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Exam (elaborations)

NCLEX Maternity Nursing Master Guide 2025/2026 – 1,000 Comprehensive Questions and Detailed Answers

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Prepare with confidence using this NCLEX Maternity Nursing Master Guide (2025/2026 Edition) – a fully updated and expanded resource designed specifically for nursing students preparing for the NCLEX-RN, ATI, and HESI exams. This edition includes: Over 1,000 expertly crafted maternity nursing questions Thorough, well-explained rationales for every answer Coverage of all major topics: antepartum, intrapartum, postpartum, newborn care, obstetric emergencies, pharmacology, fetal monitoring, and more Practical scenarios based on NCLEX-style clinical reasoning Fully aligned with current nursing standards and maternal-child curriculum Whether you're reviewing for an exam or deepening your clinical understanding, this guide offers the clarity and depth needed to master maternity nursing content and boost your test performance.

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Institution
Maternity Nursing / Maternal-Newborn Nursing
Course
Maternity Nursing / Maternal-Newborn Nursing

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NCLEX Maternity Nursing questions and
answers 2025/2026 (passing score guarantee)
The nurse is collecting data from a pregnant client when the client asks the nurse about the purpose of
the fallopian tubes. The nurse responds to the client, knowing that the fallopian tubes: - Answer Are
where fertilization occurs.



A nursing student is assigned to care for an adolescent female client in the health care clinic and the
instructor reviews the menstrual cycle with the student. The instructor determines that the student
understands the process of the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone
(LH) if the student states: - Answer FSH and LH are released from the anterior pituitary gland.



The nurse working in a prenatal clinic reviews a client's chart and notes that the health care provider
documents that the client has a gynecoid pelvis. The nurse understands that this type of pelvis is: -
Answer The most favorable for labor and birth.



The client asks the nurse about the purpose if placenta. The nurse plans to respond to the client,
knowing that the placenta: - Answer Provides an exchange of nutrients and waste products between the
mother and the fetus.



The nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse tells
the client that fetal circulation consists of: - Answer Two umbilical arteries and one umbilical vein.



A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe fetal
circulation, specifically the ductus venosus. The instructor determines that the student understands the
structure of the ductus venosus if the students states that it: - Answer Connects the umbilical vein to the
inferior vena cava.



During a prenatal visit, the nurse checks the fetal heart rate (FHR) of a client in the third trimester of
pregnancy. The nurse determines that the FHR is normal if which of the following heart rate is noted: -
Answer 150 Beats per minute



The nurse is teaching a pregnant woman about the physiological effects and hormone changes that
occur during pregnancy. The woman asks the nurse about the purpose of estrogen. The nurse bases the
response on which of the following purposes of estrogen: - Answer It stimulates uterine development to
provide an environment for the fetus, and stimulates the breasts to prepare for lactation.

,A nursing student is asked to describe the size of the uterus in a non-pregnant client: - Answer The
uterus weighs about 2 ounces.



The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The students
responds correctly by stating that which of the following are functions of amniotic fluid: - Answer -
Allows for fetal movement

-Is a measure of kidney functions

-Surrounds, cushions, and protects the fetus.

-Maintains the body temperature of the fetus.



The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that
the first day of her last menstrual period was October 20, 2012. Using Nagele's rule, the Nurse
determines the estimated date of birth to be: - Answer July 27, 2013



A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The
nurse responds by telling the mother that fetal movements will be noted between: - Answer 16 and 20
weeks gestation.



The nurse is collecting data during the admission assessment of a client who is pregnant with twins. The
client has a healthy 5 year old child who was delivered at 38 weeks, and she tells the nurse that she does
not have a history of any type of abortion or fetal demise. The nurse would document the GTPAL for this
client as: - Answer G=2, T=1, P=0, A=0, L=1



The nurse is collecting data during the admissions assessment of a client who is pregnant with triplets.
The client also has a 3 year old child who was born at 19 weeks gestation. The nurse would document
which gravida and para status on this client: - Answer Gravida II, Para I



The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive.
The nurse notes that the physician has documented the presence of Goodell's sign. The nurse
determines that this sign is indicative of: - Answer A softening of the cervix.

