NR 327 Maternal-Child Nursing Week 5 Practice Quiz 2026
|Chamberlain College
1. A nurse is monitoring a fetal heart rate (FHR) tracing and notes a pattern of
variable decelerations. What is the most likely cause of this pattern?
A. Umbilical cord compression
B. Uteroplacental insufficiency
C. Head compression during contractions
D. Maternal hypotension
Answer: A
Rationale: Variable decelerations are caused by umbilical cord compression. Head
compression causes early decelerations, and uteroplacental insufficiency causes late
decelerations.
2. During the active phase of the first stage of labor, the nurse expects the cervix
to be dilated to which range?
A. 0 to 3 cm
B. 4 to 7 cm
C. 8 to 10 cm
D. Full dilation to 10 cm
Answer: B
Rationale: The active phase of labor is typically characterized by cervical dilation of 4 to 7
cm. The latent phase is 0-3 cm, and the transition phase is 8-10 cm.
,3. Which fetal heart rate pattern is considered reassuring and indicates fetal
well-being?
A. Late decelerations
B. Early decelerations
C. Accelerations
D. Variable decelerations
Answer: C
Rationale: Accelerations are a reassuring sign, indicating an intact fetal central nervous
system and fetal well-being.
4. A client at 39 weeks gestation reports a ‘gush of fluid.’ The nurse performs a
Nitrazine test. Which color indicates a positive result for amniotic fluid?
A. Yellow
B. Olive green
C. Deep blue
D. Orange
Answer: C
Rationale: Amniotic fluid is alkaline, which turns Nitrazine paper deep blue (pH 7.0 to 7.5).
Yellow or green indicates the fluid is likely urine or vaginal secretions.
5. Which nursing intervention is a priority immediately following an amniotomy
(AROM)?
A. Check maternal temperature
B. Perform a vaginal exam
C. Change the underpads
D. Assess fetal heart rate
Answer: D
Rationale: Assessing the fetal heart rate is the priority to ensure there is no cord prolapse
or fetal distress following the rupture of membranes.
, 6. A nurse is caring for a client receiving Oxytocin for labor induction. The nurse
notes contractions occur every 90 seconds and last 80 seconds. What is the
priority action?
A. Increase the Oxytocin rate
B. Turn the client to her left side
C. Administer oxygen via face mask
D. Discontinue the Oxytocin infusion
Answer: D
Rationale: The client is experiencing uterine tachysystole (contractions more frequent
than every 2 minutes). The Oxytocin must be stopped to prevent fetal hypoxia and uterine
rupture.
7. What is the primary purpose of administering Magnesium Sulfate to a client
in preterm labor?
A. To increase fetal lung maturity
B. To provide neuroprotection for the neonate
C. To stop uterine contractions
D. To treat maternal hypertension
Answer: B
Rationale: While Magnesium Sulfate is used as a tocolytic, its primary role in very preterm
labor is to provide neuroprotection for the fetus to reduce the risk of cerebral palsy.
8. A client in labor receives an epidural block. Which side effect should the nurse
monitor for most closely?
A. Hypertension
B. Increased urinary output
C. Tachycardia
D. Maternal hypotension
Answer: D
|Chamberlain College
1. A nurse is monitoring a fetal heart rate (FHR) tracing and notes a pattern of
variable decelerations. What is the most likely cause of this pattern?
A. Umbilical cord compression
B. Uteroplacental insufficiency
C. Head compression during contractions
D. Maternal hypotension
Answer: A
Rationale: Variable decelerations are caused by umbilical cord compression. Head
compression causes early decelerations, and uteroplacental insufficiency causes late
decelerations.
2. During the active phase of the first stage of labor, the nurse expects the cervix
to be dilated to which range?
A. 0 to 3 cm
B. 4 to 7 cm
C. 8 to 10 cm
D. Full dilation to 10 cm
Answer: B
Rationale: The active phase of labor is typically characterized by cervical dilation of 4 to 7
cm. The latent phase is 0-3 cm, and the transition phase is 8-10 cm.
,3. Which fetal heart rate pattern is considered reassuring and indicates fetal
well-being?
A. Late decelerations
B. Early decelerations
C. Accelerations
D. Variable decelerations
Answer: C
Rationale: Accelerations are a reassuring sign, indicating an intact fetal central nervous
system and fetal well-being.
4. A client at 39 weeks gestation reports a ‘gush of fluid.’ The nurse performs a
Nitrazine test. Which color indicates a positive result for amniotic fluid?
A. Yellow
B. Olive green
C. Deep blue
D. Orange
Answer: C
Rationale: Amniotic fluid is alkaline, which turns Nitrazine paper deep blue (pH 7.0 to 7.5).
Yellow or green indicates the fluid is likely urine or vaginal secretions.
5. Which nursing intervention is a priority immediately following an amniotomy
(AROM)?
A. Check maternal temperature
B. Perform a vaginal exam
C. Change the underpads
D. Assess fetal heart rate
Answer: D
Rationale: Assessing the fetal heart rate is the priority to ensure there is no cord prolapse
or fetal distress following the rupture of membranes.
, 6. A nurse is caring for a client receiving Oxytocin for labor induction. The nurse
notes contractions occur every 90 seconds and last 80 seconds. What is the
priority action?
A. Increase the Oxytocin rate
B. Turn the client to her left side
C. Administer oxygen via face mask
D. Discontinue the Oxytocin infusion
Answer: D
Rationale: The client is experiencing uterine tachysystole (contractions more frequent
than every 2 minutes). The Oxytocin must be stopped to prevent fetal hypoxia and uterine
rupture.
7. What is the primary purpose of administering Magnesium Sulfate to a client
in preterm labor?
A. To increase fetal lung maturity
B. To provide neuroprotection for the neonate
C. To stop uterine contractions
D. To treat maternal hypertension
Answer: B
Rationale: While Magnesium Sulfate is used as a tocolytic, its primary role in very preterm
labor is to provide neuroprotection for the fetus to reduce the risk of cerebral palsy.
8. A client in labor receives an epidural block. Which side effect should the nurse
monitor for most closely?
A. Hypertension
B. Increased urinary output
C. Tachycardia
D. Maternal hypotension
Answer: D
