NCLEX EXAM zm
Exam Solution zm
Archer Maternity NCLEX RN 2026 A+ GRADE ASSURED
zm zm zm zm zm zm zm zm
COMPLETE SOLUTIONS AND VERIFIED ANSWERS (D0F zm zm zm zm zm
DF)
QUESTION 1 zm
When caring for a client new to the general practice clinic, the nurse notes that the w
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
oman is "nulliparous." The nurse knows that the term "nullipara" describes:
zm zm zm zm zm zm zm zm zm zm
A. A woman who had one pregnancy loss at 25 weeks and no children are alive.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
B. A woman who has never given birth to a child.
zm zm zm zm zm zm zm zm zm zm
C. A woman who had three prior pregnancies.
zm zm zm zm zm zm zm
D. A woman who has never been pregnant.
zm zm zm zm zm zm zm
ANSWER
B. A woman who has never given birth to a child.
zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
The nurse is attending to a client who is 20 weeks pregnant and has completed client
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
education. Which of the following statements by the client indicates that she has a go
m zm zm zm zm zm zm zm zm zm zm zm zm zm zm
od understanding of her baby's development?
zm zm zm zm zm
A. "My baby is able to breathe now."
zm zm zm zm zm zm zm
B. "My baby can open his eyes."
zm zm zm zm zm zm
C. "My baby is about 7 ½ inches long."
zm zm zm zm zm zm zm zm
D. "My baby has fully grown fingernails."
zm zm zm zm zm zm
ANSWER
C. "My baby is about 7 ½ inches long."
zm zm zm zm zm zm zm zm
QUESTION 3 zm
While working in the nursery, a nurse assesses a newborn born less than two hours a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
go. Which of the following findings by the nurse would necessitate further investigatio
zm zm zm zm zm zm zm zm zm zm zm zm
n?
,A. A diamond-shaped soft area present at the top of the newborn's head
zm zm zm zm zm zm zm zm zm zm zm zm
B. Greasy, white substance that resembles cheese on the newborn's neck, back, and th
zm zm zm zm zm zm zm zm zm zm zm zm zm
ighs
C. A single crease on the palm
zm zm zm zm zm zm
D. Acrocyanosis
zm
ANSWER
C. A single crease on the palm
zm zm zm zm zm zm
QUESTION 4 zm
The nurse is caring for a client in labor who just received epidural analgesia. The nur
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
se should monitor the client for which adverse effects?
zm zm zm zm zm zm zm zm
A. Hypertension
zm
B. Bladder distention
zm zm
C. Hypothermia
zm
D. Precipitous labor
zm zm
ANSWER
B. Bladder distention
zm zm
QUESTION 5 zm
The nurse just finished receiving the shift report from the night nurse. Which of the f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ollowing newborns should the nurse assess first?
zm zm zm zm zm zm
A. A 3-hour old newborn weighing 6 pounds
zm zm zm zm zm zm zm
B. A 4-hour old newborn delivered at 42 weeks
zm zm zm zm zm zm zm zm
C. A 6-hour old newborn that is 21 inches long
zm zm zm zm zm zm zm zm zm
D. An 8-hour old newborn delivered at 40 weeks
zm zm zm zm zm zm zm zm
ANSWER
B. A 4-hour old newborn delivered at 42 weeks
zm zm zm zm zm zm zm zm
QUESTION 6 zm
The nurse performs a postpartum assessment on a client who delivered a term newbo
zm zm zm zm zm zm zm zm zm zm zm zm zm
rn two hours ago. The nurse suspects that the client has developed postpartum hemor
zm zm zm zm zm zm zm zm zm zm zm zm zm
rhage (PPH). Which action should the nurse perform to confirm this finding?
zm zm zm zm zm zm zm zm zm zm zm
A. Ask the client to turn to her side
zm zm zm zm zm zm zm zm
B. Assess the 24-hour intake and output
zm zm zm zm zm zm
C. Assess the pulse for bradycardia
zm zm zm zm zm
D. Obtain orthostatic blood pressure
zm zm zm zm
ANSWER
, A. Ask the client to turn to her side
zm zm zm zm zm zm zm zm
QUESTION 7 zm
The nurse is caring for a 28-year-
zm zm zm zm zm zm
old female who presents to the obstetrics office, suspecting she may be pregnant. Whi
zm zm zm zm zm zm zm zm zm zm zm zm zm
ch of the following would the nurse recognize as a presumptive sign of pregnancy?