,A primipara is being evaluated in the clinic during her second trimester of pregnancy. Which of the
following would indicate an abnormal physical finding that necessitates further testing: - Answer Fetal
heart rate of 180 beats per minute.



The nurse is collecting data from a pregnant client who is at 28 weeks gestation. The nurse measures the
fundal height in centimeters and expects the finding to be which of the following: - Answer 28 cm



A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse
that she is experiencing irregular contractions. The nurse determines that the client is experiencing
Braxton Hicks contractions. Based on this finding which nursing action is appropriate: - Answer Tell the
client that these are common and they may occur throughout the pregnancy.



The nursing instructor asks a nursing student to describe the process of quickening. Which of the
following statements, if made by the student indicates and understanding of this term: - Answer It is the
fetal movement that is felt by the mother.



The nurse is collecting data from a client who suspects she is pregnant. The nurse is checking the client
for probable signs of pregnancy. What are the probable signs of pregnancy that the nurse should
recognize: - Answer -Ballottement

-Chadwicks sign

-Uterine enlargement

-Braxton Hicks Contractions.



The client is undergoing an amniocentesis at 16 weeks gestation to detect the presence of biochemical
or chromosomal abnormalities. The nurse instructs the client: - Answer That the bladder must be full
during the exam.



The client at 28 weeks gestation is Rh negative and coombs antibody negative. The nurse determines
that the client understands what the nurse has taught her about Rh sensitization when the client states:
- Answer I will tell the nurse at the hospital that I had RhoGAM during pregnancy.



While assisting with the measurement of fundal height, the client at 36 weeks gestation states that she
is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy. the nurse determines that
this is most likely a result of: - Answer Compression of the Vena Cava.

, A contraction stress test is scheduled for the client. The woman asks the nurse about the test. The most
accurate description of the test includes which of the following: - Answer The Uterus is stimulated to
contract by either small amounts of oxytocin (Pitocin) or by nipple stimulation.



The client at 38 weeks of gestation is admitted to the birthing center in early labor. The client is carrying
twins, and one of the fetuses is in a breech presentation. The nurse assists with planning care for the
client and identifies which of the following as the lowest priority for the care of this client: - Answer
Measuring the fundal height.



The perinatal client is admitted to the obstetric unit during an exacerbation of a heart condition. When
planning for the nutritional requirements of the client, the nurse would consult with the dietitian to
ensure which of the following: - Answer A diet that is high in fluids and fiber to decrease constipation.



The nurse caring for a client with abruption placentae is monitoring the client for signs of disseminated
intravascular coagulopathy (DIC). The nurse would suspect DIC if he or she observes: - Answer
Petechiae, oozing from injection sites, and hematuria.



The nurse has a teaching session with a malnourished client regarding iron supplementation prevent
anemia during pregnancy. Which of the following statements, if made by the client, would indicate
successful learning: - Answer The iron is needed for the red blood cells.



During a prenatal visit, the nurse is explaining dietary management to a client with diabetes mellitus.
The nurse determines that the teaching has been effective when the client states: - Answer I need to
increase the fiber in my diet to control my blood glucose and prevent constipation.



The nurse is assigned to assist with caring for a client who is at risk for eclampsia. if the client progresses
from preeclampsia to eclampsia, the nurse's first action should be to: - Answer Clear and maintain an
open airway.



The client is in her second trimester of pregnancy. she complains of frequent low back pain and ankle
edema at the end of the day. The nurse recommends which measure to help relieve both discomforts: -
Answer Lie on the floor with the legs elevated onto a couch or padded chair, with the hips and knees at
a right angle.

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Institution
Maternity Nursing / Maternal-Newborn Nursing
Course
Maternity Nursing / Maternal-Newborn Nursing

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Uploaded on
June 9, 2025
Number of pages
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Written in
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