NR 327 Maternal Child Nursing Exam 2 Practice 2026 |Chamberlain
College
1. A nurse is caring for a client at 26 weeks gestation who is undergoing a 1-hour
glucose tolerance test. Which result indicates the need for further testing?
A. 110 mg/dL
B. 125 mg/dL
C. 145 mg/dL
D. 135 mg/dL
Answer: C
Rationale: A blood glucose level of 140 mg/dL or higher in a 1-hour glucose tolerance test
is considered positive and requires a 3-hour diagnostic test.
2. A client with preeclampsia is receiving Magnesium Sulfate. Which finding
should the nurse report to the provider immediately?
A. Respiratory rate of 14/min
B. Deep tendon reflexes 2+
C. Urinary output of 20 mL/hr
D. Feeling of warmth and flushing
Answer: C
Rationale: Urinary output less than 30 mL/hr is a sign of magnesium toxicity as the drug is
excreted through the kidneys. RR should be above 12.
,3. A nurse is assessing a client at 34 weeks gestation who reports painless,
bright red vaginal bleeding. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Preterm labor
D. Uterine rupture
Answer: B
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is the
classic sign of placenta previa.
4. Which medication is administered to a client in preterm labor to promote
fetal lung maturity?
A. Terbutaline
B. Magnesium Sulfate
C. Betamethasone
D. Indomethacin
Answer: C
Rationale: Betamethasone is a corticosteroid given to stimulate surfactant production in
the fetus.
5. A nurse observes late decelerations on the fetal monitor strip. Which is the
priority nursing action?
A. Document the finding as normal
B. Increase the rate of oxytocin infusion
C. Perform a vaginal exam
D. Assist the client to a side-lying position
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning the
mother to her side is the first step to improve oxygenation.
, 6. What is the antidote for Magnesium Sulfate toxicity?
A. Naloxone
B. Vitamin K
C. Calcium gluconate
D. Protamine sulfate
Answer: C
Rationale: Calcium gluconate is the specific antagonist for magnesium toxicity to reverse
respiratory depression and cardiac effects.
7. A nurse is caring for a client in the active phase of labor. The client’s cervix is
6 cm dilated. Which stage and phase of labor is this?
A. First stage, latent phase
B. First stage, active phase
C. Second stage
D. Third stage
Answer: B
Rationale: The first stage of labor includes the latent phase (0-5 cm) and active phase (6-
10 cm).
8. A postpartum client is experiencing heavy vaginal bleeding with a boggy
fundus. Which is the first action the nurse should take?
A. Administer oxytocin
B. Notify the provider
C. Massage the uterine fundus
D. Insert a urinary catheter
Answer: C
Rationale: Fundal massage is the immediate priority to stimulate uterine contractions and
stop bleeding from a boggy uterus.
College
1. A nurse is caring for a client at 26 weeks gestation who is undergoing a 1-hour
glucose tolerance test. Which result indicates the need for further testing?
A. 110 mg/dL
B. 125 mg/dL
C. 145 mg/dL
D. 135 mg/dL
Answer: C
Rationale: A blood glucose level of 140 mg/dL or higher in a 1-hour glucose tolerance test
is considered positive and requires a 3-hour diagnostic test.
2. A client with preeclampsia is receiving Magnesium Sulfate. Which finding
should the nurse report to the provider immediately?
A. Respiratory rate of 14/min
B. Deep tendon reflexes 2+
C. Urinary output of 20 mL/hr
D. Feeling of warmth and flushing
Answer: C
Rationale: Urinary output less than 30 mL/hr is a sign of magnesium toxicity as the drug is
excreted through the kidneys. RR should be above 12.
,3. A nurse is assessing a client at 34 weeks gestation who reports painless,
bright red vaginal bleeding. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Preterm labor
D. Uterine rupture
Answer: B
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is the
classic sign of placenta previa.
4. Which medication is administered to a client in preterm labor to promote
fetal lung maturity?
A. Terbutaline
B. Magnesium Sulfate
C. Betamethasone
D. Indomethacin
Answer: C
Rationale: Betamethasone is a corticosteroid given to stimulate surfactant production in
the fetus.
5. A nurse observes late decelerations on the fetal monitor strip. Which is the
priority nursing action?
A. Document the finding as normal
B. Increase the rate of oxytocin infusion
C. Perform a vaginal exam
D. Assist the client to a side-lying position
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning the
mother to her side is the first step to improve oxygenation.
, 6. What is the antidote for Magnesium Sulfate toxicity?
A. Naloxone
B. Vitamin K
C. Calcium gluconate
D. Protamine sulfate
Answer: C
Rationale: Calcium gluconate is the specific antagonist for magnesium toxicity to reverse
respiratory depression and cardiac effects.
7. A nurse is caring for a client in the active phase of labor. The client’s cervix is
6 cm dilated. Which stage and phase of labor is this?
A. First stage, latent phase
B. First stage, active phase
C. Second stage
D. Third stage
Answer: B
Rationale: The first stage of labor includes the latent phase (0-5 cm) and active phase (6-
10 cm).
8. A postpartum client is experiencing heavy vaginal bleeding with a boggy
fundus. Which is the first action the nurse should take?
A. Administer oxytocin
B. Notify the provider
C. Massage the uterine fundus
D. Insert a urinary catheter
Answer: C
Rationale: Fundal massage is the immediate priority to stimulate uterine contractions and
stop bleeding from a boggy uterus.
