MATERNITY NCLEX EXAM 2025 WITH
100% ACCURATE SOLUTIONS
First Trimester (Week 1 through Week 13)
• Signs and symptoms
o Presumptive Signs of Pregnancy—probs not preggers - Precise
Answer ✔✔• Amenorrhea is caused by the secretion of progesterone;
secreted by the corpus luteum and also makes your temp RISE
• Nausea and vomiting
• Egg is healthy for about 24 hours so want to have sex BEFORE your
temp goes up;
sex every other day b/c sperm count drops each day
• Frequency can be one of the 1st signs b/c the uterus enlarges and
pushes on the bladder
• Breast tenderness due to excess hormones
o Probable Signs of Pregnancy—most likely preggers - Precise Answer
✔✔• A positive pregnancy test b/c
,it's based on the presences of hCG levels but there are other conditions
that can increase hCG levels (hydatidiform mole)
• Goodell's sign—
softening of the cervix; occurs in the 2nd month
• Chadwick's sign—
bluish color of vaginal mucosa and cervix; occurs in week 4
• Hegar's sign—
softening of the lower uterine segment; occurs in the 2nd/3rd month
• Uterine enlargement
• Braxton hicks contractions—throughout pregnancy; move blood
through the placenta
Pigmentation/changes of skin
• Linea nigra—dark line
• Facial chloasma—
mask of pregnancy
• Abdominal striae—stretch marks
• Darkening of the areola—
around the nipple
,***anticonvulsant or tranquilizer medications can cause a FALE
positive pregnancy test***
o Positive signs of pregnancy—you are preggers - Precise Answer ✔✔1.
Fetal heart beat seen by Doppler at 10-12 weeks
2. Fetoscope—hears heart beat at 17-18 weeks
3. Fetal movement felt by a health care provider
• Ultrasound shows heartbeat
Fetal heart beat seen by Doppler by when - Precise Answer ✔✔10 - 12
weeks
Fetoscope hears heart beat by when - Precise Answer ✔✔17 - 18 weeks
fetal movement seen through - Precise Answer ✔✔ultra soun
Gravidity - Precise Answer ✔✔the # of times someone has been
pregnant
, Parity - Precise Answer ✔✔the # of pregnancies in which the fetus has
reached viability;
viability is 20 weeks, meaning the have the capacity to live outside the
uterus; may or may not be a live birth
TPAL—acronym that gives you further information on parity - Precise
Answer ✔✔T = term
P = preterm
A = abortion; this includes spontaneous and elective
L = living children
Nagel's Rule - Precise Answer ✔✔Find the first day of the LMP (last
menstrual period);
add 7 days;
subtract 3 months;
and add one year
accurate +/- 2 weeks
Nutrition -
First Trimester (Week 1 through Week 13) - Precise Answer ✔✔• Start
teaching ASAP while still eager to learn
100% ACCURATE SOLUTIONS
First Trimester (Week 1 through Week 13)
• Signs and symptoms
o Presumptive Signs of Pregnancy—probs not preggers - Precise
Answer ✔✔• Amenorrhea is caused by the secretion of progesterone;
secreted by the corpus luteum and also makes your temp RISE
• Nausea and vomiting
• Egg is healthy for about 24 hours so want to have sex BEFORE your
temp goes up;
sex every other day b/c sperm count drops each day
• Frequency can be one of the 1st signs b/c the uterus enlarges and
pushes on the bladder
• Breast tenderness due to excess hormones
o Probable Signs of Pregnancy—most likely preggers - Precise Answer
✔✔• A positive pregnancy test b/c
,it's based on the presences of hCG levels but there are other conditions
that can increase hCG levels (hydatidiform mole)
• Goodell's sign—
softening of the cervix; occurs in the 2nd month
• Chadwick's sign—
bluish color of vaginal mucosa and cervix; occurs in week 4
• Hegar's sign—
softening of the lower uterine segment; occurs in the 2nd/3rd month
• Uterine enlargement
• Braxton hicks contractions—throughout pregnancy; move blood
through the placenta
Pigmentation/changes of skin
• Linea nigra—dark line
• Facial chloasma—
mask of pregnancy
• Abdominal striae—stretch marks
• Darkening of the areola—
around the nipple
,***anticonvulsant or tranquilizer medications can cause a FALE
positive pregnancy test***
o Positive signs of pregnancy—you are preggers - Precise Answer ✔✔1.
Fetal heart beat seen by Doppler at 10-12 weeks
2. Fetoscope—hears heart beat at 17-18 weeks
3. Fetal movement felt by a health care provider
• Ultrasound shows heartbeat
Fetal heart beat seen by Doppler by when - Precise Answer ✔✔10 - 12
weeks
Fetoscope hears heart beat by when - Precise Answer ✔✔17 - 18 weeks
fetal movement seen through - Precise Answer ✔✔ultra soun
Gravidity - Precise Answer ✔✔the # of times someone has been
pregnant
, Parity - Precise Answer ✔✔the # of pregnancies in which the fetus has
reached viability;
viability is 20 weeks, meaning the have the capacity to live outside the
uterus; may or may not be a live birth
TPAL—acronym that gives you further information on parity - Precise
Answer ✔✔T = term
P = preterm
A = abortion; this includes spontaneous and elective
L = living children
Nagel's Rule - Precise Answer ✔✔Find the first day of the LMP (last
menstrual period);
add 7 days;
subtract 3 months;
and add one year
accurate +/- 2 weeks
Nutrition -
First Trimester (Week 1 through Week 13) - Precise Answer ✔✔• Start
teaching ASAP while still eager to learn
