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NR327 / NR 327 Maternal-Child Nursing Practice Final Exam 2
ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
NR327 / NR 327 Maternal-Child Nursing Practice Final Exam 2 (Chamberlain University)
Comprehensive Maternal Assessment (Core Framework)
This final examination emphasizes safe, evidence-based nursing care across pregnancy, labor,
postpartum, newborn, and pediatric care. Questions commonly assess clinical judgment,
prioritization, recognition of complications, and nursing interventions. Practice materials
consistently focus on identifying maternal and neonatal emergencies and selecting the highest-
priority nursing action.
Antepartum Nursing Care
High-Risk Pregnancy
Frequently tested topics include:
Gestational hypertension
Preeclampsia and eclampsia
HELLP syndrome
Gestational diabetes
Placenta previa
Placental abruption
Preterm labor
Premature rupture of membranes (PROM)
Candidates should prioritize maternal stabilization while monitoring fetal well-being.
Fetal Assessment & Monitoring
Topics include:
Fetal heart rate baseline
Variability
Accelerations
Early decelerations
Variable decelerations
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Late decelerations
Non-stress tests (NST)
Biophysical profiles (BPP)
Interpreting fetal heart rate patterns and initiating appropriate nursing interventions are among
the highest-yield exam topics.
Labor & Delivery
Obstetric Emergencies
Postpartum Nursing Care
Newborn Assessment & Care
Newborn Complications
Infant & Pediatric Nursing
Breastfeeding & Newborn Nutrition
Pediatric Safety & Family Education
Pharmacology in Maternal-Child Nursing
NR327 / NR 327 Maternal-Child Nursing Practice Final Exam 2 – 300 Practice Questions
Question 1
A nurse is caring for a client who is in active labor and has had no cervical change for the last 3
hours despite adequate contractions. Which action should the nurse take FIRST?
A) Reassess the client for cephalopelvic disproportion
B) Administer oxytocin as prescribed
C) Provide emotional support and position changes
D) Notify the healthcare provider
Answer: C
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Rationale: Prolonged active phase of labor (no cervical change >2 hours) requires nursing
intervention before medical intervention. Position changes can help progress labor; if no
change, notifying the provider is the next step. The nurse should first attempt conservative
measures.
Question 2
What is the initial nursing action when a client with preeclampsia has a seizure?
A) Maintain airway and call for help
B) Immediately administer magnesium sulfate
C) Position client in Trendelenburg
D) Cover the client with a blanket
Answer: A
Rationale: During an eclamptic seizure, the priority is to maintain the airway and call for help.
Magnesium sulfate may be administered after the seizure ends; Trendelenburg is not
recommended because it could increase intracranial pressure.
Question 3
A nurse is assessing a newborn who is 5 minutes old and has acrocyanosis, a heart rate of 130
bpm, active movement, and a vigorous cry. What APGAR score should the nurse assign?
A) 6
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B) 7
C) 8
D) 9
Answer: D
Rationale: The newborn would receive: Heart rate 130 (>100 bpm) = 2, Respiratory effort
(vigorous cry) = 2, Muscle tone (active movement) = 2, Reflex irritability (vigorous cry) = 2, Color
(acrocyanosis) = 1. Total = 9.
Question 4
What should a nurse monitor for in a client receiving magnesium sulfate for preeclampsia?
A) Deep tendon reflexes, respiratory rate, and urine output
B) Blood pressure, heart rate, and temperature
C) Fetal heart rate and uterine activity
D) Liver function tests and platelet count
Answer: A
Rationale: Magnesium sulfate toxicity manifests as loss of deep tendon reflexes, respiratory
depression, and oliguria. The nurse should monitor DTRs, respiratory rate, and urine output.
Question 5
NR327 / NR 327 Maternal-Child Nursing Practice Final Exam 2
ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
NR327 / NR 327 Maternal-Child Nursing Practice Final Exam 2 (Chamberlain University)
Comprehensive Maternal Assessment (Core Framework)
This final examination emphasizes safe, evidence-based nursing care across pregnancy, labor,
postpartum, newborn, and pediatric care. Questions commonly assess clinical judgment,
prioritization, recognition of complications, and nursing interventions. Practice materials
consistently focus on identifying maternal and neonatal emergencies and selecting the highest-
priority nursing action.
Antepartum Nursing Care
High-Risk Pregnancy
Frequently tested topics include:
Gestational hypertension
Preeclampsia and eclampsia
HELLP syndrome
Gestational diabetes
Placenta previa
Placental abruption
Preterm labor
Premature rupture of membranes (PROM)
Candidates should prioritize maternal stabilization while monitoring fetal well-being.
Fetal Assessment & Monitoring
Topics include:
Fetal heart rate baseline
Variability
Accelerations
Early decelerations
Variable decelerations
, Page 2 of 177
Late decelerations
Non-stress tests (NST)
Biophysical profiles (BPP)
Interpreting fetal heart rate patterns and initiating appropriate nursing interventions are among
the highest-yield exam topics.
Labor & Delivery
Obstetric Emergencies
Postpartum Nursing Care
Newborn Assessment & Care
Newborn Complications
Infant & Pediatric Nursing
Breastfeeding & Newborn Nutrition
Pediatric Safety & Family Education
Pharmacology in Maternal-Child Nursing
NR327 / NR 327 Maternal-Child Nursing Practice Final Exam 2 – 300 Practice Questions
Question 1
A nurse is caring for a client who is in active labor and has had no cervical change for the last 3
hours despite adequate contractions. Which action should the nurse take FIRST?
A) Reassess the client for cephalopelvic disproportion
B) Administer oxytocin as prescribed
C) Provide emotional support and position changes
D) Notify the healthcare provider
Answer: C
, Page 3 of 177
Rationale: Prolonged active phase of labor (no cervical change >2 hours) requires nursing
intervention before medical intervention. Position changes can help progress labor; if no
change, notifying the provider is the next step. The nurse should first attempt conservative
measures.
Question 2
What is the initial nursing action when a client with preeclampsia has a seizure?
A) Maintain airway and call for help
B) Immediately administer magnesium sulfate
C) Position client in Trendelenburg
D) Cover the client with a blanket
Answer: A
Rationale: During an eclamptic seizure, the priority is to maintain the airway and call for help.
Magnesium sulfate may be administered after the seizure ends; Trendelenburg is not
recommended because it could increase intracranial pressure.
Question 3
A nurse is assessing a newborn who is 5 minutes old and has acrocyanosis, a heart rate of 130
bpm, active movement, and a vigorous cry. What APGAR score should the nurse assign?
A) 6
, Page 4 of 177
B) 7
C) 8
D) 9
Answer: D
Rationale: The newborn would receive: Heart rate 130 (>100 bpm) = 2, Respiratory effort
(vigorous cry) = 2, Muscle tone (active movement) = 2, Reflex irritability (vigorous cry) = 2, Color
(acrocyanosis) = 1. Total = 9.
Question 4
What should a nurse monitor for in a client receiving magnesium sulfate for preeclampsia?
A) Deep tendon reflexes, respiratory rate, and urine output
B) Blood pressure, heart rate, and temperature
C) Fetal heart rate and uterine activity
D) Liver function tests and platelet count
Answer: A
Rationale: Magnesium sulfate toxicity manifests as loss of deep tendon reflexes, respiratory
depression, and oliguria. The nurse should monitor DTRs, respiratory rate, and urine output.
Question 5
