NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
INSTRUCTIONS
Select the single best answer for each question.
Each question has one correct answer and three plausible distractors.
Questions cover intrapartum complications, postpartum complications, newborn assessment, postpartum
hemorrhage, uterine atony, retained placental fragments, placenta accreta, uterine infection, contraceptive
methods, and postpartum depression
Assume standard maternal-fetal parameters unless otherwise specified.
SECTION I: INTRAPARTUM COMPLICATIONS (Questions 1–15)
Q1. A patient at 39 weeks gestation is in active labor. The nurse notes that the fetal heart rate drops to 60 bpm
for 3 minutes following a prolonged contraction. The nurse recognizes this as:
A) Prolonged deceleration
B) Late deceleration
C) Variable deceleration
D) Early deceleration
Answer: A
Rationale: A prolonged deceleration lasts more than 2 minutes but less than 10 minutes. It is a sign of fetal
distress and requires immediate intervention. Late decelerations (B) are recurrent, gradual decreases in FHR
that begin after the peak of the contraction and return to baseline after the contraction ends. Variable
decelerations (C) are abrupt decreases in FHR that vary in timing. Early decelerations (D) are benign and
mirror the contraction pattern .
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Analysis
Q2. The nurse is caring for a patient who is 40 weeks gestation and in active labor. The fetal heart rate tracing
shows late decelerations with minimal variability. Which of the following is the priority nursing action?
A) Turn the patient to her left side
B) Administer oxygen at 10 L/min via face mask
C) Increase the IV fluid rate
D) Notify the provider immediately
Answer: D
Rationale: Late decelerations with minimal variability indicate significant uteroplacental insufficiency and
possible fetal acidosis. The provider should be notified immediately for possible expedited delivery.
Repositioning (A), oxygen (B), and IV fluids (C) should be done simultaneously, but provider notification is
the priority .
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q3. The nurse is caring for a patient who is 38 weeks gestation and in active labor. The fetal heart rate tracing
shows variable decelerations. Which of the following is the priority nursing action?
A) Position the patient to relieve cord compression
B) Administer oxygen at 10 L/min via face mask
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
C) Increase the IV fluid rate
D) Notify the provider immediately
Answer: A
Rationale: Variable decelerations are caused by cord compression. Repositioning the patient (lateral, knee-
chest, or Trendelenburg position) can relieve cord compression. Oxygen (B), IV fluids (C), and provider
notification (D) are subsequent steps if repositioning is ineffective .
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q4. The nurse is caring for a patient who is 39 weeks gestation and in active labor. The fetal heart rate tracing
shows a pattern of minimal variability with no accelerations. Which of the following is the priority nursing
action?
A) Notify the provider immediately
B) Stimulate the fetal scalp to assess reactivity
C) Administer oxygen at 10 L/min via face mask
D) Turn the patient to her left side
Answer: A
Rationale: Minimal variability with no accelerations is a concerning pattern that may indicate fetal acidosis.
The provider should be notified immediately. Fetal scalp stimulation (B) may be used to assess fetal well-being
but should not delay provider notification. Oxygen (C) and repositioning (D) are appropriate but not the
priority .
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q5. A patient at 40 weeks gestation is in active labor. The nurse notes a prolapsed umbilical cord. Which of
the following is the priority nursing action?
A) Relieve cord compression by elevating the presenting part
B) Administer oxygen at 10 L/min via face mask
C) Notify the provider immediately
D) Prepare for immediate cesarean section
Answer: A
Rationale: In a prolapsed cord, the priority is to relieve cord compression by elevating the presenting part
(using a sterile gloved hand) and positioning the patient in knee-chest or Trendelenburg position to reduce
pressure on the cord. Oxygen (B), provider notification (C), and preparation for cesarean section (D) are
subsequent steps .
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q6. The nurse is caring for a patient who is 38 weeks gestation and in active labor. The patient's cervix is fully
dilated, and the patient is pushing. The fetal heart rate drops to 80 bpm during pushing. Which of the
following is the priority nursing action?
A) Instruct the patient to stop pushing
B) Administer oxygen at 10 L/min via face mask
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
INSTRUCTIONS
Select the single best answer for each question.
