1
"Davis Advantage Maternal-Newborn Nursing Test Bank: 3rd
Edition – 300+ NCLEX® Practice Questions with Rationales,
Mnemonics & Clinical Judgment Builders
Crush the NCLEX® & Excel in Clinicals with the Ultimate Prenatal, Labor &
Delivery, and Newborn Care Review – Pass Guarantee Included
, 2
Question 1
A client at 28 weeks gestation reports leg cramps at night. Which
recommendation should the nurse prioritize?
A) Increase calcium intake.
B) Advise dorsiflexion of the foot during cramps.
C) Recommend warm compresses to the legs.
D) Suggest reducing physical activity.
Correct Answer: B) Advise dorsiflexion of the foot during cramps.
Why Correct: Dorsiflexion (pulling the toes toward the head) stretches the calf
muscle, relieving cramps. This is a first-line, evidence-based intervention.
Why Not:
• A) While calcium deficiency may contribute, increasing intake alone
won’t resolve acute cramps.
• C) Warm compresses can help, but stretching is more immediate.
• D) Reducing activity is unnecessary; exercise is encouraged in
pregnancy.
Mnemonic: "Cramp? STRETCH!" (Stretch To Relieve Every Tight Calf
Happening).
, 3
Question 2
During a prenatal visit, a client’s fundal height is measured at 24 cm. The
nurse interprets this as consistent with which gestational age?
A) 20 weeks
B) 24 weeks
C) 28 weeks
D) 30 weeks
Correct Answer: B) 24 weeks
Why Correct: Fundal height (in cm) roughly correlates with gestational age
(e.g., 24 cm ≈ 24 weeks). This is a standard assessment after 20 weeks.
Why Not:
• A/C/D) Deviations >2 cm may indicate issues (e.g., growth restriction,
multiples).
Study Tip: "1 cm = 1 week" after 20 weeks (e.g., 28 cm ≈ 28 weeks).
Question 3
A newborn has an APGAR score of 8 at 1 minute. Which finding most
likely contributed to this score?
A) Heart rate of 90 bpm
B) Cyanotic hands and feet
, 4
C) Weak cry
D) Flexed extremities
Correct Answer: B) Cyanotic hands and feet
Why Correct: APGAR scoring:
• A (Appearance): 0 (blue/pale) → 1 (pink body, blue extremities) → 2 (fully
pink).
• Cyanotic extremities (acrocyanosis) deducts 1 point (score 1 for
Appearance).
Why Not:
• A) Heart rate >100 bpm = 2 points.
• C) Weak cry = 1 point for Respiration.
• D) Flexed extremities = 2 points for Muscle tone.
Mnemonic: APGAR = Appearance, Pulse, Grimace, Activity, Respiration.
Question 4
A mother with gestational diabetes asks why her baby needs monitoring
for hypoglycemia after birth. The nurse explains:
A) "The placenta oversupplies glucose to the fetus."
B) "Maternal insulin crosses the placenta, causing fetal hyperinsulinemia."
"Davis Advantage Maternal-Newborn Nursing Test Bank: 3rd
Edition – 300+ NCLEX® Practice Questions with Rationales,
Mnemonics & Clinical Judgment Builders
Crush the NCLEX® & Excel in Clinicals with the Ultimate Prenatal, Labor &
Delivery, and Newborn Care Review – Pass Guarantee Included
, 2
Question 1
A client at 28 weeks gestation reports leg cramps at night. Which
recommendation should the nurse prioritize?
A) Increase calcium intake.
B) Advise dorsiflexion of the foot during cramps.
C) Recommend warm compresses to the legs.
D) Suggest reducing physical activity.
Correct Answer: B) Advise dorsiflexion of the foot during cramps.
Why Correct: Dorsiflexion (pulling the toes toward the head) stretches the calf
muscle, relieving cramps. This is a first-line, evidence-based intervention.
Why Not:
• A) While calcium deficiency may contribute, increasing intake alone
won’t resolve acute cramps.
• C) Warm compresses can help, but stretching is more immediate.
• D) Reducing activity is unnecessary; exercise is encouraged in
pregnancy.
Mnemonic: "Cramp? STRETCH!" (Stretch To Relieve Every Tight Calf
Happening).
, 3
Question 2
During a prenatal visit, a client’s fundal height is measured at 24 cm. The
nurse interprets this as consistent with which gestational age?
A) 20 weeks
B) 24 weeks
C) 28 weeks
D) 30 weeks
Correct Answer: B) 24 weeks
Why Correct: Fundal height (in cm) roughly correlates with gestational age
(e.g., 24 cm ≈ 24 weeks). This is a standard assessment after 20 weeks.
Why Not:
• A/C/D) Deviations >2 cm may indicate issues (e.g., growth restriction,
multiples).
Study Tip: "1 cm = 1 week" after 20 weeks (e.g., 28 cm ≈ 28 weeks).
Question 3
A newborn has an APGAR score of 8 at 1 minute. Which finding most
likely contributed to this score?
A) Heart rate of 90 bpm
B) Cyanotic hands and feet
, 4
C) Weak cry
D) Flexed extremities
Correct Answer: B) Cyanotic hands and feet
Why Correct: APGAR scoring:
• A (Appearance): 0 (blue/pale) → 1 (pink body, blue extremities) → 2 (fully
pink).
• Cyanotic extremities (acrocyanosis) deducts 1 point (score 1 for
Appearance).
Why Not:
• A) Heart rate >100 bpm = 2 points.
• C) Weak cry = 1 point for Respiration.
• D) Flexed extremities = 2 points for Muscle tone.
Mnemonic: APGAR = Appearance, Pulse, Grimace, Activity, Respiration.
Question 4
A mother with gestational diabetes asks why her baby needs monitoring
for hypoglycemia after birth. The nurse explains:
A) "The placenta oversupplies glucose to the fetus."
B) "Maternal insulin crosses the placenta, causing fetal hyperinsulinemia."
