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NR-327 Maternal-Child Nursing Practice Midterm
QUESTIONS AND VERIFIED ANSWERS LATEST
UPDATE THIS YEAR
NR-327 Maternal-Child Nursing Practice Midterm, based on key concepts commonly emphasized in the
Point-Form Summary of Exam Coverage
• Foundations of Maternal-Child Nursing: Nursing roles (CNM, NP, Doula), ethical frameworks
(deontological vs. utilitarian), legal standards (Nurse Practice Act), family dynamics, patient
safety, quality improvement, social determinants of health, and cultural competency.
• Reproductive Anatomy, Physiology, and Genetics: Female reproductive cycle (ovarian and
uterine phases), hormonal regulation (FSH, LH, estrogen, progesterone), fetal circulation
(umbilical arteries and vein), and genetic inheritance patterns.
• Pregnancy Physiology and Assessment: Signs of pregnancy (presumptive, probable, positive),
maternal physiological changes (cardiovascular, respiratory, GI, urinary, musculoskeletal), fetal
development milestones by trimester, and GTPAL/gravida/para documentation.
, Page 2 of 157
• Prenatal Care and Antepartum Management: Prenatal visit schedule, nutritional needs (weight
gain, folic acid, iron, calcium), common discomforts and interventions, danger signs,
immunization recommendations (inactivated influenza, Tdap), and antepartum fetal testing
(NST, BPP, amniocentesis, MSAFP).
• High-Risk Pregnancy and Complications: Hypertensive disorders (preeclampsia, eclampsia,
HELLP), gestational diabetes mellitus (GDM), hyperemesis gravidarum, placental abnormalities
(previa, abruption), preterm labor, PROM, Rh incompatibility, and infections (TORCH).
• Labor and Birth: Premonitory signs (lightening, nesting, Braxton Hicks), mechanisms of labor,
stages and phases of labor, true vs. false labor, fetal heart rate patterns (early, late, variable
decelerations), pain management (non-pharmacological and pharmacological), and operative
birth (forceps, vacuum, cesarean).
• Maternal Postpartum Care: Physiological changes (involution, lochia), psychological
adjustments (postpartum blues, depression, psychosis), breastfeeding support, and
contraception options.
, Page 3 of 157
• Newborn Nursing Care: Immediate assessment (Apgar scoring), physical assessment (vital signs,
reflexes, characteristics), metabolic screening, thermoregulation, jaundice and phototherapy,
hypoglycemia, common variations (Mongolian spots, molding, caput), and newborn nutrition
(breastfeeding vs. formula feeding).
• Pharmacotherapeutics and Pediatric Considerations: Medications used during pregnancy,
labor, postpartum, and newborn periods (e.g., RhoGAM, oxytocin, misoprostol, vitamin K,
erythromycin ophthalmic ointment). Overview of pediatric growth and development milestones,
common childhood illnesses, and pediatric medication safety.
250 Multiple-Choice Practice Exam Questions, Answers, and Rationales
Foundations of Maternal-Child Nursing (Questions 1-15)
1. Which advanced practice nurse provides complete care for low-risk women during pregnancy,
childbirth, and the postpartum period and is qualified to perform vaginal deliveries?
A) Nurse Practitioner (NP)
B) Clinical Nurse Specialist (CNS)
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C) Certified Nurse-Midwife (CNM)
D) Doula
Answer: C
Rationale: CNMs are advanced practice RNs who provide comprehensive care to low-risk women,
including performing vaginal deliveries. NPs do not perform deliveries; Doulas provide non-clinical
support.
2. A nurse is applying the deontological model to an ethical dilemma. Which action aligns with this
framework?
A) Weighing potential risks and benefits for each patient individually
B) Applying the same ethical rule to all patients, regardless of circumstances
C) Focusing primarily on the consequences of the chosen action
D) Consulting a committee to determine the best outcome
Answer: B
Rationale: Deontology bases decisions on universal moral principles and rules. The solution does not
vary based on individual situations, focusing on duty rather than consequence.
