NCLEX RN maternal newborn EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Exam Solution zm




Maternal Newborn NCLEX questions 2026 A+ GRADE A zm zm zm zm zm zm zm




SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm




RS (BBB80) zm




QUESTION 1 zm




A client at 28 weeks' gestation is admitted to the labor and birth unit. Which test wou
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ld most likely be used to assess the client's comprehensive fetal status?
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a. Amniocentesis.
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b. Biophysical profile (BPP).
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c. Nonstress test (NST).
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d. Ultrasound for physical structure.
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ANSWER

Answer: B Biophysical profile (BPP). Rationale: Biophysical profile is a comprehensive test that woul
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d be used to assess the client's fetal status at 28 weeks' gestation. Ultrasound for physical structure
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is limited to identifying the growth and development of the fetus, and does not assess for other par
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ameters of fetal well-being. Women with a high risk factor will probably begin having NSTs at 30-
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32 weeks' gestation and at frequent intervals for the remainder of the pregnancy. Amniocentesis late
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in pregnancy is used to test for lung maturity, not overall fetal status in labor, and when performe
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d earlier it is used to test for specific disorders.
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QUESTION 2 zm




A prenatal client in her second trimester is admitted to the maternity unit with painle
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ss, bright red vaginal bleeding. What test might the physician order?
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a. Ultrasound.
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b. Alpha-fetoprotein (AFP).
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c. Contraction stress test (CST).
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d. Amniocentesis.
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ANSWER

Answer: A Ultrasound. Rationale: An ultrasound for placenta location to rule out placenta previa wo
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uld be ordered for a client who presents with painless, bright red vaginal bleeding. The ability to se
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e the lower portion of the uterus and cervix with ultrasound is particularly important when vaginal
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bleeding is noted and placenta previa is the suspected cause. Alpha-
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, fetoprotein (AFP) is a test used to screen for neural tube defects. A contraction stress test is ordere
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d in the third trimester to evaluate the respiratory function of the placenta. Amniocentesis is a proc
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edure used for genetic diagnosis or, in later pregnancy, for lung maturity studies.
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QUESTION 3 zm




The nurse is preparing a prenatal client for a transabdominal ultrasound. What nursi
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ng action should the nurse include in the preparations? Select all that apply.
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a. Advise the client to empty her bladder.
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b. Encourage the client to drink 1.5 quarts of fluid.
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c. Apply transmission gel over the client's abdomen.
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d. Place the client in a side lying position.
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ANSWER

Answer: B & C Encourage the client to drink 1.5 quarts of fluid. Apply transmission gel over the clie
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nt's abdomen. Rationale: After having the client void, assist her to a lithotomy position for a transab
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dominal ultrasound. Preparation for a transabdominal ultrasound includes encouraging the client to
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drink 1.5 quarts of fluid, maintaining a full bladder, and applying transmission gel over the client's a
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bdomen.



QUESTION 4 zm




A pregnant client asks why ultrasound is used so frequently during pregnancy. The nu
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rse's response is based on her knowledge that the advantages of ultrasound include w
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hich of the following? Select all that apply.
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a. 'The ultrasound is the only test to determine gender."
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b. "It is noninvasive and painless."
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c. "It can be used to estimate gestational age."
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d. "Results are immediate."
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ANSWER

Answer: B, C, & D "It is noninvasive and painless." "It can be used to estimate gestational age." "Res
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ults are immediate." Rationale: The ability to establish fetal age accurately by ultrasound is lost in t
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he third trimester because fetal growth is not as uniform then as it is in the first two trimesters; ho
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wever, ultrasound can be used to approximate gestational age within 1-
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3 weeks' accuracy during the third trimester. A comprehensive ultrasound is used to detect anatomi
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cal defects, not gestational age. Ultrasound is not used to determine gender.
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QUESTION 5 zm




The physician orders an ultrasound for a prenatal client prior to an amniocentesis. Th
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e nurse explains to the client that the purpose of the ultrasound is to:
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a. Measure the fetus's biparietal diameter.
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b. Determine the gestational sac volume.
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