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"Complete Maternity Nursing & Women’s Health Study Guide 2025/2026 | 400+ Verified NCLEX Q&A + Labor, Delivery, Pain Management, Prenatal & Postpartum Care"

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Ace your maternity and women’s health nursing exams with this all-in-one, fully verified Maternity Nursing & OB/GYN Study Guide (2025/2026 Edition). This document combines 400+ expertly curated practice questions and answers across reproductive health, labor and delivery, postpartum care, fetal monitoring, and prenatal assessments—all formatted to simulate NCLEX-style thinking and clinical reasoning. This trusted resource integrates material from multiple chapters and clinical scenarios to give students the ultimate preparation tool for academic exams and licensure boards. Whether you're in class, on clinical rotation, or prepping for the NCLEX, this document is your go-to review asset. Covers These Key Topics: Signs of pregnancy: presumptive, probable, and positive Fetal development, circulation, and lung maturity (L/S ratio, surfactant) GTPAL system, gravidity/parity terminology Labor stages, pain management, and comfort techniques Non-pharmacologic & pharmacologic interventions (epidurals, sedatives, opioids) Maternal assessment: contractions, fundal height, Leopold's maneuvers Fetal heart rate monitoring: variability, decelerations, accelerations Common complications: preeclampsia, placenta previa, abruptio placentae Intrapartum and postpartum care priorities Nursing role during delivery and labor admission OB pharmacology, fetal testing (NST, CST), and APGAR scoring Women's health scenarios: contraception, hysterectomy, Pap smear, PCOS, infertility Why This Document Stands Out: Over 400 verified Q&A based on real NCLEX & exam-tested material Structured for BSN, ADN, LPN/RN & NCLEX-RN/PN candidates Includes both clinical reasoning and textbook-based facts Consolidated from multiple chapters and sources — no need to search elsewhere Up-to-date with 2025/2026 academic standards

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Institution
Maternity Nursing
Course
Maternity Nursing

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Maternity Nursing (Reproductive System)
questions and 100% verified answers
2025/2026
Rebounding of the fetus against the examiner's finger on palpation. When the examiner taps the cervix,
the fetus floats upward in the amniotic fluid. The examiner feels a rebound when the fetus falls back -
Answer Ballottement



Violet coloration of the mucous membranes of the cervix, vagina, and vulva that occurs at about 4
weeks of pregnancy; caused by increased vascularity. This is considered a probable sign of pregnancy -
Answer Chadwick's Sign



Softening of the cervix that occurs at the beginning of the second month of gestation. This is considered
a probable sign of pregnancy - Answer Goodell's sign



Compressibility and softening of the lower uterine segment that occurs at about week 6 of gestation.
This is considered a probable sign of pregnancy - Answer Hegar's Sign



lecithin-to-sphingomyelin (L/S) ratio

Ratio of two components of amniotic fluid, used for predicting fetal lung maturity; normal L/S ratio in
amniotic fluid is _____ or greater when the fetal lungs are mature - Answer 2:1



To determine Nagele's Rule you must..... - Answer Subtract 3 months and add 7 days to the first day of
the last menstrual period; then add 1 year



Maternal perception of fetal movement for the first time, occurring usually in the 16th to 20th week of
pregnancy - Answer Quickening



Phospholipid that is necessary to keep the fetal lung alveoli from collapsing; amount is usually sufficient
after 32 weeks gestation - Answer Surfactant



The normal female pelvis is _______ - Answer Gynecoid

,A female contains around ____ to _____ mL by the end of pregnancy - Answer 800 to 1200 mL



The umbilical cord cotains _____ arterie(s) and _____ vein(s) - Answer 2 arteries, 1 vein



The arteries carry ______ blood and waste products from the fetus. While the vein carries ____ blood
and provides oxygen and nutrients to the fetus - Answer deoxygenated / oxygenated



FHR is 160 to to 170 beats/minute in the first trimester but slows with fetal growth to _____ to _____
beats/min near or at term - Answer 110 to 160



The ______ connects the pulmonary artery to the aorta, bypassing the lungs - Answer Ductus arteriosus



The ____ connects the umbilical ven and inferior vena cava, bypassing the liver. - Answer Ductus
venosus



the ______ is the opening between the right and left atria of the heart; bypassing the lungs - Answer
Foramen ovale



A ______ is a woman who has never been pregnant - Answer nulligravida



________ refers to the number of pregnancies - Answer Gravidity



a ______ is a woman who is pregnant for the first time - Answer Primigravida



A ______ is a woman in at least her second pregnancy - Answer Multigravida



____ is the number of births (not the number of fetuses, e.g., twins) carried past 20 weeks gestation,
whether or not the fetus was born alive - Answer Parity



A _____ is a woman who has not had a birth at more than 20 weeks of gestation - Answer Nullipara

,A _____ is a woman who has had one birth that occured after the twentieth week of gestation - Answer
Primipara



A _____ is a woman who has had two or more pregnancies to the stage of fetal viability - Answer
Multipara



GTPAL - Answer G is gravidity # of pregnancies including the present one

T is term births (longer than 37 weeks gestation)

P is preterm births (born before 37 weeks gestation)

A is abortions or miscarriages

L # of current living children



Presumptive Signs - Answer Amenorrhea

Nausea and vomiting

Increased size and increased feeling of fullness in breasts

Pronounced nipples

Urinary frequency

Quickening

Fatigue

Discoloration of the vaginal mucosa



Probable Signs - Answer Hegar's sign

Goodell's sign

Chardwick's Sign

ballottement

Positive Pregnancy test

Braxton Hicks contractions

, Positive Signs (Diganostic) - Answer FHR detected by Doppler transducer at 10 to 12 weeks and by
fetoscope at 20 weeks of gestation

Active fetal movements palpable by examiner

Outline of fetus via radiography or ultrasonography



At _____ weeks, the fundus can be found approximately halfway between the symphysis pubis and
umbilicus - Answer 16 weeks



At 20 to 22 weeks the fundus is approximately at the location of the ______ - Answer umbilicus



At 36 weeks the fundus is at the _______ - Answer xiphoid process



When assessing fundal heigh, monitor the client closely for _____ when placed in the supine position -
Answer Supine Hypotension



Concerns related to adolescent pregnancy include..... - Answer Poor nutritional status

Emotional and behavioral difficulties

Lack of support systems

Increased risk of stillbirth

Low-birth weight infants

Fetal mortality

CEPHALOPELVIC disproportion

Gestational Hypertension

Anemia

Prolonged Labor

Infections



Woman of childbearing age should take ____ supplements to prevent neural tube defects and orofacial
clefts in the fetus - Answer Folic Acid

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Course
Maternity Nursing

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Number of pages
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