NCLEX Maternal-Newborn Nursing Test Bank
Exam Verified Questions, Correct Answers,
and Detailed Explanations for
Students||Already Graded A+
1. A nurse is assessing a client at 10 weeks’ gestation. Which finding is a
presumptive sign of pregnancy?
A. Positive hCG blood test
B. Fetal heartbeat heard by Doppler
C. Amenorrhea
D. Visualization of fetus on ultrasound
Answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive (subjective) sign of pregnancy
reported by the client. Positive hCG and ultrasound are probable/positive signs.
2. Which hormone maintains the uterine lining during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B. Progesterone
Rationale: Progesterone maintains the endometrium and supports early
pregnancy.
3. A client at 28 weeks’ gestation is Rh-negative. Which medication should
the nurse anticipate?
A. Oxytocin
B. Methylergonovine
C. Rho(D) immune globulin
D. Betamethasone
,Answer: C. Rho(D) immune globulin
Rationale: Rho(D) immune globulin prevents Rh sensitization in Rh-negative
clients.
4. Fundal height at 20 weeks’ gestation should measure approximately:
A. 12 cm
B. 16 cm
C. 20 cm
D. 24 cm
Answer: C. 20 cm
Rationale: From 20–36 weeks, fundal height in cm roughly equals weeks of
gestation.
5. Which finding in pregnancy requires immediate reporting?
A. Nausea in first trimester
B. Leukorrhea
C. Sudden gush of fluid from vagina
D. Mild ankle edema
Answer: C. Sudden gush of fluid from vagina
Rationale: This may indicate rupture of membranes and risk for infection or
preterm labor.
6. The most accurate method to determine fetal well-being is:
A. Maternal weight gain
B. Fundal height
C. Biophysical profile (BPP)
D. Quickening
Answer: C. Biophysical profile (BPP)
Rationale: BPP evaluates fetal breathing, movement, tone, amniotic fluid, and
heart rate.
7. A late deceleration on fetal monitoring indicates:
A. Cord compression
, B. Head compression
C. Uteroplacental insufficiency
D. Fetal sleep
Answer: C. Uteroplacental insufficiency
Rationale: Late decelerations occur after contraction peak and indicate
decreased placental perfusion.
8. Which action is priority during shoulder dystocia?
A. Apply fundal pressure
B. McRoberts maneuver
C. Immediate cesarean
D. Administer oxytocin
Answer: B. McRoberts maneuver
Rationale: McRoberts position widens pelvic outlet to relieve shoulder dystocia.
9. A client with preeclampsia receives magnesium sulfate. Which finding
indicates toxicity?
A. BP 150/90
B. Urine output 40 mL/hr
C. Absent deep tendon reflexes
D. Respiratory rate 18
Answer: C. Absent deep tendon reflexes
Rationale: Loss of DTRs is an early sign of magnesium toxicity.
10. The antidote for magnesium sulfate is:
A. Vitamin K
B. Oxytocin
C. Naloxone
D. Calcium gluconate
Answer: D. Calcium gluconate
Rationale: Calcium gluconate reverses magnesium toxicity.
Exam Verified Questions, Correct Answers,
and Detailed Explanations for
Students||Already Graded A+
1. A nurse is assessing a client at 10 weeks’ gestation. Which finding is a
presumptive sign of pregnancy?
A. Positive hCG blood test
B. Fetal heartbeat heard by Doppler
C. Amenorrhea
D. Visualization of fetus on ultrasound
Answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive (subjective) sign of pregnancy
reported by the client. Positive hCG and ultrasound are probable/positive signs.
2. Which hormone maintains the uterine lining during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: B. Progesterone
Rationale: Progesterone maintains the endometrium and supports early
pregnancy.
3. A client at 28 weeks’ gestation is Rh-negative. Which medication should
the nurse anticipate?
A. Oxytocin
B. Methylergonovine
C. Rho(D) immune globulin
D. Betamethasone
,Answer: C. Rho(D) immune globulin
Rationale: Rho(D) immune globulin prevents Rh sensitization in Rh-negative
clients.
4. Fundal height at 20 weeks’ gestation should measure approximately:
A. 12 cm
B. 16 cm
C. 20 cm
D. 24 cm
Answer: C. 20 cm
Rationale: From 20–36 weeks, fundal height in cm roughly equals weeks of
gestation.
5. Which finding in pregnancy requires immediate reporting?
A. Nausea in first trimester
B. Leukorrhea
C. Sudden gush of fluid from vagina
D. Mild ankle edema
Answer: C. Sudden gush of fluid from vagina
Rationale: This may indicate rupture of membranes and risk for infection or
preterm labor.
6. The most accurate method to determine fetal well-being is:
A. Maternal weight gain
B. Fundal height
C. Biophysical profile (BPP)
D. Quickening
Answer: C. Biophysical profile (BPP)
Rationale: BPP evaluates fetal breathing, movement, tone, amniotic fluid, and
heart rate.
7. A late deceleration on fetal monitoring indicates:
A. Cord compression
, B. Head compression
C. Uteroplacental insufficiency
D. Fetal sleep
Answer: C. Uteroplacental insufficiency
Rationale: Late decelerations occur after contraction peak and indicate
decreased placental perfusion.
8. Which action is priority during shoulder dystocia?
A. Apply fundal pressure
B. McRoberts maneuver
C. Immediate cesarean
D. Administer oxytocin
Answer: B. McRoberts maneuver
Rationale: McRoberts position widens pelvic outlet to relieve shoulder dystocia.
9. A client with preeclampsia receives magnesium sulfate. Which finding
indicates toxicity?
A. BP 150/90
B. Urine output 40 mL/hr
C. Absent deep tendon reflexes
D. Respiratory rate 18
Answer: C. Absent deep tendon reflexes
Rationale: Loss of DTRs is an early sign of magnesium toxicity.
10. The antidote for magnesium sulfate is:
A. Vitamin K
B. Oxytocin
C. Naloxone
D. Calcium gluconate
Answer: D. Calcium gluconate
Rationale: Calcium gluconate reverses magnesium toxicity.
