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LPN Maternity Final Exam Questions and Answers 2025/2026 | Verified NCLEX-PN OB/GYN Study Guide (Chapters 1–17)

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This expertly compiled LPN Maternity Final Exam study guide includes over 100+ carefully selected and 100% verified multiple-choice questions and answers based on the 2025/2026 curriculum. Covering Chapters 1 to 17, this resource provides thorough coverage of maternal and newborn nursing topics to help practical nursing (LPN) students succeed in final exams and licensure prep (NCLEX-PN). Whether you’re preparing for end-of-term maternity exams or practicing for board certifications, this guide includes real-world scenarios and rationales covering: Pregnancy stages and complications (e.g., preeclampsia, placenta previa) Labor and delivery care (e.g., fetal monitoring, pain management) Postpartum assessment and interventions Neonatal care and APGAR scoring Medication safety, Rh incompatibility, and patient education Cultural competence and psychosocial aspects of care This study guide aligns with NCLEX-PN and ATI content standards and is perfect for LPN, LVN, or practical nursing students in OB/GYN or maternal-child health rotations.

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LPN Maternity Final questions and
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,A woman dilated to 10 centimeters and feeling the urge to "have a bowel movement" is refusing to push
and is screaming,. "t hurts down there too much to push." What option should the nurse suggest at this
point for pain management to facilitate pushing? - ✔✔answer Pudendal block



A primigravida 28-year-old client is noted to have Rh negative blood and her husband is noted to be Rh
positive. The nurse should prepare to administer RhoGAM after which diagnostic procedure? -
✔✔answer amniocentesis


The nurse is assessing a pregnant client at her 20-week visit. Which breast assessment should the nurse
anticipate documenting? - ✔✔answer Darkened breast areolae



A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness
and dizziness and lying on her side results in no sleep. Which suggestion for sleeping should the nurse
prioritize for this client? - ✔✔answer With a pillow under her right hip



A client in the latent phase of the first stage of labor is noted to be uncomfortable with Intact
membranes and mild contractions on assessment. The nurse should encourage the client to pursue
which action? - ✔✔answer Ambulation ad lib



The nurse discovers a new prescription for RhoGAM for a client who is about to undergo a diagnostic
procedure. The nurse will administer the RhoGAM after which procedure? - ✔✔answer
Amniocentesis



A primipara at 36 weeks' gestation is being monitored in the prenatal clinic for risk of preeclampsia.
Which sign or symptom should the nurse prioritize? - ✔✔answer 10 dipstick value of 2+ for protein



The nurse is teaching a client who is diagnosed with preeclampsia how to monitor her condition. The
nurse determines the client needs more instruction after making which statement? - ✔✔answer If I
have changes in my vision, I will lie down and rest."

,A client at 19 weeks' gestation reports continued alcohol use 1 to 2 times each week to the nurse at her
prenatal visit. Which suggestion should the nurse prioritize for this client? - ✔✔answer Alcohol
should not be consumed during pregnancy.



The nurse is preparing a client for discharge and notes an order for rubella vaccine. Which teaching
should the nurse prioritize? - ✔✔answer not to attempt another pregnancy for at least 3 months.



The nurse is assessing a 35-year-old Hispanic woman at 22 weeks' gestation who has had recent
laboratory work. The nurse notes fasting blood glucose 146 mg/dL, hemoglobin 13 g/dL, and
hematorcrit 37%. Based on these results which instruction should the nurse prioritize? - ✔✔answer
Take daily iron supplements.



A woman in labor suddenly reports sharp fundal pain accompanied by slight dark red vaginal bleeding.
The nurse should prepare to assist with which situation? - ✔✔answer Premature separation of the
placenta



A multigravida woman arrives in the emergency department panting and screaming, "The baby's
coming!' Which action should the nurse prioritize? - ✔✔answer Quickly evaluate the perineum.



The LPNLVN is caring for a client who is scheduled for a cesarean delivery. The nurse points out to the
client that during which stage of the process a different nurse will be the primary caregiver? -
✔✔answer immediate postoperative


The client in labor at 3 cm dilation and 25% effaced is asking the nurse for analgesia. Which explanation
should the nurse provide when explaining why it is too early to administer an analgesic? - ✔✔answer
This may prolong labor and increase complications.



A 31-year-old client at 28 weeks' gestation reports frequent low back pain and ankle edema by the end
of the day. Which suggestion should the nurse prioritize for this client? - ✔✔answer Rest when
possible with feet elevated at or above the heart.

, A 24-year-old client presents in labor The nurse notes there is an order to administer RhoGAM after the
birth of her infantWhen asked by the client the reason for this injection, which reason should the nurse
point out? - ✔✔answer prevent maternal D antibody formation



The nurse is appraising the post birth laboratory results of a client and discovers the WBC is 22,000
cells/mcl The nurse predicts which action should be prioritized in response? - ✔✔answer None, a
normal variation due to labor



The nurse is assessing a woman at 37 weeks' gestation who has presented with possible signs of labor.
The nurse determines the membranes have ruptured based on which color of the Nitrazine paper? -
✔✔answer blue


During an interview, the nurse is discussing dietary habits with a patient. Which tool would be the best
choice to use as a quick screening tool to assess dietary intake? - ✔✔answer 24 hour recall



The nurse is preparing information for a client who has just been diagnosed with gestational diabetes.
Which instruction should the nurse prioritize in this information? - ✔✔answer Maintain a daily blood
glucose log



The nurse is assessing a 37-year-old woman, pregnant with twins in her second trimester, and notes the
following over the past 3 visits: blood pressure 128/88, 134/90, and 130/86. Which nutritional
supplement should the nurse suggest the client take? - ✔✔answer calcium



The nurse is assessing a pregnant client at 37 weeks' gestation and notes the fetus is at zero station.
When questioned by the client as to what has happened, the nurse should point out which event has
occurred? - ✔✔answer engagement



The nurse is caring for a client who has remained in stable condition at 37 weeks gestation. The client's
condition suddenly changes. Which assessment change should the nurse prioritize? - ✔✔answer
Vaginal bleeding and no pain
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