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Exam (elaborations)

Maternity Nursing Exam I Review 2025/2026 – 120+ NCLEX‑Style Questions & Rationales

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Master the essentials of prenatal care with this comprehensive Exam I review guide featuring over 120 NCLEX‑style questions and detailed rationales, aligned to the 2025/2026 maternity nursing curriculum. Perfect for early‑semester exams, HESI/ATI assessments, and foundational NCLEX‑RN/PN prep, this PDF covers: Pregnancy Fundamentals: HCG testing, Nagele’s rule, gestational age calculations Prenatal Visit Priorities: Immunizations (Tdap, flu), depression screening, cultural competence, adolescent care concerns Physiologic Adaptations: Cardiovascular (SVR changes), renal dilation, respiratory vital capacity shifts Obstetrical History & Assessment: GP‑TPAL notation, fundal height landmarks, pica recognition, biophysical profile interpretation High‑Risk Prenatal Conditions: Gestational hypertension vs. chronic HTN, preeclampsia/eclampsia management (MgSO₄ toxicity & antidote), hyperemesis gravidarum plan of care Diagnostic Procedures & Complications: CVS & amnio risks, ectopic pregnancy warning signs Laboratory & Screening Tests: Group B strep culture, gestational diabetes nutrition/insulin guidelines Maternal‑Fetal Emergencies: Placenta previa vs. abruptio, maternal oxygenation targets, first actions during eclamptic seizure Communication & Ethics: Culturally sensitive questions, interpreter use, HIPAA/confidentiality scenarios Each question is crafted to build clinical decision‑making and reinforce core maternity concepts, ensuring you enter your first exam—and beyond—with confidence.

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Institution
Maternal–Newborn Nursing
Course
Maternal–Newborn Nursing

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Maternity Exam 1 questions and answers
latest version 2025/2026
When obtaining a blood test for pregnancy, which hormone would the nurse expect to measure? -
Answer Human chorionic gonadotropin (HCG)



You are asked to use Nagele's rule to calculate an estimated due date for your patient. She reports that
her LMP was September 7, 2017. Her EDD is: - Answer June 14, 2018



Ms. P is 10 week pregnant and is in her first PN visit. Her VS's are within defined limits and she has a BMI
of 23. The key priority teaching point for her is: - Answer The importance of getting the flu shot



A CV parameter that normally decreases during pregnancy is: - Answer Systemic vascular resistance



Mrs. S reports feeling tired all the time even when she sleeps well at night. She is 16 weeks pregnant.
Her lab values at 12 weeks indicated Mrs. S had a Hgb 13 g/dL. The nurse expects: - Answer Mrs. S needs
further screening for depression



You have been asked to document a woman's obstetrical history using GP, TPAL. The woman is currently
14 weeks pregnant. She has one daughter born at 38 weeks, and a son born at 34 weeks, a fetal demise
at 21 weeks, and a miscarriage at 9 weeks. - Answer G5 P4 T1 P2 A1 L2



Which of the following are needed to ensure that the nurse is providing culturally sensitive PN care to
diverse pregnant patients? SELECT ALL - Answer -Including cultural and family assessments as part of the
health history.

-Providing the services of an interpreter if a language barrier exists.



Ms. L is 17 y.o and is 12 weeks pregnant at her first PN visit. Her nurse has given her the outline of the
number and timing of her PN visits. Ms. L states that she isn't sure she will be able to make all of the
appointments because she has transportation issues. Her anticipated missed appointments represent
the greatest concern in caring for pregnant adolescents, which is: - Answer Late and inconsistent PN
care is the cause of many complications associated with pregnancy in adolescence.

, Risk assessment during the first PN visit for all women should include: - Answer Collection of a complete
health history



A feeling that is expressed by many women when they find out they are pregnant is: - Answer Joy,
ambivalence, surprise



Where would the nurse expect to find the fundus of a woman at 20 weeks gestation? - Answer At the
level of the umbilicus



The nurse is interviewing a patient during her 38 week PN visit. The patient is from a country where
women prefer their care to be provided by a female rather than a male provider. What is an appropriate
question for the nurse to ask this patient? - Answer Who do you wish to be with you during labor and
birth?



Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse should document
this finding as: - Answer Pica



Which value reflects a biophysical profile (BPP) summary score of a healthy fetus: - Answer 8



Mrs. K is exhibiting symptoms of severe preeclampsia which include: SELECT ALL - Answer -Weight gain
of 3lbs since PN visit 1 week ago

-Proteinuria of 450 mg/24 hrs

-BP of 160/100



Amanda's menstrual period is two weeks late. She has been feeling tired and has had bouts of nausea in
the morning. These pregnancy symptoms are classified as: - Answer Presumptive



Frequent urination in early pregnancy is mainly a result of which condition: - Answer Pressure on the
bladder from the uterus



A patient's BP is 138/96 at her 16 week PN visit and 140/90 at her follow visit at 17 weeks gestation. The
nurse evaluates this change based on which statements concerning BP during pregnancy? - Answer An
elevated BP before 20 weeks of pregnancy is chronic rather than gestation HTN

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Institution
Maternal–Newborn Nursing
Course
Maternal–Newborn Nursing

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