Comprehensive Practice Exam
This practice exam is designed to help you prepare for the NR
327 Maternal-Child Nursing course at Chamberlain University.
NR 327 focuses on family-centered approaches to
maternal/newborn care, incorporating health promotion and
wellness issues throughout the childbearing cycle, including
normal experiences, high-risk factors, complications, and
alterations.
INSTRUCTIONS
● Read each question carefully and select the best answer.
● Review the detailed rationale provided to reinforce your
understanding.
● Questions are categorized by exam content for focused
review.
,SECTION 1: FOUNDATIONS OF
MATERNAL-CHILD NURSING
1. A nurse is explaining the role of a Certified Nurse-Midwife
(CNM) to a group of nursing students. Which statement
accurately describes this role?
A) A CNM is an RN who provides labor support but does not
perform deliveries
B) A CNM is an advanced practice RN who provides
comprehensive care to low-risk women during pregnancy,
childbirth, and the postpartum period
C) A CNM is a nurse who provides prenatal care but refers
patients for delivery
D) A CNM is a physician who specializes in high-risk
pregnancies
Correct Answer: B
Rationale: CNMs are advanced practice registered nurses who
provide complete care for low-risk women during pregnancy,
childbirth, and the postpartum period. They focus on a
noninterventionist, supportive approach and refer high-risk
patients to physicians. This distinguishes them from Nurse
Practitioners (who do not perform deliveries) and Doulas
(who provide labor support but not clinical care).
,2. What is the primary goal of the Healthy People 2030
initiative as it relates to maternal-child nursing?
A) To decrease the number of home births
B) To prevent pregnancy complications and reduce maternal
deaths by promoting health for women before, during, and
after pregnancy
C) To increase the use of medical interventions during
childbirth
D) To reduce the number of prenatal visits
Correct Answer: B
Rationale: Healthy People 2030 focuses on preventing
pregnancy complications and maternal deaths, recognizing
that a woman's health directly impacts the health of her
infant. It emphasizes proactive health promotion and
decreasing rates of unnecessary interventions.
3. A nurse is reviewing the characteristics of a functional
family. Which finding should the nurse identify as supporting a
healthy family dynamic?
A) Family members avoid conflict at all costs
B) Family members demonstrate open communication with
one another
C) Roles within the family are rigidly defined
D) Family members keep problems to themselves
, Correct Answer: B
Rationale: Functional families are characterized by open
communication, flexibility in role assignments, agreement on
basic parenting principles, and resiliency. These traits help the
family adapt to the stressors of adding a new member.
4. A nursing student is applying the deontological model to an
ethical dilemma in maternity nursing. Which action by the
student is consistent with this theory?
A) The student applies the same ethical rule to all patients
regardless of the specific circumstances
B) The student makes decisions based on the consequences
of actions
C) The student prioritizes the patient's individual rights above
all else
D) The student makes decisions based on what is most
convenient
Correct Answer: A
Rationale: The deontological model bases decisions on
applying ethical principles and moral rules universally, without
varying the solution according to individual situations. An
example would be applying a rule such as "everyone must
wear a mask" regardless of personal circumstances.