Page 1 of 142
NR-327 Maternal-Child Nursing Practice Final Exam
QUESTIONS AND DETAILED SOLUTIONS JUST
RELEASED
NR-327 Maternal-Child Nursing Practice Final Exam — Point Form Coverage
1. Family-centered maternal-child nursing principles
2. Preconception care and reproductive health assessment
3. Genetics, inheritance patterns, and genetic screening
4. Fetal development stages (zygote, embryo, fetus)
5. Physiological adaptations of pregnancy
6. Prenatal assessment and routine prenatal care
7. Gravida, Para, GTPAL documentation
8. Naegele's Rule and estimated due date calculation
9. Nutrition during pregnancy (folic acid, iron, calcium, protein)
10. Common discomforts of pregnancy and nursing interventions
11. Prenatal laboratory tests and diagnostic procedures
12. High-risk pregnancy identification and management
13. Gestational diabetes mellitus (GDM) assessment and care
14. Hypertensive disorders of pregnancy (PIH, preeclampsia, eclampsia)
15. Rh incompatibility and Rho(D) immune globulin administration
16. Placenta previa and placental abruption
17. Premature rupture of membranes (PROM/PPROM)
18. Preterm labor recognition and interventions
19. Intrauterine growth restriction (IUGR)
20. Multiple gestation pregnancy care
21. Fetal monitoring and fetal heart rate interpretation
22. Non-stress test (NST) and biophysical profile (BPP)
23. Stages and phases of labor
24. Labor assessment and cervical dilation progression
25. Uterine contraction monitoring and interpretation
26. Pain management during labor (pharmacologic and nonpharmacologic)
27. Epidural anesthesia nursing care
28. Induction and augmentation of labor (Oxytocin/Pitocin)
29. Labor complications and emergency interventions
30. Fetal distress and nursing priorities
31. Cesarean birth indications and postoperative care
32. Immediate newborn transition to extrauterine life
33. APGAR scoring and interpretation
34. Newborn physical assessment and reflexes
35. Newborn thermoregulation and glucose regulation
36. Newborn respiratory distress recognition
37. Newborn feeding (breastfeeding and formula feeding)
38. Breastfeeding techniques, benefits, and complications
39. Newborn medications (Vitamin K, Erythromycin, Hepatitis B vaccine)
40. Newborn screening tests and immunizations
41. Hyperbilirubinemia and neonatal jaundice
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42. High-risk newborn care (prematurity, low birth weight)
43. Postpartum physiological changes and recovery
44. Uterine involution and lochia assessment
45. Postpartum nursing assessments (BUBBLE-HE/BUBBLE-LE)
46. Postpartum hemorrhage recognition and management
47. Postpartum infection and endometritis
48. Venous thromboembolism prevention postpartum
49. Maternal-newborn bonding and attachment
50. Postpartum depression, anxiety, and mental health disorders
51. Newborn safety and discharge teaching
52. Pediatric growth and development milestones
53. Infant nutrition and feeding requirements
54. Childhood immunization schedules and vaccine education
55. Pediatric medication administration and safety principles
56. Fluid and electrolyte balance in infants and children
57. Common pediatric illnesses and nursing care
58. Pediatric pain assessment and management
59. Child abuse, neglect, and mandatory reporting responsibilities
60. NCLEX-style prioritization, delegation, safety, and maternal-child clinical judgment scenarios
NR-327 Maternal-Child Nursing Practice Final Exam
Questions 1–50 (NCLEX-Style MCQs with Rationales)
Rationale: Family-centered maternity care emphasizes collaboration, respect, education, and inclusion
of family members throughout pregnancy, birth, and postpartum care.
1. A nurse caring for a laboring client wants to implement family-centered maternal-child nursing
principles appropriately; which intervention best supports this philosophy while promoting patient
autonomy and family involvement?
A. Restrict family participation during labor decisions
B. Encourage family participation according to client preferences
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C. Make decisions without consulting the client
D. Limit communication to the healthcare provider only
Answer: B
Rationale: Family-centered care encourages family participation while respecting the mother's
preferences and decision-making authority.
Rationale: Preconception care aims to identify health risks before conception and improve maternal and
fetal outcomes.
2. During a preconception counseling visit, which assessment finding would require the nurse to provide
additional education before pregnancy occurs?
A. Daily folic acid supplementation
B. Smoking one pack of cigarettes daily
C. Updated immunization history
D. Regular exercise participation
, Page 4 of 142
Answer: B
Rationale: Smoking increases risks of infertility, miscarriage, preterm birth, and fetal growth restriction.
Rationale: Understanding inheritance patterns assists nurses in educating families regarding genetic
risks and screening recommendations.
3. A woman reports that both she and her partner are carriers of an autosomal recessive disorder; what
is the probability their child will inherit the disorder?
A. 25%
B. 50%
C. 75%
D. 100%
Answer: A
Rationale: When both parents carry an autosomal recessive trait, each pregnancy has a 25% chance of
producing an affected child.
