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KAPLAN: MATERNITY A, B, C EXAM –
COMPLETE PRACTICE EXAMINATION 2026-2027
EDITION 200+ HIGH-YIELD QUESTIONS WITH
DETAILED RATIONALES – FIRST-TIME PASS
GUARANTEED
## Table of Contents
| Section | Exam | Questions |
|---------|------|-----------|
| 1 | Maternity A Exam | 70 |
| 2 | Maternity B Exam | 70 |
| 3 | Maternity C Exam | 70 |
| **Total** | | **210** |
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Section 1: Maternity A Exam (70 Questions)
**Question 1 (A1).**
A nurse is assessing a client at 12 weeks' gestation. Which finding
requires immediate follow-up?
A) Heart rate 90 bpm
B) Blood pressure 140/90 mmHg
C) Fundal height at the symphysis pubis
D) Presence of quickening
**Answer:** B
**Rationale:** BP 140/90 at 12 weeks may indicate chronic
hypertension or gestational hypertension. Normal BP is <120/80.
Quickening (D) typically occurs at 16-20 weeks, so absence is normal at
12 weeks.
---
**Question 2 (A2).**
A client at 38 weeks' gestation reports a sudden gush of fluid from the
vagina. What is the nurse's priority action?
A) Check cervical dilation
B) Assess fetal heart rate
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C) Administer oxytocin
D) Ask the client to walk to promote labor
**Answer:** B
**Rationale:** After rupture of membranes, priority is to assess fetal
heart rate to detect cord prolapse or non-reassuring patterns. Do not
perform vaginal exam if cord prolapse suspected.
---
**Question 3 (A3).**
A nurse is teaching a pregnant client about signs of preterm labor. Which
statement indicates understanding?
A) "I should call if I feel pelvic pressure."
B) "Contractions that stop with walking are a sign of preterm labor."
C) "I will only call if my water breaks."
D) "Menstrual-like cramps are normal in pregnancy."
**Answer:** A
**Rationale:** Pelvic pressure, menstrual-like cramps, low back pain,
and contractions (regular or irregular) can indicate preterm labor.
Contractions that stop with walking (B) are Braxton-Hicks, not preterm
labor.
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---
**Question 4 (A4).**
A client at 40 weeks' gestation is receiving oxytocin (Pitocin) for
induction. The nurse notes contractions every 1.5 minutes lasting 100
seconds. What is the priority action?
A) Increase oxytocin rate
B) Discontinue oxytocin and reposition client
C) Administer oxygen at 2 L/min
D) Document findings as normal
**Answer:** B
**Rationale:** Contractions every 1.5 minutes lasting 100 seconds
indicate tachysystole (hyperstimulation). Discontinue oxytocin,
reposition, and provide oxygen. Tachysystole can lead to fetal distress.
---
**Question 5 (A5).**
A nurse is assessing a newborn 5 minutes after birth. The heart rate is
140, respiratory effort is crying, muscle tone is active motion, reflex
irritability is vigorous crying, and color is pink. What is the Apgar
score?
A) 7
KAPLAN: MATERNITY A, B, C EXAM –
COMPLETE PRACTICE EXAMINATION 2026-2027
EDITION 200+ HIGH-YIELD QUESTIONS WITH
DETAILED RATIONALES – FIRST-TIME PASS
GUARANTEED
## Table of Contents
| Section | Exam | Questions |
|---------|------|-----------|
| 1 | Maternity A Exam | 70 |
| 2 | Maternity B Exam | 70 |
| 3 | Maternity C Exam | 70 |
| **Total** | | **210** |
,2|Page
Section 1: Maternity A Exam (70 Questions)
**Question 1 (A1).**
A nurse is assessing a client at 12 weeks' gestation. Which finding
requires immediate follow-up?
A) Heart rate 90 bpm
B) Blood pressure 140/90 mmHg
C) Fundal height at the symphysis pubis
D) Presence of quickening
**Answer:** B
**Rationale:** BP 140/90 at 12 weeks may indicate chronic
hypertension or gestational hypertension. Normal BP is <120/80.
Quickening (D) typically occurs at 16-20 weeks, so absence is normal at
12 weeks.
---
**Question 2 (A2).**
A client at 38 weeks' gestation reports a sudden gush of fluid from the
vagina. What is the nurse's priority action?
A) Check cervical dilation
B) Assess fetal heart rate
,3|Page
C) Administer oxytocin
D) Ask the client to walk to promote labor
**Answer:** B
**Rationale:** After rupture of membranes, priority is to assess fetal
heart rate to detect cord prolapse or non-reassuring patterns. Do not
perform vaginal exam if cord prolapse suspected.
---
**Question 3 (A3).**
A nurse is teaching a pregnant client about signs of preterm labor. Which
statement indicates understanding?
A) "I should call if I feel pelvic pressure."
B) "Contractions that stop with walking are a sign of preterm labor."
C) "I will only call if my water breaks."
D) "Menstrual-like cramps are normal in pregnancy."
**Answer:** A
**Rationale:** Pelvic pressure, menstrual-like cramps, low back pain,
and contractions (regular or irregular) can indicate preterm labor.
Contractions that stop with walking (B) are Braxton-Hicks, not preterm
labor.
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---
**Question 4 (A4).**
A client at 40 weeks' gestation is receiving oxytocin (Pitocin) for
induction. The nurse notes contractions every 1.5 minutes lasting 100
seconds. What is the priority action?
A) Increase oxytocin rate
B) Discontinue oxytocin and reposition client
C) Administer oxygen at 2 L/min
D) Document findings as normal
**Answer:** B
**Rationale:** Contractions every 1.5 minutes lasting 100 seconds
indicate tachysystole (hyperstimulation). Discontinue oxytocin,
reposition, and provide oxygen. Tachysystole can lead to fetal distress.
---
**Question 5 (A5).**
A nurse is assessing a newborn 5 minutes after birth. The heart rate is
140, respiratory effort is crying, muscle tone is active motion, reflex
irritability is vigorous crying, and color is pink. What is the Apgar
score?
A) 7
