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700 Maternity & OB Nursing NCLEX/HESI Questions 2025–2026 |
Real Exam-Style Practice with Verified Answers & Rationales |
Complete A+ Test Bank
Question 1
A nurse is assessing a pregnant client at 10 weeks’ gestation. Which of the following findings is
considered a probable sign of pregnancy?
A. Fetal heartbeat detected by Doppler
B. Amenorrhea
C. Chadwick's sign
D. Nausea and vomiting
✅ Correct Answer: C. Chadwick's sign
Rationale: Chadwick's sign, a bluish discoloration of the cervix and vaginal mucosa due to
increased vascularity, is a probable sign of pregnancy. Fetal heartbeat is a positive sign, while
amenorrhea and nausea/vomiting are presumptive signs.
📚 Lowdermilk, Maternity and Women's Health Care, 12th ed.
Question 2
During the first prenatal visit, a woman reports her last menstrual period (LMP) was May 8.
What is the estimated date of delivery (EDD) using Nägele’s Rule?
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A. February 1
B. February 15
C. February 22
D. February 28
✅ Correct Answer: C. February 15
Rationale: Nägele’s Rule: subtract 3 months and add 7 days to the first day of the LMP. May 8 –
3 months = February 8 + 7 days = February 15.
📚 McKinney et al., Maternal-Child Nursing, 6th ed.
Question 3
Which hormone is responsible for maintaining the corpus luteum during early pregnancy?
A. Progesterone
B. Estrogen
C. Human chorionic gonadotropin (hCG)
D. Oxytocin
✅ Correct Answer: C. Human chorionic gonadotropin (hCG)
Rationale: hCG is produced by the trophoblast and maintains the corpus luteum until the
placenta takes over hormone production.
📚 Lowdermilk, 12th ed.
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Question 4
A pregnant woman is experiencing leg cramps at night. What should the nurse recommend to
relieve this discomfort?
A. Increase calcium intake
B. Dorsiflex the foot
C. Elevate the leg
D. Apply heat packs
✅ Correct Answer: B. Dorsiflex the foot
Rationale: Dorsiflexion stretches the affected muscle and relieves cramping. Leg cramps are
common due to pressure on pelvic nerves and changes in calcium/phosphate balance.
📚 McKinney et al., 6th ed.
Question 5
At 28 weeks’ gestation, a woman receives a 1-hour glucose tolerance test and her result is 160
mg/dL. What is the next nursing action?
A. Schedule an immediate insulin therapy
B. Instruct the client to decrease carbohydrate intake
C. Order a 3-hour oral glucose tolerance test (OGTT)
D. Repeat the 1-hour glucose test
✅ Correct Answer: C. Order a 3-hour oral glucose tolerance test (OGTT)
Rationale: A 1-hour glucose >140 mg/dL indicates the need for a diagnostic 3-hour OGTT to
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confirm gestational diabetes.
📚 Lowdermilk, 12th ed.
Question 6
Which of the following vaccines is contraindicated during pregnancy?
A. Influenza (inactivated)
B. Tdap
C. Hepatitis B
D. MMR
✅ Correct Answer: D. MMR
Rationale: MMR is a live vaccine and is contraindicated during pregnancy due to the risk to the
fetus. Inactivated vaccines like Tdap and influenza are safe.
📚 CDC Guidelines, Lowdermilk, 12th ed.
Question 7
A client in her third trimester complains of heartburn. What nursing advice is most appropriate?
A. Drink fluids with meals
B. Lie down after eating
C. Eat small, frequent meals
D. Take bicarbonate of soda
✅ Correct Answer: C. Eat small, frequent meals
700 Maternity & OB Nursing NCLEX/HESI Questions 2025–2026 |
Real Exam-Style Practice with Verified Answers & Rationales |
Complete A+ Test Bank
Question 1
A nurse is assessing a pregnant client at 10 weeks’ gestation. Which of the following findings is
considered a probable sign of pregnancy?
A. Fetal heartbeat detected by Doppler
B. Amenorrhea
C. Chadwick's sign
D. Nausea and vomiting
✅ Correct Answer: C. Chadwick's sign
Rationale: Chadwick's sign, a bluish discoloration of the cervix and vaginal mucosa due to
increased vascularity, is a probable sign of pregnancy. Fetal heartbeat is a positive sign, while
amenorrhea and nausea/vomiting are presumptive signs.
📚 Lowdermilk, Maternity and Women's Health Care, 12th ed.
Question 2
During the first prenatal visit, a woman reports her last menstrual period (LMP) was May 8.
What is the estimated date of delivery (EDD) using Nägele’s Rule?
,2
A. February 1
B. February 15
C. February 22
D. February 28
✅ Correct Answer: C. February 15
Rationale: Nägele’s Rule: subtract 3 months and add 7 days to the first day of the LMP. May 8 –
3 months = February 8 + 7 days = February 15.
📚 McKinney et al., Maternal-Child Nursing, 6th ed.
Question 3
Which hormone is responsible for maintaining the corpus luteum during early pregnancy?
A. Progesterone
B. Estrogen
C. Human chorionic gonadotropin (hCG)
D. Oxytocin
✅ Correct Answer: C. Human chorionic gonadotropin (hCG)
Rationale: hCG is produced by the trophoblast and maintains the corpus luteum until the
placenta takes over hormone production.
📚 Lowdermilk, 12th ed.
,3
Question 4
A pregnant woman is experiencing leg cramps at night. What should the nurse recommend to
relieve this discomfort?
A. Increase calcium intake
B. Dorsiflex the foot
C. Elevate the leg
D. Apply heat packs
✅ Correct Answer: B. Dorsiflex the foot
Rationale: Dorsiflexion stretches the affected muscle and relieves cramping. Leg cramps are
common due to pressure on pelvic nerves and changes in calcium/phosphate balance.
📚 McKinney et al., 6th ed.
Question 5
At 28 weeks’ gestation, a woman receives a 1-hour glucose tolerance test and her result is 160
mg/dL. What is the next nursing action?
A. Schedule an immediate insulin therapy
B. Instruct the client to decrease carbohydrate intake
C. Order a 3-hour oral glucose tolerance test (OGTT)
D. Repeat the 1-hour glucose test
✅ Correct Answer: C. Order a 3-hour oral glucose tolerance test (OGTT)
Rationale: A 1-hour glucose >140 mg/dL indicates the need for a diagnostic 3-hour OGTT to
, 4
confirm gestational diabetes.
📚 Lowdermilk, 12th ed.
Question 6
Which of the following vaccines is contraindicated during pregnancy?
A. Influenza (inactivated)
B. Tdap
C. Hepatitis B
D. MMR
✅ Correct Answer: D. MMR
Rationale: MMR is a live vaccine and is contraindicated during pregnancy due to the risk to the
fetus. Inactivated vaccines like Tdap and influenza are safe.
📚 CDC Guidelines, Lowdermilk, 12th ed.
Question 7
A client in her third trimester complains of heartburn. What nursing advice is most appropriate?
A. Drink fluids with meals
B. Lie down after eating
C. Eat small, frequent meals
D. Take bicarbonate of soda
✅ Correct Answer: C. Eat small, frequent meals
