MATERNITY NCLEX COMPREHENSIVE 2026 EXAM
QUESTIONS AND ANSWERS RATED A+
✔✔The clinic nurse is performing a psychosocial assessment of a client who has been
told that she is pregnant. Which assessment finding indicates to the nurse that the client
is at risk for contracting human immunodeficiency virus (HIV)? - ✔✔A client who has a
history of intravenous drug use
✔✔The nurse in a maternity unit is providing emotional support to a client and her
husband who are preparing to be discharged from the hospital after the birth of a dead
fetus. Which statement made by the client indicates a component of the normal grieving
process? - ✔✔"We want to attend a support group."
✔✔The nurse evaluates the ability of a hepatitis B-positive mother to provide safe
bottle-feeding to her newborn during postpartum hospitalization. Which maternal action
best exemplifies the mother's knowledge of potential disease transmission to the
newborn? - ✔✔The mother washes and dries her hands before and after self-care of
the perineum and asks for a pair of gloves before feeding.
✔✔A client in the first trimester of pregnancy arrives at a health care clinic and reports
that she has been experiencing vaginal bleeding. A threatened abortion is suspected,
and the nurse instructs the client regarding management of care. Which statement
made by the client indicates a need for further instruction? - ✔✔"I will maintain strict bed
rest throughout the remainder of the pregnancy."
✔✔The nurse is caring for a client in labor. Which assessment finding indicates to the
nurse that the client is beginning the second stage of labor? - ✔✔The cervix is dilated
completely.
✔✔The nurse in the labor room is caring for a client in the active stage of the first phase
of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the
monitor strip. What is the most appropriate nursing action? - ✔✔Administer oxygen via
face mask.
✔✔The nurse is performing an assessment of a client who is scheduled for a cesarean
delivery. Which assessment finding would indicate the need to contact the health care
provider? - ✔✔Fetal heart rate of 180 beats/minute
✔✔The nurse is reviewing the record of a client in the labor room and notes that the
health care provider has documented that the fetal presenting part is at the -1 station.
This documented finding indicates that the fetal presenting part is located at which
area? - ✔✔1 cm above the ischial spine
, ✔✔A client arrives at a birthing center in active labor. Her membranes are still intact,
and the health care provider prepares to perform an amniotomy. What will the nurse
relay to the client as the most likely outcome of the amniotomy? - ✔✔Increased
efficiency of contractions
✔✔The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a contraction? -
✔✔Variable decelerations
✔✔A client in labor is transported to the delivery room and prepared for a cesarean
delivery. After the client is transferred to the delivery room table, the nurse should place
the client in which position? - ✔✔Supine position with a wedge under the right hip
✔✔The nurse has provided discharge instructions to a client who delivered a healthy
newborn by cesarean delivery. Which statement made by the client indicates a need for
further instruction? - ✔✔"I will begin abdominal exercises immediately."
✔✔The nurse is monitoring a client in active labor and notes that the client is having
contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart
rate between contractions is 100 beats/minute. Which nursing action is most
appropriate? - ✔✔Notify the health care provider (HCP).
✔✔The nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the electronic fetal
monitor tracing. Which action is most appropriate? - ✔✔Document the findings and tell
the mother that the pattern on the monitor indicates fetal well-being.
✔✔The nurse is admitting a pregnant client to the labor room and attaches an external
electronic fetal monitor to the client's abdomen. After attachment of the electronic fetal
monitor, what is the next nursing action? - ✔✔Assess the baseline fetal heart rate.
✔✔The nurse is reviewing true and false labor signs with a multiparous client. The
nurse determines that the client understands the signs of true labor if she makes which
statement? - ✔✔"My contractions will increase in duration and intensity."