Each question has one correct answer and three plausible distractors.
Questions cover intrapartum complications, postpartum complications, newborn assessment, postpartum
hemorrhage, uterine atony, retained placental fragments, placenta accreta, uterine infection, contraceptive
methods, and postpartum depression
Assume standard maternal-fetal parameters unless otherwise specified.
SECTION I: INTRAPARTUM COMPLICATIONS (Questions 1–15)
Q1. A patient at 39 weeks gestation is in active labor. The nurse notes that the fetal heart rate drops to 60 bpm
for 3 minutes following a prolonged contraction. The nurse recognizes this as:
A) Prolonged deceleration
B) Late deceleration
C) Variable deceleration
D) Early deceleration
Answer: A
Rationale: A prolonged deceleration lasts more than 2 minutes but less than 10 minutes. It is a sign of fetal
distress and requires immediate intervention. Late decelerations (B) are recurrent, gradual decreases in FHR
that begin after the peak of the contraction and return to baseline after the contraction ends. Variable
decelerations (C) are abrupt decreases in FHR that vary in timing. Early decelerations (D) are benign and
mirror the contraction pattern .
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Analysis
Q2. The nurse is caring for a patient who is 40 weeks gestation and in active labor. The fetal heart rate tracing
shows late decelerations with minimal variability. Which of the following is the priority nursing action?
A) Turn the patient to her left side
B) Administer oxygen at 10 L/min via face mask
C) Increase the IV fluid rate
D) Notify the provider immediately
Answer: D
Rationale: Late decelerations with minimal variability indicate significant uteroplacental insufficiency and
possible fetal acidosis. The provider should be notified immediately for possible expedited delivery.
Repositioning (A), oxygen (B), and IV fluids (C) should be done simultaneously, but provider notification is
the priority .
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q3. The nurse is caring for a patient who is 38 weeks gestation and in active labor. The fetal heart rate tracing
shows variable decelerations. Which of the following is the priority nursing action?
A) Position the patient to relieve cord compression
B) Administer oxygen at 10 L/min via face mask
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
C) Increase the IV fluid rate
D) Notify the provider immediately
Answer: A
Rationale: Variable decelerations are caused by cord compression. Repositioning the patient (lateral, knee-
chest, or Trendelenburg position) can relieve cord compression. Oxygen (B), IV fluids (C), and provider
notification (D) are subsequent steps if repositioning is ineffective .
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q4. The nurse is caring for a patient who is 39 weeks gestation and in active labor. The fetal heart rate tracing
shows a pattern of minimal variability with no accelerations. Which of the following is the priority nursing
action?
A) Notify the provider immediately
B) Stimulate the fetal scalp to assess reactivity
C) Administer oxygen at 10 L/min via face mask
D) Turn the patient to her left side
Answer: A
Rationale: Minimal variability with no accelerations is a concerning pattern that may indicate fetal acidosis.
The provider should be notified immediately. Fetal scalp stimulation (B) may be used to assess fetal well-being
but should not delay provider notification. Oxygen (C) and repositioning (D) are appropriate but not the
priority .
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM
COMPLICATIONS EXAM 2 LATEST 2026/2027 | MOST TESTED | 50 NGN-
ALIGNED Q&A | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q5. A patient at 40 weeks gestation is in active labor. The nurse notes a prolapsed umbilical cord. Which of
the following is the priority nursing action?
A) Relieve cord compression by elevating the presenting part
B) Administer oxygen at 10 L/min via face mask
C) Notify the provider immediately
D) Prepare for immediate cesarean section
Answer: A
Rationale: In a prolapsed cord, the priority is to relieve cord compression by elevating the presenting part
(using a sterile gloved hand) and positioning the patient in knee-chest or Trendelenburg position to reduce
pressure on the cord. Oxygen (B), provider notification (C), and preparation for cesarean section (D) are
subsequent steps .
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q6. The nurse is caring for a patient who is 38 weeks gestation and in active labor. The patient's cervix is fully
dilated, and the patient is pushing. The fetal heart rate drops to 80 bpm during pushing. Which of the
following is the priority nursing action?
A) Instruct the patient to stop pushing
B) Administer oxygen at 10 L/min via face mask
