Page 1 of 144
“MATERNAL NEWBORN NCLEX QUESTIONS
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
maternal newborn nclex questions
The nurse assisted with the delivery of a newborn. Which nursing action is
most effective in preventing heat loss by evaporation?
A. Warming the crib pad
B. Closing the doors to the room
C. Drying the infant with a warm blanket
D. Turning on the overhead radiant warmer.
C. Drying the infant with a warm blanket
What discharge instruction should be given to a patient with cervical
insufficiency?
A. Discourage hydration
B. Encourage intercourse
C. Place the client on activity restriction
D. Take medications with milk
C. Place the client on activity restriction
Which infection is not included in TORCH?
A. Toxoplasmosis
B. Orchitis
C. Rubella
D. Cytomegalovirus
E. Herpes
B. Orchitis
Which is not a danger sign in the second and third trimester of pregnancy?
A. Decreased fetal movement
B. Severe headaches
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C. Abdominal pain
D. Increased urination
D. Increased urination
In planning postpartum nursing care for a patient with cardiac disease, the
nurse would question which of the following physician orders:
A. Vitals Q 2 hours
B. Strict monitor of I&O
C. High fiber diet
D. High fluid intake
D. High fluid intake
A postpartum patient is experiencing urinary retention. The nurse would
expect the physician to order which drug to stimulate bladder contractions?
A. Scopolamine
B. Bethanechol
C. Atropine
D. Bentropine
B. Bethanechol
A 40-year-old patient who is 36 weeks pregnant presents with complaints of
vaginal bleeding and lack of fetal movement over the last 3 days. What is the
priority action by the nurse?
A. X-ray the abdomen
B. Ultrasound examination
C. Check for fetal heart tones
D. Palpate for fetal movement
C. Check for fetal heart tones
A woman presents to the clinic because she missed her last menstrual period
and thinks she may be pregnant. She reports fatigue, breast tenderness,
urinary frequency, and nausea and vomiting in the morning. The healthcare
provider will interpret these findings as which of the following changes of
pregnancy?
A. Positive
B. Probable
C. Presumptive
D. Presented
C. Presumptive
The healthcare provider is assessing a pregnant woman during her first
prenatal visit. The patient reports she has a 5-year-old at home who was
delivered at 39 weeks gestation. Her last pregnancy ended at 12 weeks
gestation due to a spontaneous abortion. She delivered a set of twins at 22
weeks gestation. The twins died within 12 hours of birth. How will the
healthcare provider document this patient's obstetrical history using the
GTPAL system?
A. G4 T1 P1 A1 L1
B. G4 T1 P2 A1 L1
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C. G5 T2 P1 A0 L3
D. G3 T2 P2 A0 L2
B. G4 T1 P2 A1 L1
A primigravida who is at 38 weeks gestation calls the clinic stating she felt
several contractions in her abdomen during the past hour. She reports that the
contractions were irregular and they decreased after she took a walk around
the block. Based on this information, what is the healthcare provider's best
response?
A. "Come to the hospital when your contractions are regular and 1 minute
apart."
B. "Come to the hospital when your contractions are regular and 5 minutes
apart."
C. "You should wait 1 to 2 hours and then come back to the hospital."
D. "Birth is imminent so you should come to the hospital immediately."
B. "Come to the hospital when your contractions are regular and 5 minutes apart."
1. A nurse is planning care for a client who is pregnant and is Rh-negative. In
which of the following situations should the nurse administer Immune
Globulin?
A. At 28 weeks of gestation
B. Prior to a blood transfusion
C. Following an episode of influenza during pregnancy
D. While the client is in labor
A. At 28 weeks of gestation
A nurse is caring for a client who is at 39 weeks of gestation and is in active
labor. Which of the following actions should the nurse include in the plan of
care?
A. Monitor fetal heart rate every hour
B. Keep four side rails up while the client is in bed
C. Insert an indwelling urinary catheter
D. Check the cervix prior to analgesic administration
D. Check the cervix prior to analgesic administration
A nurse is planning care for a client who is at 35 weeks of gestation. Which of
the following laboratory tests should the nurse obtain?
A. Rubella titer
B. Blood type
C. 1-hour glucose tolerance test
D. Group B streptococcus B-hemolytic
D. Group B streptococcus B-hemolytic
Which assessment following an amniotomy should be conducted first?