zm zm zm zm zm zm zm zm zm zm zm zm zm
A. Amenorrhea
zm
B. Positive fetal cardiac activity on ultrasound
zm zm zm zm zm zm
C. Enlarged uterus
zm zm
D. Auscultation of fetal heart tones
zm zm zm zm zm
ANSWER
A. Amenorrhea
zm
QUESTION 8 zm
The nurse is triaging phone calls at a local obstetrics clinic. Which client situation req
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
uires immediate follow-up? A client reporting
zm zm zm zm zm
A. ten fetal movements in the past hour.
zm zm zm zm zm zm zm
B. irregular, painful contractions that are decreased with repositioning.
zm zm zm zm zm zm zm zm
C. abdominal cramping following her amniocentesis six hours ago.
zm zm zm zm zm zm zm zm
D. epigastric pain and a frontal headache not relieved with acetaminophen.
zm zm zm zm zm zm zm zm zm zm
ANSWER
D. epigastric pain and a frontal headache not relieved with acetaminophen.
zm zm zm zm zm zm zm zm zm zm
QUESTION 9 zm
A 28-
zm
week pregnant client is advised by her physician to receive an Rh immune globulin (R
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hoGAM) injection. The client asks the nurse the reason for the medication. The nurse
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
should inform the client that this medication
zm zm zm zm zm zm
A. prevents measles during pregnancy.
zm zm zm zm
B. prevents you from forming antibodies against your baby.
zm zm zm zm zm zm zm zm
C. prevents jaundice in your baby.
zm zm zm zm zm
D. prevents autosomal abnormalities.
zm zm zm
ANSWER
B. prevents you from forming antibodies against your baby.
zm zm zm zm zm zm zm zm
QUESTION 10 zm
Exam Solution zm
Archer Maternity NCLEX RN 2026 A+ GRADE ASSURED
zm zm zm zm zm zm zm zm
COMPLETE SOLUTIONS AND VERIFIED ANSWERS (D0F zm zm zm zm zm
DF)
QUESTION 1 zm
When caring for a client new to the general practice clinic, the nurse notes that the w
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
oman is "nulliparous." The nurse knows that the term "nullipara" describes:
zm zm zm zm zm zm zm zm zm zm
A. A woman who had one pregnancy loss at 25 weeks and no children are alive.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
B. A woman who has never given birth to a child.
zm zm zm zm zm zm zm zm zm zm
C. A woman who had three prior pregnancies.
zm zm zm zm zm zm zm
D. A woman who has never been pregnant.
zm zm zm zm zm zm zm
ANSWER
B. A woman who has never given birth to a child.
zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
The nurse is attending to a client who is 20 weeks pregnant and has completed client
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
education. Which of the following statements by the client indicates that she has a go
m zm zm zm zm zm zm zm zm zm zm zm zm zm zm
od understanding of her baby's development?
zm zm zm zm zm
A. "My baby is able to breathe now."
zm zm zm zm zm zm zm
B. "My baby can open his eyes."
zm zm zm zm zm zm
C. "My baby is about 7 ½ inches long."
zm zm zm zm zm zm zm zm
D. "My baby has fully grown fingernails."
zm zm zm zm zm zm
ANSWER
C. "My baby is about 7 ½ inches long."
zm zm zm zm zm zm zm zm
QUESTION 3 zm
While working in the nursery, a nurse assesses a newborn born less than two hours a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
go. Which of the following findings by the nurse would necessitate further investigatio
zm zm zm zm zm zm zm zm zm zm zm zm
n?
