NR 327 Maternal-Child Nursing Week 8 Study Guide 2026
|Chamberlain College
1. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for a nonstress test. Which of the following is an indicator of a
reactive nonstress test?
A. Fetal heart rate maintains a baseline of 110/min for 10 minutes.
B. Absence of fetal heart rate decelerations during contractions.
C. Presence of at least two fetal movements in a 20-minute period.
D. Fetal heart rate accelerates at least 15/min for 15 seconds with fetal movement.
Answer: D
Rationale: A reactive nonstress test is defined by the presence of at least two fetal heart
rate accelerations of at least 15/min above the baseline, lasting at least 15 seconds, within
a 20-minute period.
2. A client in the active phase of labor has late decelerations on the fetal
monitor strip. Which of the following actions should the nurse take first?
A. Assist the client into a side-lying position.
B. Increase the rate of the maintenance IV fluid.
C. Administer oxygen via nonrebreather mask at 10 L/min.
D. Perform a vaginal examination to check for cord prolapse.
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning the
client to a lateral position is the first action to improve blood flow to the placenta.
,3. A nurse is assessing a newborn 1 hour after birth. Which of the following
respiratory rates is within the expected reference range?
A. 20 to 30/min
B. 60 to 80/min
C. 30 to 60/min
D. 80 to 100/min
Answer: C
Rationale: The expected respiratory rate for a newborn is between 30 and 60 breaths per
minute with short periods of apnea (less than 15 seconds).
4. A nurse is caring for a client who is receiving magnesium sulfate for
preeclampsia. Which of the following findings should the nurse identify as a sign
of magnesium toxicity?
A. Hyperreflexia
B. Increased urine output
C. Blood pressure of 150/100 mmHg
D. Respiratory rate of 10/min
Answer: D
Rationale: Signs of magnesium toxicity include a respiratory rate of less than 12/min,
absence of deep tendon reflexes, and decreased urine output.
5. A nurse is teaching a client about the benefits of breastfeeding. Which of the
following immunoglobulins is primarily passed to the newborn through
colostrum?
A. IgG
B. IgM
C. IgE
D. IgA
Answer: D
, Rationale: Colostrum is rich in IgA, which provides passive immunity and protects the
newborn’s gastrointestinal tract from infections.
6. A client is at 32 weeks of gestation and is experiencing preterm labor. Which
of the following medications should the nurse expect to administer to promote
fetal lung maturity?
A. Terbutaline
B. Betamethasone
C. Indomethacin
D. Magnesium sulfate
Answer: B
Rationale: Betamethasone is a corticosteroid administered to clients in preterm labor to
stimulate fetal surfactant production and reduce the risk of respiratory distress syndrome.
7. A nurse is assessing a client who is 2 hours postpartum. The nurse notes that
the fundus is boggy and displaced to the right. Which of the following actions
should the nurse take?
A. Assist the client to void.
B. Administer oxytocin 10 units IM.
C. Massage the fundus until it is firm.
D. Notify the provider immediately.
Answer: A
Rationale: A fundus that is displaced to the right and boggy often indicates a distended
bladder. Assisting the client to void can allow the uterus to contract effectively.
|Chamberlain College
1. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for a nonstress test. Which of the following is an indicator of a
reactive nonstress test?
A. Fetal heart rate maintains a baseline of 110/min for 10 minutes.
B. Absence of fetal heart rate decelerations during contractions.
C. Presence of at least two fetal movements in a 20-minute period.
D. Fetal heart rate accelerates at least 15/min for 15 seconds with fetal movement.
Answer: D
Rationale: A reactive nonstress test is defined by the presence of at least two fetal heart
rate accelerations of at least 15/min above the baseline, lasting at least 15 seconds, within
a 20-minute period.
2. A client in the active phase of labor has late decelerations on the fetal
monitor strip. Which of the following actions should the nurse take first?
A. Assist the client into a side-lying position.
B. Increase the rate of the maintenance IV fluid.
C. Administer oxygen via nonrebreather mask at 10 L/min.
D. Perform a vaginal examination to check for cord prolapse.
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning the
client to a lateral position is the first action to improve blood flow to the placenta.
,3. A nurse is assessing a newborn 1 hour after birth. Which of the following
respiratory rates is within the expected reference range?
A. 20 to 30/min
B. 60 to 80/min
C. 30 to 60/min
D. 80 to 100/min
Answer: C
Rationale: The expected respiratory rate for a newborn is between 30 and 60 breaths per
minute with short periods of apnea (less than 15 seconds).
4. A nurse is caring for a client who is receiving magnesium sulfate for
preeclampsia. Which of the following findings should the nurse identify as a sign
of magnesium toxicity?
A. Hyperreflexia
B. Increased urine output
C. Blood pressure of 150/100 mmHg
D. Respiratory rate of 10/min
Answer: D
Rationale: Signs of magnesium toxicity include a respiratory rate of less than 12/min,
absence of deep tendon reflexes, and decreased urine output.
5. A nurse is teaching a client about the benefits of breastfeeding. Which of the
following immunoglobulins is primarily passed to the newborn through
colostrum?
A. IgG
B. IgM
C. IgE
D. IgA
Answer: D
, Rationale: Colostrum is rich in IgA, which provides passive immunity and protects the
newborn’s gastrointestinal tract from infections.
6. A client is at 32 weeks of gestation and is experiencing preterm labor. Which
of the following medications should the nurse expect to administer to promote
fetal lung maturity?
A. Terbutaline
B. Betamethasone
C. Indomethacin
D. Magnesium sulfate
Answer: B
Rationale: Betamethasone is a corticosteroid administered to clients in preterm labor to
stimulate fetal surfactant production and reduce the risk of respiratory distress syndrome.
7. A nurse is assessing a client who is 2 hours postpartum. The nurse notes that
the fundus is boggy and displaced to the right. Which of the following actions
should the nurse take?
A. Assist the client to void.
B. Administer oxytocin 10 units IM.
C. Massage the fundus until it is firm.
D. Notify the provider immediately.
Answer: A
Rationale: A fundus that is displaced to the right and boggy often indicates a distended
bladder. Assisting the client to void can allow the uterus to contract effectively.
