Page 1 of 96
NR-327 Maternal-Child Nursing Final Exam 2
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE THIS
YEAR
EXAM Coverage
Maternal Care
• Physiologic changes during pregnancy
• Prenatal assessment and screening tests
• High-risk pregnancy conditions (preeclampsia, gestational diabetes, placenta previa,
abruptio placentae)
• Fetal monitoring and interpretation of fetal heart rate patterns
• Labor stages and nursing interventions
• Pain management during labor
• Intrapartum complications and emergency interventions
• Cesarean birth care
Postpartum Care
• Normal postpartum physiologic changes
• Postpartum hemorrhage management
• Postpartum infections and complications
• Breastfeeding support and lactation physiology
• Postpartum depression and mental health
Newborn Care
• Immediate newborn assessment (Apgar scoring)
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• Thermoregulation and glucose regulation
• Newborn reflexes and normal findings
• Neonatal jaundice and bilirubin management
• Newborn medications and immunizations
Pediatric Growth and Development
• Developmental milestones (infant to adolescent)
• Erikson and Piaget developmental theories
• Nutrition requirements for children
Pediatric Disorders
• Respiratory disorders (RSV, asthma, croup)
• Gastrointestinal disorders (pyloric stenosis, dehydration)
• Congenital heart defects
• Childhood infectious diseases
Safety and Family Education
• Injury prevention
• Immunization schedules
• Pediatric medication dosing
• Fluid and electrolyte imbalance in children
NR-327 Maternal-Child Nursing Practice Final Exam 2
Batch 1 – 50 Practice MCQs with Rationales
1.
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A nurse is caring for a pregnant client diagnosed with preeclampsia. Which finding requires
immediate intervention?
A. Blood pressure 148/90 mmHg
B. Proteinuria +1
C. Severe headache and blurred vision
D. Mild ankle edema
Correct Answer: C
Rationale: Severe headache and blurred vision indicate worsening preeclampsia and possible
cerebral edema, increasing risk for seizures (eclampsia). Immediate intervention is required.
2.
Which fetal heart rate pattern indicates fetal hypoxia and requires immediate nursing action?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Correct Answer: C
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Rationale: Late decelerations occur after contractions and indicate uteroplacental
insufficiency, which can lead to fetal hypoxia.
3.
A postpartum nurse assesses a fundus that is boggy and displaced to the right. What is the first
nursing action?
A. Administer oxytocin
B. Massage the fundus
C. Assist the client to void
D. Notify the healthcare provider
Correct Answer: C
Rationale: A distended bladder displaces the uterus, preventing contraction and increasing
hemorrhage risk. The nurse should assist the patient to empty the bladder first.
4.
Which newborn reflex is tested by stroking the cheek, causing the infant to turn toward the
stimulus?
NR-327 Maternal-Child Nursing Final Exam 2
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE THIS
YEAR
EXAM Coverage
Maternal Care
• Physiologic changes during pregnancy
• Prenatal assessment and screening tests
• High-risk pregnancy conditions (preeclampsia, gestational diabetes, placenta previa,
abruptio placentae)
• Fetal monitoring and interpretation of fetal heart rate patterns
• Labor stages and nursing interventions
• Pain management during labor
• Intrapartum complications and emergency interventions
• Cesarean birth care
Postpartum Care
• Normal postpartum physiologic changes
• Postpartum hemorrhage management
• Postpartum infections and complications
• Breastfeeding support and lactation physiology
• Postpartum depression and mental health
Newborn Care
• Immediate newborn assessment (Apgar scoring)
, Page 2 of 96
• Thermoregulation and glucose regulation
• Newborn reflexes and normal findings
• Neonatal jaundice and bilirubin management
• Newborn medications and immunizations
Pediatric Growth and Development
• Developmental milestones (infant to adolescent)
• Erikson and Piaget developmental theories
• Nutrition requirements for children
Pediatric Disorders
• Respiratory disorders (RSV, asthma, croup)
• Gastrointestinal disorders (pyloric stenosis, dehydration)
• Congenital heart defects
• Childhood infectious diseases
Safety and Family Education
• Injury prevention
• Immunization schedules
• Pediatric medication dosing
• Fluid and electrolyte imbalance in children
NR-327 Maternal-Child Nursing Practice Final Exam 2
Batch 1 – 50 Practice MCQs with Rationales
1.
, Page 3 of 96
A nurse is caring for a pregnant client diagnosed with preeclampsia. Which finding requires
immediate intervention?
A. Blood pressure 148/90 mmHg
B. Proteinuria +1
C. Severe headache and blurred vision
D. Mild ankle edema
Correct Answer: C
Rationale: Severe headache and blurred vision indicate worsening preeclampsia and possible
cerebral edema, increasing risk for seizures (eclampsia). Immediate intervention is required.
2.
Which fetal heart rate pattern indicates fetal hypoxia and requires immediate nursing action?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Correct Answer: C
, Page 4 of 96
Rationale: Late decelerations occur after contractions and indicate uteroplacental
insufficiency, which can lead to fetal hypoxia.
3.
A postpartum nurse assesses a fundus that is boggy and displaced to the right. What is the first
nursing action?
A. Administer oxytocin
B. Massage the fundus
C. Assist the client to void
D. Notify the healthcare provider
Correct Answer: C
Rationale: A distended bladder displaces the uterus, preventing contraction and increasing
hemorrhage risk. The nurse should assist the patient to empty the bladder first.
4.
Which newborn reflex is tested by stroking the cheek, causing the infant to turn toward the
stimulus?
