MATERNITY NURSING COMPREHENSIVE PRACTICE
EXAM LATEST UPDATED ACTUAL FINAL EXAM WITH
ALL POSSIBLE MOST TESTED 100 PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED ANSWERS
FULLY SOLVED WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY 2026-2027 FINAL EXAM
UPDATED VERSION 100% GUARANTEED PASS MOST
RECENT!!!
Question 1
A pregnant client at 32 weeks gestation presents
with painless vaginal bleeding. Which condition is
most likely?
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Cervical insufficiency
Correct Answer: A
Rationale: Painless vaginal bleeding in the third
trimester is classic for placenta previa, where the
placenta covers the cervical os. Abruptio placentae
typically presents with painful bleeding.
,Question 2
A client in active labor has a fetal heart rate of 110
beats per minute with minimal variability. What is
the priority nursing action?
A. Administer oxygen via face mask
B. Notify the healthcare provider immediately
C. Position the client on her left side
D. Increase the IV fluid rate
Correct Answer: C
Rationale: Maternal left lateral position improves
placental perfusion and often corrects fetal
bradycardia. Oxygen and fluid are secondary
actions; notification should occur after
repositioning.
Question 3
Which hormone is primarily responsible for
maintaining pregnancy during the first trimester?
A. Estrogen
B. Progesterone
C. Human chorionic gonadotropin (hCG)
D. Prolactin
Correct Answer: C
,Rationale: hCG is secreted by the trophoblast and
maintains the corpus luteum, which produces
progesterone until the placenta takes over.
Question 4
A postpartum client complains of a tender, swollen
calf. What is the most appropriate initial action?
A. Massage the calf to relieve discomfort
B. Apply a warm compress
C. Measure the calf circumference
D. Have the client ambulate to promote circulation
Correct Answer: C
Rationale: Measuring calf circumference helps
assess for deep vein thrombosis. Massage and
warming can dislodge a clot; ambulation may
worsen the condition.
Question 5
The nurse teaches a diabetic pregnant client about
nutrition. Which meal plan is most appropriate?
A. Three large meals with no snacks
B. Three meals and two snacks with consistent
carbohydrates
, C. High-protein, low-carbohydrate meals
D. Unlimited fruits and vegetables
Correct Answer: B
Rationale: Consistent carbohydrate intake across
meals and snacks helps maintain stable blood
glucose levels in gestational diabetes.
Question 6
During a nonstress test, the fetal heart rate
accelerations are 15 beats per minute above
baseline, lasting 15 seconds, occurring twice within
20 minutes. This indicates:
A. Fetal distress
B. A reactive nonstress test
C. A nonreactive nonstress test
D. Uterine hyperstimulation
Correct Answer: B
Rationale: Two accelerations meeting criteria
within 20 minutes indicate a reactive nonstress
test, which is reassuring.
Question 7
A client with severe preeclampsia receives
EXAM LATEST UPDATED ACTUAL FINAL EXAM WITH
ALL POSSIBLE MOST TESTED 100 PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED ANSWERS
FULLY SOLVED WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY 2026-2027 FINAL EXAM
UPDATED VERSION 100% GUARANTEED PASS MOST
RECENT!!!
Question 1
A pregnant client at 32 weeks gestation presents
with painless vaginal bleeding. Which condition is
most likely?
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Cervical insufficiency
Correct Answer: A
Rationale: Painless vaginal bleeding in the third
trimester is classic for placenta previa, where the
placenta covers the cervical os. Abruptio placentae
typically presents with painful bleeding.
,Question 2
A client in active labor has a fetal heart rate of 110
beats per minute with minimal variability. What is
the priority nursing action?
A. Administer oxygen via face mask
B. Notify the healthcare provider immediately
C. Position the client on her left side
D. Increase the IV fluid rate
Correct Answer: C
Rationale: Maternal left lateral position improves
placental perfusion and often corrects fetal
bradycardia. Oxygen and fluid are secondary
actions; notification should occur after
repositioning.
Question 3
Which hormone is primarily responsible for
maintaining pregnancy during the first trimester?
A. Estrogen
B. Progesterone
C. Human chorionic gonadotropin (hCG)
D. Prolactin
Correct Answer: C
,Rationale: hCG is secreted by the trophoblast and
maintains the corpus luteum, which produces
progesterone until the placenta takes over.
Question 4
A postpartum client complains of a tender, swollen
calf. What is the most appropriate initial action?
A. Massage the calf to relieve discomfort
B. Apply a warm compress
C. Measure the calf circumference
D. Have the client ambulate to promote circulation
Correct Answer: C
Rationale: Measuring calf circumference helps
assess for deep vein thrombosis. Massage and
warming can dislodge a clot; ambulation may
worsen the condition.
Question 5
The nurse teaches a diabetic pregnant client about
nutrition. Which meal plan is most appropriate?
A. Three large meals with no snacks
B. Three meals and two snacks with consistent
carbohydrates
, C. High-protein, low-carbohydrate meals
D. Unlimited fruits and vegetables
Correct Answer: B
Rationale: Consistent carbohydrate intake across
meals and snacks helps maintain stable blood
glucose levels in gestational diabetes.
Question 6
During a nonstress test, the fetal heart rate
accelerations are 15 beats per minute above
baseline, lasting 15 seconds, occurring twice within
20 minutes. This indicates:
A. Fetal distress
B. A reactive nonstress test
C. A nonreactive nonstress test
D. Uterine hyperstimulation
Correct Answer: B
Rationale: Two accelerations meeting criteria
within 20 minutes indicate a reactive nonstress
test, which is reassuring.
Question 7
A client with severe preeclampsia receives
