment of severe preeclampsia.
Which action is appropriate?
A. Ignore lung findings if urine protein is unchanged
B. Increase fluids automatically
C. Assess oxygenation and escalate possible pulmonary edema
D. Encourage prolonged supine rest
, Practice questions 13 to 16
13. A client after delivery says, 'My headache cannot be preeclampsia now.'
Which response is best?
A. All headaches after birth are spinal headaches
B. Only the newborn can have postpartum problems
C. That is always correct
D. Hypertensive complications can occur postpartum, so the headache needs
assessment
14. Which change best indicates response to hemorrhage resuscitation?
A. Continued tachycardia with dizziness
B. Declining urine output
C. Progressive pallor
D. Improved mental status, blood pressure, and urine output
15. During a maternal emergency, which communication is most effective?
A. State the concern, key findings, and specific help needed
B. Say only something seems wrong
C. Wait until documentation is complete
D. Use vague reassurances without findings
16. A client at 34 weeks with painless bleeding has never had placental location
confirmed. Which action is safest?
A. Encourage intercourse
B. Perform repeated digital exams immediately
C. Avoid digital cervical examination until previa is excluded
D. Delay all fetal assessment
Practice Questions with Answers & Rationales 2027/2027
Practice questions 1 to 4
1. A client at 10 weeks has cramping, bleeding, and syncope. Which assessment
should occur first?
A. Future contraception preferences
B. Airway, breathing, circulation, and hemodynamic status
C. Breastfeeding intentions
D. Routine dietary preferences
2. A client with possible ruptured ectopic pregnancy asks to walk to the
bathroom while dizzy. What is safest?
A. Allow independent walking
B. Delay all vital signs
C. Encourage stairs
D. Keep the client assisted in bed and obtain urgent evaluation
3. Early pregnancy pain is present despite no visible bleeding. Which statement
is correct?
A. Only external loss affects circulation
B. Serious internal bleeding remains possible
C. Pain alone guarantees normal pregnancy
D. No vaginal bleeding excludes rupture
4. Why might serial hCG and ultrasound both be needed in early pregnancy
evaluation?
A. They determine infant temperament
B. Either guarantees diagnosis in every single measurement
C. They replace maternal symptom assessment
D. Together they help assess pregnancy location and progression
,Practice questions 5 to 8
5. An early-pregnancy client is stable but distressed by uncertain findings.
Which response is best?
A. Guarantee viability
B. Avoid all explanation
C. Explain the follow-up plan and warning signs without promising the outcome
D. Declare loss before confirmation
6. A client at 28 weeks reports headache and blurry vision by telephone. What is
the best advice?
A. Use exercise as the sole treatment
B. Assume a new eyeglass prescription is the cause
C. Seek prompt obstetric assessment
D. Wait until the next appointment
7. In suspected preeclampsia, which assessment set is most useful?
A. Blood pressure, symptoms, platelets, renal and liver findings
B. Only maternal appetite
C. Only fetal sex
D. Only ankle size
8. A client on magnesium has urine output 15 mL/hour. What should the nurse
do?
A. Encourage independent walking without assessment
B. Automatically increase magnesium
C. Ignore it if the fetal baseline is normal
D. Report low output and evaluate clearance and toxicity risk
,Practice questions 9 to 12
9. An order calls for magnesium 2 g/hour from 20 g in 500 mL. What rate is
needed?
A. 25 mL/hour
B. 50 mL/hour
C. 200 mL/hour
D. 100 mL/hour
10. Magnesium 4 g is ordered from 40 g in 1,000 mL. How much solution
contains the dose?
A. 400 mL
B. 250 mL
C. 40 mL
D. 100 mL
11. A client with HELLP has platelets 48,000/mm3. Which concern is important?
A. Guaranteed normal clotting
B. Bleeding and anesthesia safety
C. Need for routine intramuscular injections
D. No risk if blood pressure is normal
12. The nurse notes new crackles during treatment of severe preeclampsia.
Which action is appropriate?
A. Ignore lung findings if urine protein is unchanged
B. Increase fluids automatically
C. Assess oxygenation and escalate possible pulmonary edema
D. Encourage prolonged supine rest
, Practice questions 13 to 16
13. A client after delivery says, 'My headache cannot be preeclampsia now.'
Which response is best?
A. All headaches after birth are spinal headaches
B. Only the newborn can have postpartum problems
C. That is always correct
D. Hypertensive complications can occur postpartum, so the headache needs
assessment
14. Which change best indicates response to hemorrhage resuscitation?
A. Continued tachycardia with dizziness
B. Declining urine output
C. Progressive pallor
D. Improved mental status, blood pressure, and urine output
15. During a maternal emergency, which communication is most effective?
A. State the concern, key findings, and specific help needed
B. Say only something seems wrong
C. Wait until documentation is complete
D. Use vague reassurances without findings
16. A client at 34 weeks with painless bleeding has never had placental location
confirmed. Which action is safest?
A. Encourage intercourse
B. Perform repeated digital exams immediately
C. Avoid digital cervical examination until previa is excluded
D. Delay all fetal assessment
