Saunders NCLEX-RN Exam (5th Ed.) -
Maternity Nursing questions and 100%
verified answers 2025/2026
"The two arteries in the umbilical cord carry deoxygenated blood & waste products away from the fetus
to the placenta." - A nursing student is preparing a prenatal class on the process of fetal circulation. The
nursing instructor asks the student specifically to describe the process through the umbilical cord. Which
of the following statements from the student is correct?
Connects the umbilical vein to the inferior vena cava. - A nursing student is assigned to care for a client
in labor. A nursing instructor asks the student to describe fetal circulation, specifically the ductus
venous. The nursing instructor determines that the student understands fetal circulation if the student
states that the ductus venous:
The sex of the fetus can be determined by the appearance of the external genitalia. - A pregnant client
tells the clinic nurse that she wants to know the sex of her baby as soon as it can be determined. The
nurse understands that he client should be able to find out at 12 weeks' gestation because by the end of
the twelfth week:
Notify the physician. - A nurse is performing as assessment on a client who is at 38 weeks' gestation &
notes that the fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate nursing
action is to:
Promotes the fertilized ovum's normal implantation in the top portion of the uterus. - A nurse is
conducting a prenatal class on the female reproductive system. When a client in the class asks why the
fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that the reason for this is that
it:
FSH & LH are released from the anterior pituitary gland. - A nursing instructor is reviewing the menstrual
cycle with a nursing student who will be conducting a prenatal teaching session. The instructor asks the
student to describe the follicle-stimulating hormone (FSH) & the luteinizing hormone (LH). The student
accurately responds by stating that:
"Do you plan to have any other children?" - A couple comes to the family planning clinic & asks about
sterilization procedures. Which question by the nurse would determine if this method of family planning
would be appropriate?
,That her type of pelvis is the most favorable for labor & birth. - A nurse should explain which of the
following to a pregnant client found to have a gynecoid pelvis?
Is the way the baby gets food & oxygen. - A nurse explains some of the purposes of the placenta to a
client during a prenatal visit. The nurse determines that the client understands some of these purposes
when the client states that the placenta:
* Allows for fetal movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus. - A nursing instructor asks a nursing student to list the
functions of the amniotic fluid. The student responds correctly by stating that which of the following are
functions of amniotic fluid:
30 cm - A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The
nurse measures the fundal height in centimeters & expects the finding to be which of the following?
G=2, T=1, P=0, A=0, L=1 - A nurse is collecting data during an admission assessment of a client who is
pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks & tells the
nurse that she does not have a Hx of any type of abortion or fetal demise. The nurse would document
the GTPAL for this client as
Inform the client that these contractions are common & may occur throughout the pregnancy. - A
pregnant client is seen in a health care clinic for a regular prenatal visit. The client tells the nurse that
she is experiencing irregular contractions, & the nurse determines that she is experiencing Braxton Hicks
contractions. Based on this finding, which nursing action is appropriate?
A cesarean section will be necessary if vaginal lesions are present at the time of labor. - A nurse is
providing instructions to a pregnant client with genital herpes about the measures that are needed to
protect the fetus. The nurse tells the client that:
, A softening of the cervix. - A nurse is reviewing the record of a client who has just been told that a
pregnancy test is positive. The physician has documented the presence of Goodell's sign. The nurse
determines that this sign indicates:
July 26, 2013 - A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that
the first day of her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the nurse determines
the estimated date of confinement is:
Initiates a gentle upward tap on the cervix. - A nurse-midwife is assessing a pregnant client for the
presence of ballottement. To make this determination, the nurse-midwife does which of the following?
16 & 20 - A pregnant client asks a nurse in the clinic when she will be able to begin to feel the fetus
move. The nurse responds by telling the mother that fetal movements will be noted between which of
the following weeks of gestation?
Fetal heart rate of 180 beats / min - A nurse is performing as assessment of a primigravida who is being
evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an
abnormal physical finding that necessitates further testing?
* Ballotement
* Chadwicks sign
* Uterine enlargement
* Braxton Hick's contractions/ - A nurse is assisting in performing an assessment on a client who
suspects that she is pregnant & is checking the client for probable signs of pregnancy. Which of the
following are probable signs of pregnancy.
An informed consent needs to be signed before the procedure. - A nurse is providing instructions to a
pregnant client who is scheduled for an amniocentesis. The nurse tells the client that:
"The vaginal discharge may be bothersome, but is a normal occurrence." - A pregnant client in the first
trimester calls nurse at a health care clinic & reports that she has noticed a thin, colorless vaginal
drainage. The nurse should make which assessment to the client?
