NR 327 Maternal-Child Nursing –
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. This 100-question exam covers key concepts for exams 1, 2,
and 3.
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.
EXAM 1: FOUNDATIONS, ANTEPARTUM & EARLY
PREGNANCY
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.
5. The nurse manager is updating the unit's policies on delegation. Which
document should the nurse consult first to ensure compliance with legal
standards of care?
A) The agency's policies and procedures manual
B) The state's Nurse Practice Act
C) The hospital's patient bill of rights
D) The American Nurses Association Code of Ethics
Correct Answer: B
Rationale: Nurse Practice Acts are state laws that determine the legal
scope of practice for RNs and specify what tasks can be delegated. These
laws take precedence over agency policies when determining legal
compliance.
6. The nurse is working in a birth center. Which characteristic is unique to
this setting compared to a traditional hospital birth?
A) The center is located within a hospital
B) The center is a free-standing facility separate from a hospital, designed
for low-risk births
C) The center requires all patients to have continuous fetal monitoring
D) The center only provides care for high-risk pregnancies
Correct Answer: B
Rationale: A birth center is a homelike, free-standing facility that is less
expensive than a hospital and offers a low-tech, family-centered
environment. LDRP rooms, in contrast, are still located within a hospital.
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. This 100-question exam covers key concepts for exams 1, 2,
and 3.
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.
EXAM 1: FOUNDATIONS, ANTEPARTUM & EARLY
PREGNANCY
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.
5. The nurse manager is updating the unit's policies on delegation. Which
document should the nurse consult first to ensure compliance with legal
standards of care?
A) The agency's policies and procedures manual
B) The state's Nurse Practice Act
C) The hospital's patient bill of rights
D) The American Nurses Association Code of Ethics
Correct Answer: B
Rationale: Nurse Practice Acts are state laws that determine the legal
scope of practice for RNs and specify what tasks can be delegated. These
laws take precedence over agency policies when determining legal
compliance.
6. The nurse is working in a birth center. Which characteristic is unique to
this setting compared to a traditional hospital birth?
A) The center is located within a hospital
B) The center is a free-standing facility separate from a hospital, designed
for low-risk births
C) The center requires all patients to have continuous fetal monitoring
D) The center only provides care for high-risk pregnancies
Correct Answer: B
Rationale: A birth center is a homelike, free-standing facility that is less
expensive than a hospital and offers a low-tech, family-centered
environment. LDRP rooms, in contrast, are still located within a hospital.
