NR 327 CMS MATERNAL AND NEONATAL CARE
EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
1. What is one benefit of internal fetal heart monitoring mentioned in the
text?
It provides real-time feedback on maternal health.
It can detect abnormal fetal heart tones (FHT) early.
It requires less maternal movement.
It is less invasive than external monitoring.
2. A client in active labor has requested epidural anesthesia for pain
management. The anesthetist has completed an evaluation, and the
nurse has initiated an intravenous fluid bolus. The client's partner asks
why this is necessary. What is the best explanation?
There is a risk of hypotension, and the large amount of IV fluid
reduces this risk.
It is the policy of the institution to provide 2 bags of lactated
Ringer solution.
Giving the large amount of IV fluid is a means of hydrating the
client when she is unable to drink.
The client must be given 500 mL of fluid to ascertain that the line
is patent.
3. What behavior in a newborn (NB) typically indicates readiness to feed?
Sleeping soundly
Turning their head away from the breast
Attempts to place their hand in their mouth
Crying loudly
,4. What is one of the key data points a nurse should assess in clients
experiencing infertility?
Family history of diabetes
Travel history
Menstrual history
Current medications
5. A nurse is providing care for a client who is in preterm labor at 32
weeks of gestation. Which of the following medications should the nurse
anticipate the provider will prescribe to hasten fetal lung maturity?
Infomethacin
Betamethasone
Calcium gluconate
Nifedipine
6. A client who is at 7 weeks of gestation is experiencing N/V in the
morning. Which of the following should the nurse include?
Eat crackers or plain toast before getting out of bed
Eat a large evening meal
Skip breakfast and eat lunch after nausea has subsided
Awaken during the night to eat a snack
7. After client had salpingecgomy, which of the following statements by
the client needs clarification:
It's good to know that I won't have a tubal pregnancy in the
future.
Ovulation can still occur because my ovaries were not affected.
, The doctor said the surgery can affect my ability to get pregnant
again.
i understand that one of my fallopian tubes had to be removed.
8. In a scenario where a nurse identifies that a client with postpartum
psychosis is expressing suicidal thoughts, what should be the nurse's
immediate course of action?
Schedule a follow-up appointment for the client.
Ensure the client is in a safe environment and initiate a
psychiatric evaluation.
Provide the client with educational materials about postpartum
care.
Encourage the client to talk about their feelings with family
members.
9. Describe why IV fluids are administered to a client after receiving an
epidural block.
IV fluids are given to hydrate the client before labor begins.
IV fluids are administered to help maintain blood pressure and
prevent hypotension associated with the epidural.
IV fluids are used to speed up the labor process.
IV fluids are necessary for fetal monitoring during labor.
10. Describe the significance of monitoring respiratory rate, urine output,
and level of consciousness in a patient receiving magnesium sulfate for
severe preeclampsia.
They are only important for assessing fluid balance, not toxicity.
These parameters are unrelated to magnesium sulfate
administration.
, Monitoring these parameters helps identify magnesium sulfate
toxicity, which can lead to serious complications.
Monitoring is only necessary during the first hour of
administration.
11. Why is it important for a breastfeeding mother with mastitis to
completely empty each breast at each feeding?
It prevents the baby from getting enough milk.
It allows for more time between feedings.
Completely emptying each breast helps to reduce the risk of
further infection and promotes milk flow.
It is necessary to switch to formula feeding.
12. A nurse is caring for a client who is in the transition phase of labor and
reports that she needs to have a bowel movement with the peak of
contractions. Which of the following actions should the nurse take?
Prepare to remove a fecal impaction.
Prepare for an impending delivery.
Assist client to the bathroom.
Encourage the client to take deep cleansing breaths
13. Why might the hands and knees position be beneficial for a client
experiencing back pain during labor?
The hands and knees position is primarily for fetal monitoring.
The hands and knees position prevents the fetus from
descending.
The hands and knees position can help relieve pressure on the
back and encourage fetal rotation.
EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
1. What is one benefit of internal fetal heart monitoring mentioned in the
text?
It provides real-time feedback on maternal health.
It can detect abnormal fetal heart tones (FHT) early.
It requires less maternal movement.
It is less invasive than external monitoring.
2. A client in active labor has requested epidural anesthesia for pain
management. The anesthetist has completed an evaluation, and the
nurse has initiated an intravenous fluid bolus. The client's partner asks
why this is necessary. What is the best explanation?
There is a risk of hypotension, and the large amount of IV fluid
reduces this risk.
It is the policy of the institution to provide 2 bags of lactated
Ringer solution.
Giving the large amount of IV fluid is a means of hydrating the
client when she is unable to drink.
The client must be given 500 mL of fluid to ascertain that the line
is patent.
3. What behavior in a newborn (NB) typically indicates readiness to feed?
Sleeping soundly
Turning their head away from the breast
Attempts to place their hand in their mouth
Crying loudly
,4. What is one of the key data points a nurse should assess in clients
experiencing infertility?
Family history of diabetes
Travel history
Menstrual history
Current medications
5. A nurse is providing care for a client who is in preterm labor at 32
weeks of gestation. Which of the following medications should the nurse
anticipate the provider will prescribe to hasten fetal lung maturity?
Infomethacin
Betamethasone
Calcium gluconate
Nifedipine
6. A client who is at 7 weeks of gestation is experiencing N/V in the
morning. Which of the following should the nurse include?
Eat crackers or plain toast before getting out of bed
Eat a large evening meal
Skip breakfast and eat lunch after nausea has subsided
Awaken during the night to eat a snack
7. After client had salpingecgomy, which of the following statements by
the client needs clarification:
It's good to know that I won't have a tubal pregnancy in the
future.
Ovulation can still occur because my ovaries were not affected.
, The doctor said the surgery can affect my ability to get pregnant
again.
i understand that one of my fallopian tubes had to be removed.
8. In a scenario where a nurse identifies that a client with postpartum
psychosis is expressing suicidal thoughts, what should be the nurse's
immediate course of action?
Schedule a follow-up appointment for the client.
Ensure the client is in a safe environment and initiate a
psychiatric evaluation.
Provide the client with educational materials about postpartum
care.
Encourage the client to talk about their feelings with family
members.
9. Describe why IV fluids are administered to a client after receiving an
epidural block.
IV fluids are given to hydrate the client before labor begins.
IV fluids are administered to help maintain blood pressure and
prevent hypotension associated with the epidural.
IV fluids are used to speed up the labor process.
IV fluids are necessary for fetal monitoring during labor.
10. Describe the significance of monitoring respiratory rate, urine output,
and level of consciousness in a patient receiving magnesium sulfate for
severe preeclampsia.
They are only important for assessing fluid balance, not toxicity.
These parameters are unrelated to magnesium sulfate
administration.
, Monitoring these parameters helps identify magnesium sulfate
toxicity, which can lead to serious complications.
Monitoring is only necessary during the first hour of
administration.
11. Why is it important for a breastfeeding mother with mastitis to
completely empty each breast at each feeding?
It prevents the baby from getting enough milk.
It allows for more time between feedings.
Completely emptying each breast helps to reduce the risk of
further infection and promotes milk flow.
It is necessary to switch to formula feeding.
12. A nurse is caring for a client who is in the transition phase of labor and
reports that she needs to have a bowel movement with the peak of
contractions. Which of the following actions should the nurse take?
Prepare to remove a fecal impaction.
Prepare for an impending delivery.
Assist client to the bathroom.
Encourage the client to take deep cleansing breaths
13. Why might the hands and knees position be beneficial for a client
experiencing back pain during labor?
The hands and knees position is primarily for fetal monitoring.
The hands and knees position prevents the fetus from
descending.
The hands and knees position can help relieve pressure on the
back and encourage fetal rotation.