A. Cervical dilation
B. Bladder distention
C. Fetal heart rate pattern
D. Maternal blood pressure
C. Fetal heart rate pattern
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The nurse is monitoring a client in the immediate postpartum period for signs
of hemorrhage. Which sign, if noted, would be an early sign of excessive blood
loss?
A. A temperature of 100.4°F (38°C)
B. An increase in the pulse rate from 88 to 103 bpm
C. A blood pressure change from
D. An increase in the respiratory rate from 18 to 22 breaths/minute
B. An increase in the pulse rate from 88 to 103
The nurse prepares to administer a phytonadione (vitamin K) injection to a
newborn, and the mother asks the nurse why her infant needs the injection.
What best response
A. "Your newborn needs the medicine to develop immunity."
B. "The medicine will protect your newborn from being jaundiced."
C. "Newborns have sterile bowels, and the medicine promotes the growth of
bacteria in the bowel."
D. "Newborns are deficient in vitamin K, and this injection prevents your
newborn from bleeding."
D. "Newborns are deficient in vitamin K, and this injection prevents your newborn
from bleeding."
During a vaginal assessment on a patient who is 8 weeks pregnant, you note a
bluish coloration of the mucous membrane of the cervix, vagina, and vulva.
You would document this finding as what?
A. Chadwick's sign
B. Goodell's sign
C. Ballottment
D. Hegar's sign
A. Chadwick's sign
Vitamin K is prescribed for a neonate. A nurse prepares to administer the
medication in which muscle site?
A. Deltoid
B. Triceps
C. Vastus lateralis
D. Biceps
C. Vastus lateralis
A nurse is caring for a client who is experiencing prolonged labor. Which of
the following fetal monitoring results indicates fetal compromise?
A. Baseline fetal heart rate of 110 to 130 per minute
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia
D. Late decelerations with fetal bradycardia
Which of the following patient conditions would require the nurse to
discontinue the infusion of oxytocin during labor?
A. Blood pressure of 137/88
“MATERNAL NEWBORN NCLEX QUESTIONS
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
maternal newborn nclex questions
The nurse assisted with the delivery of a newborn. Which nursing action is
most effective in preventing heat loss by evaporation?
A. Warming the crib pad
B. Closing the doors to the room
C. Drying the infant with a warm blanket
D. Turning on the overhead radiant warmer.
C. Drying the infant with a warm blanket
What discharge instruction should be given to a patient with cervical
insufficiency?
A. Discourage hydration
B. Encourage intercourse
C. Place the client on activity restriction
D. Take medications with milk
C. Place the client on activity restriction
Which infection is not included in TORCH?
A. Toxoplasmosis
B. Orchitis
C. Rubella
D. Cytomegalovirus
E. Herpes
B. Orchitis
Which is not a danger sign in the second and third trimester of pregnancy?
A. Decreased fetal movement
B. Severe headaches
, Page 2 of 144
C. Abdominal pain
D. Increased urination
D. Increased urination
In planning postpartum nursing care for a patient with cardiac disease, the
nurse would question which of the following physician orders:
A. Vitals Q 2 hours
B. Strict monitor of I&O
C. High fiber diet
D. High fluid intake
D. High fluid intake
A postpartum patient is experiencing urinary retention. The nurse would
expect the physician to order which drug to stimulate bladder contractions?
A. Scopolamine
B. Bethanechol
C. Atropine
D. Bentropine
B. Bethanechol
A 40-year-old patient who is 36 weeks pregnant presents with complaints of
vaginal bleeding and lack of fetal movement over the last 3 days. What is the
priority action by the nurse?
A. X-ray the abdomen
B. Ultrasound examination
C. Check for fetal heart tones
D. Palpate for fetal movement
C. Check for fetal heart tones
A woman presents to the clinic because she missed her last menstrual period
and thinks she may be pregnant. She reports fatigue, breast tenderness,
urinary frequency, and nausea and vomiting in the morning. The healthcare
provider will interpret these findings as which of the following changes of
pregnancy?