,A. A diamond-shaped soft area present at the top of the newborn's head
zm zm zm zm zm zm zm zm zm zm zm zm
B. Greasy, white substance that resembles cheese on the newborn's neck, back, and th
zm zm zm zm zm zm zm zm zm zm zm zm zm
ighs
C. A single crease on the palm
zm zm zm zm zm zm
D. Acrocyanosis
zm
ANSWER
C. A single crease on the palm
zm zm zm zm zm zm
QUESTION 4 zm
The nurse is caring for a client in labor who just received epidural analgesia. The nur
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
se should monitor the client for which adverse effects?
zm zm zm zm zm zm zm zm
A. Hypertension
zm
B. Bladder distention
zm zm
C. Hypothermia
zm
D. Precipitous labor
zm zm
ANSWER
B. Bladder distention
zm zm
QUESTION 5 zm
The nurse just finished receiving the shift report from the night nurse. Which of the f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ollowing newborns should the nurse assess first?
zm zm zm zm zm zm
A. A 3-hour old newborn weighing 6 pounds
zm zm zm zm zm zm zm
B. A 4-hour old newborn delivered at 42 weeks
zm zm zm zm zm zm zm zm
C. A 6-hour old newborn that is 21 inches long
zm zm zm zm zm zm zm zm zm
D. An 8-hour old newborn delivered at 40 weeks
zm zm zm zm zm zm zm zm
ANSWER
B. A 4-hour old newborn delivered at 42 weeks
zm zm zm zm zm zm zm zm
QUESTION 6 zm
The nurse performs a postpartum assessment on a client who delivered a term newbo
zm zm zm zm zm zm zm zm zm zm zm zm zm
rn two hours ago. The nurse suspects that the client has developed postpartum hemor
zm zm zm zm zm zm zm zm zm zm zm zm zm
rhage (PPH). Which action should the nurse perform to confirm this finding?
zm zm zm zm zm zm zm zm zm zm zm
A. Ask the client to turn to her side
zm zm zm zm zm zm zm zm
B. Assess the 24-hour intake and output
zm zm zm zm zm zm
C. Assess the pulse for bradycardia
zm zm zm zm zm
D. Obtain orthostatic blood pressure
zm zm zm zm
ANSWER
, A. Ask the client to turn to her side
zm zm zm zm zm zm zm zm
QUESTION 7 zm
The nurse is caring for a 28-year-
zm zm zm zm zm zm
old female who presents to the obstetrics office, suspecting she may be pregnant. Whi
zm zm zm zm zm zm zm zm zm zm zm zm zm
ch of the following would the nurse recognize as a presumptive sign of pregnancy?
zm zm zm zm zm zm zm zm zm zm zm zm zm
A. Amenorrhea
zm
B. Positive fetal cardiac activity on ultrasound
zm zm zm zm zm zm
C. Enlarged uterus
zm zm
D. Auscultation of fetal heart tones
zm zm zm zm zm
ANSWER
A. Amenorrhea
zm
QUESTION 8 zm
The nurse is triaging phone calls at a local obstetrics clinic. Which client situation req
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
uires immediate follow-up? A client reporting
zm zm zm zm zm
A. ten fetal movements in the past hour.
zm zm zm zm zm zm zm
B. irregular, painful contractions that are decreased with repositioning.
zm zm zm zm zm zm zm zm
C. abdominal cramping following her amniocentesis six hours ago.
zm zm zm zm zm zm zm zm
D. epigastric pain and a frontal headache not relieved with acetaminophen.
zm zm zm zm zm zm zm zm zm zm
ANSWER
D. epigastric pain and a frontal headache not relieved with acetaminophen.
zm zm zm zm zm zm zm zm zm zm
QUESTION 9 zm
A 28-
zm
week pregnant client is advised by her physician to receive an Rh immune globulin (R
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hoGAM) injection. The client asks the nurse the reason for the medication. The nurse
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
should inform the client that this medication
zm zm zm zm zm zm
A. prevents measles during pregnancy.
zm zm zm zm
B. prevents you from forming antibodies against your baby.
zm zm zm zm zm zm zm zm
C. prevents jaundice in your baby.
zm zm zm zm zm
D. prevents autosomal abnormalities.
zm zm zm
ANSWER
B. prevents you from forming antibodies against your baby.
zm zm zm zm zm zm zm zm
QUESTION 10 zm
