NR 327 Latest Update Complete Questions and Answers 100% Verified Exam 2026

NUR 327 NUR 327 NR 327 Latest Update Complete Questions and Answers 100% Verified Exam 2026 Nurse in a prenatal clinic is caring for a client at 7 weeks. Client reports urinary frequency and asks if this will continue after delivery. What is the appropriate response by the nurse? - Correct Ans-This occurs during the first trimester and near the end of pregnancy A nurse is caring for a patient during the first trimester. After reviewing the patient's blood work, the nurse notices that she does not have immunity to rubella, which times should the nurse understand is recommended for the rubella immunization? - Correct Ans-Shortly after birth A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable? - Correct Ans-IUD-intrauterine device A nurse is caring for client, first trimester, ask nurse if she can continue to exercise during pregnancy. Appropriate response? - Correct Ans-Daily jogging for 30/min/day is fine throughout pregnancy A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse? - Correct Ans-"Ambivalent feelings are quite common for women early in pregnancy." A nurse is instructing a female client about check BASAL TEMP to determine client is ovulating. nurse instruct client to check her temp at what time? - Correct Ans-Early in the morning before arising A nurse is caring for client in labor, EF monitor. observe late decels, on the strip and interprets this as? - Correct Ans-Uteroplacental insufficiency (hypoxic) A nurse caring for client, scheduled for a maternal serum alpha fetoprotein test at 15 wks. explanation about test to client? - Correct Ans-Screening test for spiral defects in fetus Neural tube defects NUR 327 NUR 327 Abdominal wall defects Microcephaly Anencephaly A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomfort during the first trimester of pregnancy and warning signs. Instruct the client to call clinic if she experiences which manifestations? - Correct Ans-Facial edema (HTN or preeclampsia) A nurse is providing preconception counseling for a patient who is planning pregnancy. Which supplements should the nurse recommend to prevent neural tube defects in the fetus? - Correct Ans-Folic Acid A nurse in the prenatal clinic is completing a skin assessment for a patient in the 2nd trimester. What are expected findings? - Correct Ans-Linea nigra Chloasma Striae gravidarum A nurse is leading a discussion about contraception with a group of 14-year-old clients. After presentation, a client asks which method would be best for her to use? Which is the most appropriate response by the nurse? - Correct Ans-Before I can help you, I must know more about your sexual activity A nurse is providing teaching to a client about nutrition at her first prenatal visit. What should be included in the teaching? - Correct Ans-You will need to double your intake of iron during pregnancy A nurse is caring for a client in a prenatal visit. BMI is 26.5. Client asks how much weight she should gain during pregnancy. What is the most appropriate response by the nurse? - Correct Ans-The recommendation for you is 15-25 lbs (BMI of 25-29.9 is considered overweight) A nurse is caring for a client who is to undergo a biophysical profile (BPP). The client asks the nurse what is being evaluated. What should the nurse include? - Correct Ans Fetal breathing Fetal motion Amniotic fluid A nurse is preparing to measure the fundal height of a client who is 22 weeks pregnant. At which location should the nurse palpate the fundus? - Correct Ans-Slightly above the umbilicus A nurse in a prenatal clinic is caring for a client who is 12 weeks pregnant and asks abut the cause of her heartburn. Which response by the nurse is most appropriate? - Correct Ans-Increased progesterone production causes decreased motility of smooth muscle NUR 327 NUR 327 A nurse in a prenatal clinic is reviewing the record of a client who is at 28 weeks of gestation. The history includes 1 pregnancy, terminated at 9 weeks, birth of twins at 36 weeks, and an abortion at 15 weeks. What is the GTPAL for this patient? - Correct Ans G 4 T 0 P 1 A 2 L 2 A nurse is teaching a fetal development class to a group of clients at an antenatal clinic. The nurse should include which in the teaching? - Correct Ans-The baby's heart beat is audible by a doppler stethoscope at 12 weeks of pregnancy Quickening the feeling of fetal movement begins at 14 to 16 weeks in multiparous and week 18 or later in nulliparous A nurse in a prenatal clinic is caring for a client who asks what her EDD is. Her LMP was May 4, 2015. Which of the following is an appropriate response by the nurse? - Correct Ans-February 11, 2016 A nurse in L&D is caring for a client who is undergoing EFM. The nurse observes the FHR begins to slow after the start of contraction. The lowest rate occurs after the