NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | 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 (placenta accreta, uterine infection indicators), postpartum
complications (uterine atony interventions, postpartum hemorrhage), and newborn assessment .
Assume standard maternal-fetal parameters unless otherwise specified.
SECTION I: INTRAPARTUM COMPLICATIONS (Questions 1–15)
Q1. The nurse is caring for a patient with placenta accreta. Which of the following is a characteristic of
placenta accreta?
A) Abnormal adherence of the placenta to the uterine wall
B) Placenta previa
C) Placental abruption
D) Postpartum hemorrhage
Answer: A
Rationale: Placenta accreta is characterized by abnormal adherence of the placenta to the uterine wall, which
can lead to difficulty with placental separation and postpartum hemorrhage. It is a risk factor for postpartum
hemorrhage (D) but is not the same condition. Placenta previa (B) and placental abruption (C) are different
placental complications.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Bloom Level: Comprehension
Q2. The nurse is caring for a patient with placenta accreta. Which of the following is the most appropriate
management?
A) Prepare for possible hysterectomy
B) Administer oxytocin to promote placental separation
C) Perform manual removal of the placenta
D) Administer magnesium sulfate
Answer: A
Rationale: Placenta accreta often requires a hysterectomy because the placenta cannot be separated from the
uterine wall without causing massive hemorrhage. Manual removal (C) may cause severe bleeding. Oxytocin
(B) will not correct the abnormal adherence. Magnesium sulfate (D) is for preeclampsia/eclampsia.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Application
Q3. The nurse is caring for a patient in active labor. Which of the following is a sign of uterine infection
(chorioamnionitis)?
A) Maternal fever
B) Fetal tachycardia
C) Uterine tenderness
D) All of the above
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Answer: D
Rationale: Chorioamnionitis is an infection of the amniotic fluid and membranes. Signs include maternal
fever, fetal tachycardia, uterine tenderness, and foul-smelling amniotic fluid. All of the above are signs.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Comprehension
Q4. The nurse is caring for a patient in active labor. The patient has a fever of 38.5°C, fetal tachycardia, and
uterine tenderness. Which of the following is the most likely diagnosis?
A) Chorioamnionitis
B) Endometritis
C) Urinary tract infection
D) Influenza
Answer: A
Rationale: Chorioamnionitis presents with maternal fever, fetal tachycardia, and uterine tenderness.
Endometritis (B) occurs postpartum. UTI (C) presents with dysuria. Influenza (D) presents with respiratory
symptoms.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Analysis
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Q5. The nurse is caring for a patient in active labor. The patient is receiving oxytocin for induction of labor.
The contraction pattern is every 2 minutes, lasting 90 seconds, with a resting tone of 25 mmHg. Which is the
priority nursing action?
A) Stop the oxytocin infusion
B) Decrease the oxytocin infusion rate
C) Notify the provider
D) Administer terbutaline
Answer: A
Rationale: This contraction pattern indicates tachysystole (excessive uterine activity), which can lead to fetal
distress. The oxytocin infusion should be stopped immediately. Decreasing (B) is not sufficient. Notifying
provider (C) and terbutaline (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 in active labor. The patient is receiving oxytocin for induction of labor.
The contraction pattern is every 3 minutes, lasting 60 seconds, with a resting tone of 15 mmHg. Which of the
following is the most appropriate nursing action?
A) Continue the oxytocin infusion as ordered
B) Decrease the oxytocin infusion rate
C) Stop the oxytocin infusion
D) Notify the provider
Answer: A
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | 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 (placenta accreta, uterine infection indicators), postpartum
complications (uterine atony interventions, postpartum hemorrhage), and newborn assessment .
Assume standard maternal-fetal parameters unless otherwise specified.
SECTION I: INTRAPARTUM COMPLICATIONS (Questions 1–15)
Q1. The nurse is caring for a patient with placenta accreta. Which of the following is a characteristic of
placenta accreta?
A) Abnormal adherence of the placenta to the uterine wall
B) Placenta previa
C) Placental abruption
D) Postpartum hemorrhage
Answer: A
Rationale: Placenta accreta is characterized by abnormal adherence of the placenta to the uterine wall, which
can lead to difficulty with placental separation and postpartum hemorrhage. It is a risk factor for postpartum
hemorrhage (D) but is not the same condition. Placenta previa (B) and placental abruption (C) are different
placental complications.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Bloom Level: Comprehension
Q2. The nurse is caring for a patient with placenta accreta. Which of the following is the most appropriate
management?
A) Prepare for possible hysterectomy
B) Administer oxytocin to promote placental separation
C) Perform manual removal of the placenta
D) Administer magnesium sulfate
Answer: A
Rationale: Placenta accreta often requires a hysterectomy because the placenta cannot be separated from the
uterine wall without causing massive hemorrhage. Manual removal (C) may cause severe bleeding. Oxytocin
(B) will not correct the abnormal adherence. Magnesium sulfate (D) is for preeclampsia/eclampsia.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Application
Q3. The nurse is caring for a patient in active labor. Which of the following is a sign of uterine infection
(chorioamnionitis)?
A) Maternal fever
B) Fetal tachycardia
C) Uterine tenderness
D) All of the above
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Answer: D
Rationale: Chorioamnionitis is an infection of the amniotic fluid and membranes. Signs include maternal
fever, fetal tachycardia, uterine tenderness, and foul-smelling amniotic fluid. All of the above are signs.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Comprehension
Q4. The nurse is caring for a patient in active labor. The patient has a fever of 38.5°C, fetal tachycardia, and
uterine tenderness. Which of the following is the most likely diagnosis?
A) Chorioamnionitis
B) Endometritis
C) Urinary tract infection
D) Influenza
Answer: A
Rationale: Chorioamnionitis presents with maternal fever, fetal tachycardia, and uterine tenderness.
Endometritis (B) occurs postpartum. UTI (C) presents with dysuria. Influenza (D) presents with respiratory
symptoms.
Reference: Perry SE, Cashion K, et al. Maternal Child Nursing Care. 7th ed. Elsevier; 2023.
Bloom Level: Analysis
, NR 327 MATERNAL-NEWBORN: INTRAPARTUM & POSTPARTUM COMPLICATIONS
EXAM 3 LATEST 2026/2027 | MOST TESTED | 50 VERIFIED Q&A | NCLEX-STYLE &
NGN-ALIGNED | CHAMBERLAIN | PASS GUARANTEED - A+ GRADED
Q5. The nurse is caring for a patient in active labor. The patient is receiving oxytocin for induction of labor.
The contraction pattern is every 2 minutes, lasting 90 seconds, with a resting tone of 25 mmHg. Which is the
priority nursing action?
A) Stop the oxytocin infusion
B) Decrease the oxytocin infusion rate
C) Notify the provider
D) Administer terbutaline
Answer: A
Rationale: This contraction pattern indicates tachysystole (excessive uterine activity), which can lead to fetal
distress. The oxytocin infusion should be stopped immediately. Decreasing (B) is not sufficient. Notifying
provider (C) and terbutaline (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 in active labor. The patient is receiving oxytocin for induction of labor.
The contraction pattern is every 3 minutes, lasting 60 seconds, with a resting tone of 15 mmHg. Which of the
following is the most appropriate nursing action?
A) Continue the oxytocin infusion as ordered
B) Decrease the oxytocin infusion rate
C) Stop the oxytocin infusion
D) Notify the provider
Answer: A
