NCLEX EXAM zm
Exam Solution zm
Maternal Newborn NCLEX questions 2026 A+ GRADE A zm zm zm zm zm zm zm
SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm
RS (BBB80) zm
QUESTION 1 zm
A client at 28 weeks' gestation is admitted to the labor and birth unit. Which test wou
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ld most likely be used to assess the client's comprehensive fetal status?
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a. Amniocentesis.
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b. Biophysical profile (BPP).
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c. Nonstress test (NST).
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d. Ultrasound for physical structure.
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ANSWER
Answer: B Biophysical profile (BPP). Rationale: Biophysical profile is a comprehensive test that woul
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d be used to assess the client's fetal status at 28 weeks' gestation. Ultrasound for physical structure
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is limited to identifying the growth and development of the fetus, and does not assess for other par
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ameters of fetal well-being. Women with a high risk factor will probably begin having NSTs at 30-
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32 weeks' gestation and at frequent intervals for the remainder of the pregnancy. Amniocentesis late
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in pregnancy is used to test for lung maturity, not overall fetal status in labor, and when performe
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d earlier it is used to test for specific disorders.
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QUESTION 2 zm
A prenatal client in her second trimester is admitted to the maternity unit with painle
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ss, bright red vaginal bleeding. What test might the physician order?
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a. Ultrasound.
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b. Alpha-fetoprotein (AFP).
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c. Contraction stress test (CST).
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d. Amniocentesis.
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ANSWER
Answer: A Ultrasound. Rationale: An ultrasound for placenta location to rule out placenta previa wo
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uld be ordered for a client who presents with painless, bright red vaginal bleeding. The ability to se
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e the lower portion of the uterus and cervix with ultrasound is particularly important when vaginal
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bleeding is noted and placenta previa is the suspected cause. Alpha-
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, fetoprotein (AFP) is a test used to screen for neural tube defects. A contraction stress test is ordere
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d in the third trimester to evaluate the respiratory function of the placenta. Amniocentesis is a proc
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edure used for genetic diagnosis or, in later pregnancy, for lung maturity studies.
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QUESTION 3 zm
The nurse is preparing a prenatal client for a transabdominal ultrasound. What nursi
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ng action should the nurse include in the preparations? Select all that apply.
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a. Advise the client to empty her bladder.
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b. Encourage the client to drink 1.5 quarts of fluid.
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c. Apply transmission gel over the client's abdomen.
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d. Place the client in a side lying position.
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ANSWER
Answer: B & C Encourage the client to drink 1.5 quarts of fluid. Apply transmission gel over the clie
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nt's abdomen. Rationale: After having the client void, assist her to a lithotomy position for a transab
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dominal ultrasound. Preparation for a transabdominal ultrasound includes encouraging the client to
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drink 1.5 quarts of fluid, maintaining a full bladder, and applying transmission gel over the client's a
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bdomen.
QUESTION 4 zm
A pregnant client asks why ultrasound is used so frequently during pregnancy. The nu
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rse's response is based on her knowledge that the advantages of ultrasound include w
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hich of the following? Select all that apply.
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a. 'The ultrasound is the only test to determine gender."
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b. "It is noninvasive and painless."
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c. "It can be used to estimate gestational age."
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d. "Results are immediate."
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ANSWER
Answer: B, C, & D "It is noninvasive and painless." "It can be used to estimate gestational age." "Res
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ults are immediate." Rationale: The ability to establish fetal age accurately by ultrasound is lost in t
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he third trimester because fetal growth is not as uniform then as it is in the first two trimesters; ho
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wever, ultrasound can be used to approximate gestational age within 1-
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3 weeks' accuracy during the third trimester. A comprehensive ultrasound is used to detect anatomi
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cal defects, not gestational age. Ultrasound is not used to determine gender.
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QUESTION 5 zm
The physician orders an ultrasound for a prenatal client prior to an amniocentesis. Th
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e nurse explains to the client that the purpose of the ultrasound is to:
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a. Measure the fetus's biparietal diameter.
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b. Determine the gestational sac volume.
