Growth and development, pregnancy and newborn care, screening, and prevention. Try 8 free questions below, each with the answer, a rationale, and the source it was checked against.
6–12% of the NCLEX-RN84 questions in NCLEXSimReviewed October 2026
Health Promotion and Maintenance is one of the eight client needs categories in the NCSBN NCLEX-RN test plan. Expect questions on Milestones, Prenatal care, Postpartum, Newborn care, Screenings, and Client teaching.
Which contraceptive method also helps protect against sexually transmitted infections?
Correct answer: A
Latex or polyurethane condoms, used correctly every time, reduce the risk of many STIs. Hormonal methods and IUDs do not protect against STIs.
Source: CDC. Sexually Transmitted Infections Treatment Guidelines (2021)
Which sunscreen guidance should the nurse give?
Correct answer: C
Broad-spectrum SPF 30 or higher, applied generously to all exposed skin and reapplied every 2 hours or after swimming or sweating, reduces skin cancer risk. UV rays penetrate clouds.
Source: American Academy of Dermatology. How to Select a Sunscreen
A pregnant client asks when she will first feel the baby move. What should the nurse say?
Correct answer: C
Quickening, the first maternal perception of fetal movement, usually occurs between 16 and 20 weeks; often earlier in clients who have been pregnant before.
Source: Lowdermilk. Maternity & Women's Health Care, 13th ed.
Which signs show that an infant is developmentally ready to start solid foods? Select all that apply.
Correct answers: B, D, E
Readiness for solids usually appears around 6 months: good head control, sitting with support, interest in food, and loss of the tongue-thrust reflex. Crawling isn't required.
Source: AAP. HealthyChildren.org: Starting Solid Foods
Which finding indicates true labor rather than false labor?
Correct answer: C
True labor causes progressive cervical change, with contractions that become regular, stronger, and closer, and continue despite activity. False labor contractions are irregular and often ease with rest or walking.
Source: Lowdermilk. Maternity & Women's Health Care, 13th ed. (onset of labor)
A laboring client is 8 cm dilated, irritable, nauseated, and says she can't go on. Which phase of labor is she in?
Correct answer: D
Transition is the end of active first stage labor (about 8 to 10 cm). Intense contractions, irritability, nausea, and feeling out of control are common.
Source: Lowdermilk. Maternity & Women's Health Care, 13th ed. (stages of labor)
At 1 minute after birth, a newborn has a heart rate of 110/min, a slow, irregular respiratory effort with a weak cry, some flexion of the extremities, a grimace when suctioned, and a pink body with blue hands and feet. What is the Apgar score?
Answer: 6 points
Heart rate over 100 = 2; slow, irregular breathing with weak cry = 1; some flexion = 1; grimace = 1; acrocyanosis = 1. Total = 6. Scores of 7–10 are reassuring; 4–6 means moderate difficulty.
Source: AAP/ACOG. The Apgar Score (Committee Opinion 644)
A pregnant client has a normal pre-pregnancy BMI. What is the recommended total weight gain?
Correct answer: A
The IOM recommends 25 to 35 lb for a normal BMI, 28 to 40 lb if underweight, 15 to 25 lb if overweight, and 11 to 20 lb if obese.
Source: IOM. Weight Gain During Pregnancy: Reexamining the Guidelines (2009); ACOG
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