Maternity Nursing questions and 100%
verified answers 2025/2026
"The two arteries in the umbilical cord carry deoxygenated blood & waste products away from the fetus
to the placenta." - A nursing student is preparing a prenatal class on the process of fetal circulation. The
nursing instructor asks the student specifically to describe the process through the umbilical cord. Which
of the following statements from the student is correct?
Connects the umbilical vein to the inferior vena cava. - A nursing student is assigned to care for a client
in labor. A nursing instructor asks the student to describe fetal circulation, specifically the ductus
venous. The nursing instructor determines that the student understands fetal circulation if the student
states that the ductus venous:
The sex of the fetus can be determined by the appearance of the external genitalia. - A pregnant client
tells the clinic nurse that she wants to know the sex of her baby as soon as it can be determined. The
nurse understands that he client should be able to find out at 12 weeks' gestation because by the end of
the twelfth week:
Notify the physician. - A nurse is performing as assessment on a client who is at 38 weeks' gestation &
notes that the fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate nursing
action is to:
Promotes the fertilized ovum's normal implantation in the top portion of the uterus. - A nurse is
conducting a prenatal class on the female reproductive system. When a client in the class asks why the
fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that the reason for this is that
it:
FSH & LH are released from the anterior pituitary gland. - A nursing instructor is reviewing the menstrual
cycle with a nursing student who will be conducting a prenatal teaching session. The instructor asks the
student to describe the follicle-stimulating hormone (FSH) & the luteinizing hormone (LH). The student
accurately responds by stating that:
"Do you plan to have any other children?" - A couple comes to the family planning clinic & asks about
sterilization procedures. Which question by the nurse would determine if this method of family planning
would be appropriate?
,That her type of pelvis is the most favorable for labor & birth. - A nurse should explain which of the
following to a pregnant client found to have a gynecoid pelvis?
Is the way the baby gets food & oxygen. - A nurse explains some of the purposes of the placenta to a
client during a prenatal visit. The nurse determines that the client understands some of these purposes
when the client states that the placenta:
* Allows for fetal movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus. - A nursing instructor asks a nursing student to list the
functions of the amniotic fluid. The student responds correctly by stating that which of the following are
functions of amniotic fluid:
30 cm - A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The
nurse measures the fundal height in centimeters & expects the finding to be which of the following?
G=2, T=1, P=0, A=0, L=1 - A nurse is collecting data during an admission assessment of a client who is
pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks & tells the
nurse that she does not have a Hx of any type of abortion or fetal demise. The nurse would document
the GTPAL for this client as
Inform the client that these contractions are common & may occur throughout the pregnancy. - A
pregnant client is seen in a health care clinic for a regular prenatal visit. The client tells the nurse that
she is experiencing irregular contractions, & the nurse determines that she is experiencing Braxton Hicks
contractions. Based on this finding, which nursing action is appropriate?
A cesarean section will be necessary if vaginal lesions are present at the time of labor. - A nurse is
providing instructions to a pregnant client with genital herpes about the measures that are needed to
protect the fetus. The nurse tells the client that:
, A softening of the cervix. - A nurse is reviewing the record of a client who has just been told that a
pregnancy test is positive. The physician has documented the presence of Goodell's sign. The nurse
determines that this sign indicates:
July 26, 2013 - A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that
the first day of her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the nurse determines
the estimated date of confinement is:
Initiates a gentle upward tap on the cervix. - A nurse-midwife is assessing a pregnant client for the
presence of ballottement. To make this determination, the nurse-midwife does which of the following?
16 & 20 - A pregnant client asks a nurse in the clinic when she will be able to begin to feel the fetus
move. The nurse responds by telling the mother that fetal movements will be noted between which of
the following weeks of gestation?
Fetal heart rate of 180 beats / min - A nurse is performing as assessment of a primigravida who is being
evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an
abnormal physical finding that necessitates further testing?
* Ballotement
* Chadwicks sign
* Uterine enlargement
* Braxton Hick's contractions/ - A nurse is assisting in performing an assessment on a client who
suspects that she is pregnant & is checking the client for probable signs of pregnancy. Which of the
following are probable signs of pregnancy.
An informed consent needs to be signed before the procedure. - A nurse is providing instructions to a
pregnant client who is scheduled for an amniocentesis. The nurse tells the client that:
"The vaginal discharge may be bothersome, but is a normal occurrence." - A pregnant client in the first
trimester calls nurse at a health care clinic & reports that she has noticed a thin, colorless vaginal
drainage. The nurse should make which assessment to the client?