NR-327 Maternal-Child Nursing Practice Final Exam
QUESTIONS AND DETAILED SOLUTIONS JUST
RELEASED
NR-327 Maternal-Child Nursing Practice Final Exam — Point Form Coverage
1. Family-centered maternal-child nursing principles
2. Preconception care and reproductive health assessment
3. Genetics, inheritance patterns, and genetic screening
4. Fetal development stages (zygote, embryo, fetus)
5. Physiological adaptations of pregnancy
6. Prenatal assessment and routine prenatal care
7. Gravida, Para, GTPAL documentation
8. Naegele's Rule and estimated due date calculation
9. Nutrition during pregnancy (folic acid, iron, calcium, protein)
10. Common discomforts of pregnancy and nursing interventions
11. Prenatal laboratory tests and diagnostic procedures
12. High-risk pregnancy identification and management
13. Gestational diabetes mellitus (GDM) assessment and care
14. Hypertensive disorders of pregnancy (PIH, preeclampsia, eclampsia)
15. Rh incompatibility and Rho(D) immune globulin administration
16. Placenta previa and placental abruption
17. Premature rupture of membranes (PROM/PPROM)
18. Preterm labor recognition and interventions
19. Intrauterine growth restriction (IUGR)
20. Multiple gestation pregnancy care
21. Fetal monitoring and fetal heart rate interpretation
22. Non-stress test (NST) and biophysical profile (BPP)
23. Stages and phases of labor
24. Labor assessment and cervical dilation progression
25. Uterine contraction monitoring and interpretation
26. Pain management during labor (pharmacologic and nonpharmacologic)
27. Epidural anesthesia nursing care
28. Induction and augmentation of labor (Oxytocin/Pitocin)
29. Labor complications and emergency interventions
30. Fetal distress and nursing priorities
31. Cesarean birth indications and postoperative care
32. Immediate newborn transition to extrauterine life
33. APGAR scoring and interpretation
34. Newborn physical assessment and reflexes
35. Newborn thermoregulation and glucose regulation
36. Newborn respiratory distress recognition
37. Newborn feeding (breastfeeding and formula feeding)
38. Breastfeeding techniques, benefits, and complications
39. Newborn medications (Vitamin K, Erythromycin, Hepatitis B vaccine)
40. Newborn screening tests and immunizations
41. Hyperbilirubinemia and neonatal jaundice
, Page 2 of 142
42. High-risk newborn care (prematurity, low birth weight)
43. Postpartum physiological changes and recovery
44. Uterine involution and lochia assessment
45. Postpartum nursing assessments (BUBBLE-HE/BUBBLE-LE)
46. Postpartum hemorrhage recognition and management
47. Postpartum infection and endometritis
48. Venous thromboembolism prevention postpartum
49. Maternal-newborn bonding and attachment
50. Postpartum depression, anxiety, and mental health disorders
51. Newborn safety and discharge teaching
52. Pediatric growth and development milestones
53. Infant nutrition and feeding requirements
54. Childhood immunization schedules and vaccine education
55. Pediatric medication administration and safety principles
56. Fluid and electrolyte balance in infants and children
57. Common pediatric illnesses and nursing care
58. Pediatric pain assessment and management
59. Child abuse, neglect, and mandatory reporting responsibilities
60. NCLEX-style prioritization, delegation, safety, and maternal-child clinical judgment scenarios
NR-327 Maternal-Child Nursing Practice Final Exam
Questions 1–50 (NCLEX-Style MCQs with Rationales)
Rationale: Family-centered maternity care emphasizes collaboration, respect, education, and inclusion
of family members throughout pregnancy, birth, and postpartum care.
1. A nurse caring for a laboring client wants to implement family-centered maternal-child nursing
principles appropriately; which intervention best supports this philosophy while promoting patient
autonomy and family involvement?
A. Restrict family participation during labor decisions
B. Encourage family participation according to client preferences
, Page 3 of 142
C. Make decisions without consulting the client
D. Limit communication to the healthcare provider only
Answer: B
Rationale: Family-centered care encourages family participation while respecting the mother's
preferences and decision-making authority.
Rationale: Preconception care aims to identify health risks before conception and improve maternal and
fetal outcomes.
2. During a preconception counseling visit, which assessment finding would require the nurse to provide
additional education before pregnancy occurs?
A. Daily folic acid supplementation
B. Smoking one pack of cigarettes daily
C. Updated immunization history
D. Regular exercise participation
, Page 4 of 142
Answer: B
Rationale: Smoking increases risks of infertility, miscarriage, preterm birth, and fetal growth restriction.
Rationale: Understanding inheritance patterns assists nurses in educating families regarding genetic
risks and screening recommendations.
3. A woman reports that both she and her partner are carriers of an autosomal recessive disorder; what
is the probability their child will inherit the disorder?
A. 25%
B. 50%
C. 75%
D. 100%
Answer: A
Rationale: When both parents carry an autosomal recessive trait, each pregnancy has a 25% chance of
producing an affected child.
