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Test 1: Safe Maternity and Pediatric Nursing Care Questions and Answers (2025/2026) | Comprehensive NCLEX, HESI, ATI Review for OB/GYN, Labor & Delivery, and Prenatal Nursing

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Ace your maternity and pediatric nursing exams with this high-yield, exam-style Test 1 guide updated for the 2025/2026 academic year. This collection of over 100 carefully curated NCLEX-style questions and answers is tailored to reinforce clinical knowledge in maternal health, prenatal care, labor and delivery, and neonatal management.

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Safe maternity and pediatric nursing










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Safe maternity and pediatric nursing
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Safe maternity and pediatric nursing

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Uploaded on
June 30, 2025
Number of pages
20
Written in
2024/2025
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Test 1 of safe maternity and pediatric nursing
care questions and answers 2025/2026
1.

While reviewing a male client's laboratory results, the nurse notes that the follicle-stimulating hormone
level is low. What does this put the client at risk for? - answer2) Low sperm count



At 1 minute, the nurse observes that a newborn is pink with blue extremities, has a pulse of 110 beats
per minute, grimaces at stimulation, and has a weak cry. The infant is lying with his arms and legs flexed.
What is the infant's Apgar score? Record your answer as a whole number. 6 - answer



After reviewing safety teaching with a woman who is beginning the second trimester of pregnancy and
is planning a vacation, the nurse determines teaching was effective when the patient makes which
statement? - answer4) "I will miss being able to soak in the hot tub."



A woman who is 8 weeks pregnant asks the nurse when her baby will have a heartbeat. Which is the
nurse's best response? - answer3) The eighth week



According to the fetal heart rate classification system, the nurse records a sinusoidal fetal heart rate
pattern as which category? - answerffffffffffffffffffffffffff111

4) Category III



The nurse views the ultrasound report of a pregnant woman and determines the twins she is carrying
are monozygotic on the basis of which finding? - answer1) Presence of a single placenta



The nurse examines a patient and determines that her blood pressure is 132/84 mm Hg, fundal height is
20 cm, and urine is negative for glucose, ketones, protein, and nitrates. Which conclusion can the nurse
draw from this information? - answer1) Early signs of pre-eclampsia



Which laboratory test is the nurse unlikely to conduct during the initial prenatal visit? - answer1)
Complete blood count (CBC)

2) Urinalysis

3) Pap test

,4) Glucose challenge test



Fifteen minutes after delivery of a healthy infant, the nurse notes a sudden trickle of blood from the
mother's vagina. Which should the nurse prepare for? - answer1) Delivery of a twin

2) Delivery of the placenta

3) Emergency care for hemorrhage

4) Transfer of the patient to the operating room (OR)



After examining a patient, the health-care provider notes the fetal position as ROP. Which should the
nurse anticipate? - answer1) A normal vaginal delivery because this is the most common fetal position

2) A cesarean delivery because the fetus is in a breech position

3) A more difficult vaginal delivery because the fetal head is toward the mother's back

4) That the fetus will turn itself to facilitate delivery because this is an uncommon position



Which is the most serious complication of prolonged premature rupture of the membranes? - answer1)
"Dry" birth

2) Cord prolapse

3) Premature delivery

4) Infection



The nurse needs to stay alert for possible future complications if the pregnant client makes which
statement about her partner? - answer1) "...is building a cradle for the baby and painting the nursery."

2) "...bought me flowers and a book on babies. Then he took me out to dinner."

3) "...has started working late every night and comes home so tired."

4) "...is reading books about childbirth and baby care."



When caring for a Chinese woman, which behavior does the nurse accept as common in this culture? -
answer1) Hesitancy to involve health-care professionals

2) Remaining active throughout the pregnancy

3) Depending on others to satisfy her cravings

, 4) Eating special soups and chicken broth.



The nurse is reinforcing education for a client with hyperemesis gravidarum. Which statement by the
client indicates a need for further instruction? - answer1) "I'm really going to miss eating
cheeseburgers."

2) "My partner is probably going to have to do the cooking."

3) "I'll drink all my water in the evening."

4) "I'll call you if my urine gets dark."



A client who has just delivered her first baby asks the nurse, "What will I feed my baby until I get my
milk?" Which is the nurse's BEST response? - answer1) "You will feed the baby colostrum, which you
produce until your milk comes in."

2) "You will feed the baby glucose water to keep the baby hydrated."

3) "You can feed the baby formula until your milk comes in."

4) "Your milk is already in. You can see it leaking out of the nipples."



A 16-year-old pregnant client states, "I don't like how my body is getting all fat and ugly." How should
the nurse respond? - answer1) "It is not fat; it is your baby growing."

2) "All pregnant women get fat."

3) "Tell me more about this."

4) "Don't worry. It will go away when you deliver."



The nurse notes the health-care provider using what appears to be excessive pressure during the third
stage of labor. Which complication of this procedure will the nurse assess for? - answer2) Uterine
rupture



The patient's first day of the last menstrual period was February 26. Calculate her estimated date of
delivery (EDD) using Naegele's rule. - answer



Which statement by a patient indicates a need for the nurse to reinforce teaching regarding external
cephalic version? - answer1) "I'm worried about the possibility that my placenta could pull off."

2) "I'll relax more when this is over and the baby is in a normal position."
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