peak of the contraction. What is the priority action by the nurse? - Correct Ans-Place the client in the lateral position Late decel, fetal hypoxemia due to insufficient placental perfusion A nurse is caring for a client who is to undergo amniotomy. What is the priority action of the nurse? - Correct Ans-Assess the FHR pattern A nurse in a clinic is reviewing the medical records for clients who are pregnant. The nurse anticipates that the doctor will order a maternal serum alpha fetoprotein screening for which of the following patients? - Correct Ans-All pregnant women Contraction stress test indicates - Correct Ans-Late decelerations occur with 50% of more of the contraction Even if fewer than 3 contractions occur in a 10 minute period What is the term for a non-stress test in which there are two or more fetal heart rate accelerations of 15 or more bpm with fetal movement in a 20-minute period? - Correct Ans-Reactive Patient is 36 weeks pregnant and is having an amniocentesis. Patient asks why she is having an ultrasound? - Correct Ans-To identify the location of the placenta and fetus You are caring for a client who is at 38 weeks gestation and is undergoing a contraction stress test. The test was negative, what does this mean? - Correct Ans-There is no evidence of utero placental insufficiency NUR 327 NUR 327 Implantation takes place - Correct Ans-2-3 weeks after conception Sperm can survive - Correct Ans-2-3 days in the female reproductive tract Amniocentesis done at 15 weeks gestation. The prupose of the test is to - Correct Ans Check for any anomalies in chromosomes, neural tube defects, and fetal gender Semen analysis - Correct Ans-No ejaculation for 2-5 days prior to the test Patient is 38 weeks pregnant and is experiencing polyhydramnios - Correct Ans Excessive amounts of amniotic fluid Teach a patient who is planning to become pregnant about changes she should expect. Identify the sequence she should expect: - Correct Ans-Amenorrhea Goodell's sign Quickening Lighting A contraindication for a diaphragm is - Correct Ans-Client who has pelvic relaxation and large cystocele (bulge of bladder into the vagina) Checking the fetal heart tone of a client who is at 12 weeks; which of the following actions by the nurse indicates a need of intervention by the charge nurse? - Correct Ans-The nurse is using a fetoscope instead of a doppler A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching? - Correct Ans-It is recommended that pregnant women receive annual influenza vaccinations. Fetal heart rate variability is effected by - Correct Ans-Fetal sleep Gestational age Fetal anomalies A nurse is assessing a client who is in active labor and notes the presenting part is 0 station. What is the correct interpretation of this clinical finding? - Correct Ans-The lowermost portion of the fetus is at the level of the ischial spines A nurse is caring for a client who is in the first stage of labor and is undergoing external FHR and receiving IV fluids. The nurse observes variable decel in the FHR on the monitor strip. What is the correct interpretation? - Correct Ans-Variable decel is due to umbilical cord compression A nurse is caring for a client who is 39 weeks pregnant and is in active labor. The nurse locates the fetal heart tones above the umbilicus at midline. She should suspect the fetal is in which position? - Correct Ans-Frank breach NUR 327 A nurse is caring for a patient in labor. Which of the following reflects application of the gate control theory of pain? - Correct Ans-Massage the patient's back A nurse on the L&D unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which contributing causes should the nurse identify? - Correct Ans-Fetal position is persistent in the occipital posterior A patient who is at 32 weeks gestation believes she is in labor. Findings confirm cervical dilation - Correct Ans-Cervical dilation in effacement indicate true labor Epidural is given for pain relief. What is a complication? - Correct Ans-Hypotension A nurse is caring for a client at 40 weeks in active labor, 6cm, 100%. Patient's BP is 82/52. What is the priority nursing intervention? - Correct Ans-Assist the client to turn onto her side At 38 weeks' gestation, a client is in the first stage of labor and the assessment shows a continuous contraction lasting 2 minutes. What is the nurse's priority concern? - Correct Ans-90 seconds is a sign of tetany and the uterus could rupture A 1. nurse is caring for client, 1st stage of labor, undergoing external FHR and receiving IV fluids. The nurse observes variable decel in the FHR on the monitor strip. What is the correct interpretation? - Correct Ans-Variable decel is due to umbilical cord progression Contraceptives - Correct Ans-No smoking Lordosis - Correct Ans-Common in the third trimester Late deceleration - Correct Ans-Put patient on her side NUR 327