NR-327 Maternal-Child Nursing Practice Midterm
QUESTIONS AND VERIFIED ANSWERS LATEST
UPDATE THIS YEAR
NR-327 Maternal-Child Nursing Practice Midterm, based on key concepts commonly emphasized in the
Point-Form Summary of Exam Coverage
• Foundations of Maternal-Child Nursing: Nursing roles (CNM, NP, Doula), ethical frameworks
(deontological vs. utilitarian), legal standards (Nurse Practice Act), family dynamics, patient
safety, quality improvement, social determinants of health, and cultural competency.
• Reproductive Anatomy, Physiology, and Genetics: Female reproductive cycle (ovarian and
uterine phases), hormonal regulation (FSH, LH, estrogen, progesterone), fetal circulation
(umbilical arteries and vein), and genetic inheritance patterns.
• Pregnancy Physiology and Assessment: Signs of pregnancy (presumptive, probable, positive),
maternal physiological changes (cardiovascular, respiratory, GI, urinary, musculoskeletal), fetal
development milestones by trimester, and GTPAL/gravida/para documentation.
, Page 2 of 157
• Prenatal Care and Antepartum Management: Prenatal visit schedule, nutritional needs (weight
gain, folic acid, iron, calcium), common discomforts and interventions, danger signs,
immunization recommendations (inactivated influenza, Tdap), and antepartum fetal testing
(NST, BPP, amniocentesis, MSAFP).
• High-Risk Pregnancy and Complications: Hypertensive disorders (preeclampsia, eclampsia,
HELLP), gestational diabetes mellitus (GDM), hyperemesis gravidarum, placental abnormalities
(previa, abruption), preterm labor, PROM, Rh incompatibility, and infections (TORCH).
• Labor and Birth: Premonitory signs (lightening, nesting, Braxton Hicks), mechanisms of labor,
stages and phases of labor, true vs. false labor, fetal heart rate patterns (early, late, variable
decelerations), pain management (non-pharmacological and pharmacological), and operative
birth (forceps, vacuum, cesarean).
• Maternal Postpartum Care: Physiological changes (involution, lochia), psychological
adjustments (postpartum blues, depression, psychosis), breastfeeding support, and
contraception options.
, Page 3 of 157
• Newborn Nursing Care: Immediate assessment (Apgar scoring), physical assessment (vital signs,
reflexes, characteristics), metabolic screening, thermoregulation, jaundice and phototherapy,
hypoglycemia, common variations (Mongolian spots, molding, caput), and newborn nutrition
(breastfeeding vs. formula feeding).
• Pharmacotherapeutics and Pediatric Considerations: Medications used during pregnancy,
labor, postpartum, and newborn periods (e.g., RhoGAM, oxytocin, misoprostol, vitamin K,
erythromycin ophthalmic ointment). Overview of pediatric growth and development milestones,
common childhood illnesses, and pediatric medication safety.
250 Multiple-Choice Practice Exam Questions, Answers, and Rationales
Foundations of Maternal-Child Nursing (Questions 1-15)
1. Which advanced practice nurse provides complete care for low-risk women during pregnancy,
childbirth, and the postpartum period and is qualified to perform vaginal deliveries?
A) Nurse Practitioner (NP)
B) Clinical Nurse Specialist (CNS)
, Page 4 of 157
C) Certified Nurse-Midwife (CNM)
D) Doula
Answer: C
Rationale: CNMs are advanced practice RNs who provide comprehensive care to low-risk women,
including performing vaginal deliveries. NPs do not perform deliveries; Doulas provide non-clinical
support.
2. A nurse is applying the deontological model to an ethical dilemma. Which action aligns with this
framework?
A) Weighing potential risks and benefits for each patient individually
B) Applying the same ethical rule to all patients, regardless of circumstances
C) Focusing primarily on the consequences of the chosen action
D) Consulting a committee to determine the best outcome
Answer: B
Rationale: Deontology bases decisions on universal moral principles and rules. The solution does not
vary based on individual situations, focusing on duty rather than consequence.