A. Positive
B. Probable
C. Presumptive
D. Presented
C. Presumptive
The healthcare provider is assessing a pregnant woman during her first
prenatal visit. The patient reports she has a 5-year-old at home who was
delivered at 39 weeks gestation. Her last pregnancy ended at 12 weeks
gestation due to a spontaneous abortion. She delivered a set of twins at 22
weeks gestation. The twins died within 12 hours of birth. How will the
healthcare provider document this patient's obstetrical history using the
GTPAL system?
A. G4 T1 P1 A1 L1
B. G4 T1 P2 A1 L1
, Page 3 of 144
C. G5 T2 P1 A0 L3
D. G3 T2 P2 A0 L2
B. G4 T1 P2 A1 L1
A primigravida who is at 38 weeks gestation calls the clinic stating she felt
several contractions in her abdomen during the past hour. She reports that the
contractions were irregular and they decreased after she took a walk around
the block. Based on this information, what is the healthcare provider's best
response?
A. "Come to the hospital when your contractions are regular and 1 minute
apart."
B. "Come to the hospital when your contractions are regular and 5 minutes
apart."
C. "You should wait 1 to 2 hours and then come back to the hospital."
D. "Birth is imminent so you should come to the hospital immediately."
B. "Come to the hospital when your contractions are regular and 5 minutes apart."
1. A nurse is planning care for a client who is pregnant and is Rh-negative. In
which of the following situations should the nurse administer Immune
Globulin?
A. At 28 weeks of gestation
B. Prior to a blood transfusion
C. Following an episode of influenza during pregnancy
D. While the client is in labor
A. At 28 weeks of gestation
A nurse is caring for a client who is at 39 weeks of gestation and is in active
labor. Which of the following actions should the nurse include in the plan of
care?
A. Monitor fetal heart rate every hour
B. Keep four side rails up while the client is in bed
C. Insert an indwelling urinary catheter
D. Check the cervix prior to analgesic administration
D. Check the cervix prior to analgesic administration
A nurse is planning care for a client who is at 35 weeks of gestation. Which of
the following laboratory tests should the nurse obtain?
A. Rubella titer
B. Blood type
C. 1-hour glucose tolerance test
D. Group B streptococcus B-hemolytic
D. Group B streptococcus B-hemolytic
Which assessment following an amniotomy should be conducted first?
A. Cervical dilation
B. Bladder distention
C. Fetal heart rate pattern
D. Maternal blood pressure
C. Fetal heart rate pattern
, Page 4 of 144
The nurse is monitoring a client in the immediate postpartum period for signs
of hemorrhage. Which sign, if noted, would be an early sign of excessive blood
loss?
A. A temperature of 100.4°F (38°C)
B. An increase in the pulse rate from 88 to 103 bpm
C. A blood pressure change from
D. An increase in the respiratory rate from 18 to 22 breaths/minute
B. An increase in the pulse rate from 88 to 103
The nurse prepares to administer a phytonadione (vitamin K) injection to a
newborn, and the mother asks the nurse why her infant needs the injection.
What best response
A. "Your newborn needs the medicine to develop immunity."
B. "The medicine will protect your newborn from being jaundiced."
C. "Newborns have sterile bowels, and the medicine promotes the growth of
bacteria in the bowel."
D. "Newborns are deficient in vitamin K, and this injection prevents your
newborn from bleeding."
D. "Newborns are deficient in vitamin K, and this injection prevents your newborn
from bleeding."
During a vaginal assessment on a patient who is 8 weeks pregnant, you note a
bluish coloration of the mucous membrane of the cervix, vagina, and vulva.
You would document this finding as what?
A. Chadwick's sign
B. Goodell's sign
C. Ballottment
D. Hegar's sign
A. Chadwick's sign
Vitamin K is prescribed for a neonate. A nurse prepares to administer the
medication in which muscle site?
A. Deltoid
B. Triceps
C. Vastus lateralis
D. Biceps
C. Vastus lateralis
A nurse is caring for a client who is experiencing prolonged labor. Which of
the following fetal monitoring results indicates fetal compromise?
A. Baseline fetal heart rate of 110 to 130 per minute
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia
D. Late decelerations with fetal bradycardia
Which of the following patient conditions would require the nurse to
discontinue the infusion of oxytocin during labor?
A. Blood pressure of 137/88