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Exam Solution zm
Maternal Newborn NCLEX questions 2026 A+ GRADE A zm zm zm zm zm zm zm
SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm
RS (BBB80) zm
QUESTION 1 zm
A client at 28 weeks' gestation is admitted to the labor and birth unit. Which test wou
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ld most likely be used to assess the client's comprehensive fetal status?
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a. Amniocentesis.
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b. Biophysical profile (BPP).
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c. Nonstress test (NST).
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d. Ultrasound for physical structure.
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ANSWER
Answer: B Biophysical profile (BPP). Rationale: Biophysical profile is a comprehensive test that woul
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d be used to assess the client's fetal status at 28 weeks' gestation. Ultrasound for physical structure
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is limited to identifying the growth and development of the fetus, and does not assess for other par
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ameters of fetal well-being. Women with a high risk factor will probably begin having NSTs at 30-
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32 weeks' gestation and at frequent intervals for the remainder of the pregnancy. Amniocentesis late
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in pregnancy is used to test for lung maturity, not overall fetal status in labor, and when performe
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d earlier it is used to test for specific disorders.
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QUESTION 2 zm
A prenatal client in her second trimester is admitted to the maternity unit with painle
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ss, bright red vaginal bleeding. What test might the physician order?
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a. Ultrasound.
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b. Alpha-fetoprotein (AFP).
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c. Contraction stress test (CST).
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d. Amniocentesis.
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ANSWER
Answer: A Ultrasound. Rationale: An ultrasound for placenta location to rule out placenta previa wo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
uld be ordered for a client who presents with painless, bright red vaginal bleeding. The ability to se
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e the lower portion of the uterus and cervix with ultrasound is particularly important when vaginal
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bleeding is noted and placenta previa is the suspected cause. Alpha-
zm zm zm zm zm zm zm zm zm zm
, fetoprotein (AFP) is a test used to screen for neural tube defects. A contraction stress test is ordere
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
d in the third trimester to evaluate the respiratory function of the placenta. Amniocentesis is a proc
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edure used for genetic diagnosis or, in later pregnancy, for lung maturity studies.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
The nurse is preparing a prenatal client for a transabdominal ultrasound. What nursi
zm zm zm zm zm zm zm zm zm zm zm zm
ng action should the nurse include in the preparations? Select all that apply.
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a. Advise the client to empty her bladder.
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b. Encourage the client to drink 1.5 quarts of fluid.
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c. Apply transmission gel over the client's abdomen.
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d. Place the client in a side lying position.
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ANSWER
Answer: B & C Encourage the client to drink 1.5 quarts of fluid. Apply transmission gel over the clie
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nt's abdomen. Rationale: After having the client void, assist her to a lithotomy position for a transab
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dominal ultrasound. Preparation for a transabdominal ultrasound includes encouraging the client to
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drink 1.5 quarts of fluid, maintaining a full bladder, and applying transmission gel over the client's a
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bdomen.
QUESTION 4 zm
A pregnant client asks why ultrasound is used so frequently during pregnancy. The nu
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rse's response is based on her knowledge that the advantages of ultrasound include w
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hich of the following? Select all that apply.
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a. 'The ultrasound is the only test to determine gender."
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b. "It is noninvasive and painless."
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c. "It can be used to estimate gestational age."
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d. "Results are immediate."
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ANSWER
Answer: B, C, & D "It is noninvasive and painless." "It can be used to estimate gestational age." "Res
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ults are immediate." Rationale: The ability to establish fetal age accurately by ultrasound is lost in t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he third trimester because fetal growth is not as uniform then as it is in the first two trimesters; ho
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
wever, ultrasound can be used to approximate gestational age within 1-
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3 weeks' accuracy during the third trimester. A comprehensive ultrasound is used to detect anatomi
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cal defects, not gestational age. Ultrasound is not used to determine gender.
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QUESTION 5 zm
The physician orders an ultrasound for a prenatal client prior to an amniocentesis. Th
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e nurse explains to the client that the purpose of the ultrasound is to:
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a. Measure the fetus's biparietal diameter.
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b. Determine the gestational sac volume.
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