MATERNITY NCLEX UPDATED 2026 EXAM SCRIPT
QUESTIONS AND ANSWERS RATED A+
✔✔A couple comes to the family planning clinic and asks about sterilization procedures.
Which question by the nurse would determine whether this method of family planning
would be most appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have diabetes mellitus?"
4. "Do either of you have problems with high blood pressure?" - ✔✔2. "Do you plan to
have any other children?"
✔✔The nurse should include which statement to a pregnant client found to have a
gynecoid pelvis?
1. "Your type of pelvis has a narrow pubic arch."
2. "Your type of pelvis is the most favorable for labor and birth."
3. "Your type of pelvis is a wide pelvis, but has a short diameter."
4. "You will need a cesarean section because this type of pelvis is not favorable for a
vaginal delivery." - ✔✔2. "Your type of pelvis is the most favorable for labor and birth."
✔✔Which explanation should the nurse provide to the prenatal client about the purpose
of the placenta?
1. It cushions and protects the baby.
2. It maintains the temperature of the baby.
3. It is the way the baby gets food and oxygen.
4. It prevents all antibodies and viruses from passing to the baby - ✔✔3. It is the way
the baby gets food and oxygen.
✔✔The nurse is performing an assessment of a pregnant client who is at 28 weeks of
gestation. The nurse measures the fundal height in centimeters and expects which
finding?
, 1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm - ✔✔2. 30 cm
✔✔The nurse is assisting in performing an assessment on a client who suspects that
she is pregnant and is checking the client for probable signs of pregnancy. Which are
probable signs of pregnancy? Select all that apply.
1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
5. Fetal heart rate detected by a nonelectronic device
6. Outline of fetus via radiography or ultrasonography - ✔✔1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
✔✔A pregnant client is seen for a regular prenatal visit and tells the nurse that she is
experiencing irregular contractions. The nurse determines that she is experiencing
Braxton Hicks contractions. On the basis of this finding, which nursing action is most
appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition. - ✔✔3. Inform the client that these contractions are common and may occur
throughout the pregnancy.
✔✔The nurse is providing instructions to a pregnant client with genital herpes about the
measures that are needed to protect the fetus. Which instruction should the nurse
provide to the client?
1. Total abstinence from sexual intercourse is necessary during the entire pregnancy.
2. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.
3. Daily administration of acyclovir (Zovirax) is necessary during the entire pregnancy.
4. A cesarean section will be necessary if vaginal lesions are present at the time of
labor. - ✔✔4. A cesarean section will be necessary if vaginal lesions are present at the
time of labor.
✔✔The nurse is reviewing the record of a client who has just been told that a pregnancy
test is positive. The health care provider has documented the presence of Goodell's
sign. This finding is most closely associated with which characteristic?
QUESTIONS AND ANSWERS RATED A+
✔✔A couple comes to the family planning clinic and asks about sterilization procedures.
Which question by the nurse would determine whether this method of family planning
would be most appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have diabetes mellitus?"
4. "Do either of you have problems with high blood pressure?" - ✔✔2. "Do you plan to
have any other children?"
✔✔The nurse should include which statement to a pregnant client found to have a
gynecoid pelvis?
1. "Your type of pelvis has a narrow pubic arch."
2. "Your type of pelvis is the most favorable for labor and birth."
3. "Your type of pelvis is a wide pelvis, but has a short diameter."
4. "You will need a cesarean section because this type of pelvis is not favorable for a
vaginal delivery." - ✔✔2. "Your type of pelvis is the most favorable for labor and birth."
✔✔Which explanation should the nurse provide to the prenatal client about the purpose
of the placenta?
1. It cushions and protects the baby.
2. It maintains the temperature of the baby.
3. It is the way the baby gets food and oxygen.
4. It prevents all antibodies and viruses from passing to the baby - ✔✔3. It is the way
the baby gets food and oxygen.
✔✔The nurse is performing an assessment of a pregnant client who is at 28 weeks of
gestation. The nurse measures the fundal height in centimeters and expects which
finding?
, 1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm - ✔✔2. 30 cm
✔✔The nurse is assisting in performing an assessment on a client who suspects that
she is pregnant and is checking the client for probable signs of pregnancy. Which are
probable signs of pregnancy? Select all that apply.
1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
5. Fetal heart rate detected by a nonelectronic device
6. Outline of fetus via radiography or ultrasonography - ✔✔1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
✔✔A pregnant client is seen for a regular prenatal visit and tells the nurse that she is
experiencing irregular contractions. The nurse determines that she is experiencing
Braxton Hicks contractions. On the basis of this finding, which nursing action is most
appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition. - ✔✔3. Inform the client that these contractions are common and may occur
throughout the pregnancy.
✔✔The nurse is providing instructions to a pregnant client with genital herpes about the
measures that are needed to protect the fetus. Which instruction should the nurse
provide to the client?
1. Total abstinence from sexual intercourse is necessary during the entire pregnancy.
2. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.
3. Daily administration of acyclovir (Zovirax) is necessary during the entire pregnancy.
4. A cesarean section will be necessary if vaginal lesions are present at the time of
labor. - ✔✔4. A cesarean section will be necessary if vaginal lesions are present at the
time of labor.
✔✔The nurse is reviewing the record of a client who has just been told that a pregnancy
test is positive. The health care provider has documented the presence of Goodell's
sign. This finding is most closely associated with which characteristic?