✔✔Which assessment finding following an amniotomy should be conducted first? -
✔✔Fetal heart rate pattern
✔✔The nurse has been working with a laboring client and notes that she has been
pushing effectively for 1 hour. What is the client's primary physiological need at this
time? - ✔✔Rest between contractions
QUESTIONS AND ANSWERS RATED A+
✔✔The clinic nurse is performing a psychosocial assessment of a client who has been
told that she is pregnant. Which assessment finding indicates to the nurse that the client
is at risk for contracting human immunodeficiency virus (HIV)? - ✔✔A client who has a
history of intravenous drug use
✔✔The nurse in a maternity unit is providing emotional support to a client and her
husband who are preparing to be discharged from the hospital after the birth of a dead
fetus. Which statement made by the client indicates a component of the normal grieving
process? - ✔✔"We want to attend a support group."
✔✔The nurse evaluates the ability of a hepatitis B-positive mother to provide safe
bottle-feeding to her newborn during postpartum hospitalization. Which maternal action
best exemplifies the mother's knowledge of potential disease transmission to the
newborn? - ✔✔The mother washes and dries her hands before and after self-care of
the perineum and asks for a pair of gloves before feeding.
✔✔A client in the first trimester of pregnancy arrives at a health care clinic and reports
that she has been experiencing vaginal bleeding. A threatened abortion is suspected,
and the nurse instructs the client regarding management of care. Which statement
made by the client indicates a need for further instruction? - ✔✔"I will maintain strict bed
rest throughout the remainder of the pregnancy."
✔✔The nurse is caring for a client in labor. Which assessment finding indicates to the
nurse that the client is beginning the second stage of labor? - ✔✔The cervix is dilated
completely.
✔✔The nurse in the labor room is caring for a client in the active stage of the first phase
of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the
monitor strip. What is the most appropriate nursing action? - ✔✔Administer oxygen via
face mask.
✔✔The nurse is performing an assessment of a client who is scheduled for a cesarean
delivery. Which assessment finding would indicate the need to contact the health care
provider? - ✔✔Fetal heart rate of 180 beats/minute
✔✔The nurse is reviewing the record of a client in the labor room and notes that the
health care provider has documented that the fetal presenting part is at the -1 station.
This documented finding indicates that the fetal presenting part is located at which
area? - ✔✔1 cm above the ischial spine
, ✔✔A client arrives at a birthing center in active labor. Her membranes are still intact,
and the health care provider prepares to perform an amniotomy. What will the nurse
relay to the client as the most likely outcome of the amniotomy? - ✔✔Increased
efficiency of contractions
✔✔The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a contraction? -
✔✔Variable decelerations
✔✔A client in labor is transported to the delivery room and prepared for a cesarean
delivery. After the client is transferred to the delivery room table, the nurse should place
the client in which position? - ✔✔Supine position with a wedge under the right hip
✔✔The nurse has provided discharge instructions to a client who delivered a healthy
newborn by cesarean delivery. Which statement made by the client indicates a need for
further instruction? - ✔✔"I will begin abdominal exercises immediately."
✔✔The nurse is monitoring a client in active labor and notes that the client is having
contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart
rate between contractions is 100 beats/minute. Which nursing action is most
appropriate? - ✔✔Notify the health care provider (HCP).
✔✔The nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the electronic fetal
monitor tracing. Which action is most appropriate? - ✔✔Document the findings and tell
the mother that the pattern on the monitor indicates fetal well-being.
✔✔The nurse is admitting a pregnant client to the labor room and attaches an external
electronic fetal monitor to the client's abdomen. After attachment of the electronic fetal
monitor, what is the next nursing action? - ✔✔Assess the baseline fetal heart rate.
✔✔The nurse is reviewing true and false labor signs with a multiparous client. The
nurse determines that the client understands the signs of true labor if she makes which
statement? - ✔✔"My contractions will increase in duration and intensity."
✔✔Which assessment finding following an amniotomy should be conducted first? -
✔✔Fetal heart rate pattern
✔✔The nurse has been working with a laboring client and notes that she has been
pushing effectively for 1 hour. What is the client's primary physiological need at this
time? - ✔✔Rest between contractions
