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NCLEX OB & Maternity Test Bank 2025–2026 |
150 Verified NGN Questions with Answers &
Rationales
Q1. A patient at 36 weeks gestation presents with painless vaginal
bleeding. What condition does the nurse suspect?
⬜ A. Placental abruption
✅ B. Placenta previa
⬜ C. Ruptured ectopic pregnancy
⬜ D. Uterine rupture
Correct Answer: ✅ B
Rationale:
, Placenta previa typically causes painless bleeding in the third trimester.
Abruption is painful.
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Q2. Which fetal heart rate pattern is considered reassuring?
⬜ A. Late decelerations
⬜ B. Variable decelerations
✅ C. Moderate variability with accelerations
⬜ D. Bradycardia
Correct Answer: ✅ C
Rationale:
Moderate variability and accelerations are signs of fetal well-being.
Q3. A patient is receiving magnesium sulfate for preeclampsia.
Which finding requires immediate action?
✅ A. Respiratory rate of 10 breaths/min
⬜ B. DTRs 2+
, ⬜ C. Urine output 35 mL/hr
⬜ D. BP 140/88 mmHg
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Correct Answer: ✅ A
Rationale:
Respiratory depression is a sign of magnesium toxicity. Antidote is
calcium gluconate.
Q4. A nurse notes variable decelerations on the monitor. What is the
initial nursing intervention?
⬜ A. Increase IV fluids
✅ B. Reposition the patient
⬜ C. Administer oxygen
⬜ D. Notify the provider
Correct Answer: ✅ B
Rationale:
, Repositioning can relieve umbilical cord compression, the cause of
variable decels.
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Q5. Which statement by a postpartum mother indicates a need for
further teaching?
⬜ A. “I will report if I soak more than one pad per hour.”
⬜ B. “I should breastfeed frequently.”
✅ C. “It’s normal if my lochia stays bright red for two weeks.”
⬜ D. “I may feel uterine cramps when nursing.”
Correct Answer: ✅ C
Rationale:
Lochia rubra should transition after 3–4 days. Bright red after 2 weeks
could mean hemorrhage.
Q6. A newborn has a heart rate of 90 bpm, irregular respirations,
blue extremities, and some flexion. What is the APGAR score?
NCLEX OB & Maternity Test Bank 2025–2026 |
150 Verified NGN Questions with Answers &
Rationales
Q1. A patient at 36 weeks gestation presents with painless vaginal
bleeding. What condition does the nurse suspect?
⬜ A. Placental abruption
✅ B. Placenta previa
⬜ C. Ruptured ectopic pregnancy
⬜ D. Uterine rupture
Correct Answer: ✅ B
Rationale:
, Placenta previa typically causes painless bleeding in the third trimester.
Abruption is painful.
Page | 2
Q2. Which fetal heart rate pattern is considered reassuring?
⬜ A. Late decelerations
⬜ B. Variable decelerations
✅ C. Moderate variability with accelerations
⬜ D. Bradycardia
Correct Answer: ✅ C
Rationale:
Moderate variability and accelerations are signs of fetal well-being.
Q3. A patient is receiving magnesium sulfate for preeclampsia.
Which finding requires immediate action?
✅ A. Respiratory rate of 10 breaths/min
⬜ B. DTRs 2+
, ⬜ C. Urine output 35 mL/hr
⬜ D. BP 140/88 mmHg
Page | 3
Correct Answer: ✅ A
Rationale:
Respiratory depression is a sign of magnesium toxicity. Antidote is
calcium gluconate.
Q4. A nurse notes variable decelerations on the monitor. What is the
initial nursing intervention?
⬜ A. Increase IV fluids
✅ B. Reposition the patient
⬜ C. Administer oxygen
⬜ D. Notify the provider
Correct Answer: ✅ B
Rationale:
, Repositioning can relieve umbilical cord compression, the cause of
variable decels.
Page | 4
Q5. Which statement by a postpartum mother indicates a need for
further teaching?
⬜ A. “I will report if I soak more than one pad per hour.”
⬜ B. “I should breastfeed frequently.”
✅ C. “It’s normal if my lochia stays bright red for two weeks.”
⬜ D. “I may feel uterine cramps when nursing.”
Correct Answer: ✅ C
Rationale:
Lochia rubra should transition after 3–4 days. Bright red after 2 weeks
could mean hemorrhage.
Q6. A newborn has a heart rate of 90 bpm, irregular respirations,
blue extremities, and some flexion. What is the APGAR score?
