Chamberlain University NR-327 Exam 1 (pdf) | 2026/2027 | Maternal-
Child Q&A | Maternal-Child Nursing.
1. A nurse is explaining the role of a Certified Nurse-Midwife (CNM) to a
group of nursing students. Which statement accurately describes this role?
A) A CNM is a registered nurse who provides physical and emotional support
during labor but does not perform clinical tasks
B) A CNM is an advanced practice RN who provides comprehensive care to
low-risk women during pregnancy, childbirth, and the postpartum period
C) A CNM is a physician who specializes in high-risk obstetrics and performs
cesarean sections
D) A CNM is a layperson who provides continuous support during labor but
has no formal medical training
Correct Answer: A CNM is an advanced practice RN who provides
comprehensive care to low-risk women during pregnancy, childbirth, and the
postpartum period
Rationale: Certified Nurse-Midwives (CNMs) are advanced practice registered
nurses who provide complete care for low-risk pregnancies, including
deliveries, and focus on a noninterventionist, supportive approach. They
consult with physicians when complications arise. Doulas provide emotional
and physical support but do not perform clinical care.
2. A nurse is reviewing the characteristics of a functional family. Which
finding should the nurse identify as supporting a healthy family dynamic?
A) Family members rarely communicate with one another about feelings
B) Roles within the family are rigid and unchangeable
C) Family members demonstrate open communication with one another
D) The family avoids discussing parenting principles to prevent conflict
,Correct Answer: Family members demonstrate open communication with one
another
Rationale: Functional families are characterized by open communication,
flexibility in role assignments, agreement on basic parenting principles, and
resiliency. These traits help the family adapt to the stressors of adding a new
member. Rigid roles and avoidance of communication are signs of
dysfunctional family dynamics.
3. A nursing student is applying the deontological model to an ethical
dilemma in maternity nursing. Which action by the student is consistent with
this theory?
A) The student evaluates each situation individually and varies the solution
based on the specific circumstances
B) The student applies the same ethical rule to all patients regardless of the
specific circumstances
C) The student makes decisions based on achieving the greatest good for the
greatest number of people
D) The student bases decisions on the potential outcomes and consequences
of each action
Correct Answer: The student applies the same ethical rule to all patients
regardless of the specific circumstances
Rationale: The deontological model bases decisions on applying ethical
principles and moral rules universally, without varying the solution according
to individual situations. In contrast, utilitarianism focuses on the greatest
good for the greatest number, and consequentialism focuses on outcomes.
4. The nurse manager is updating the unit's policies on delegation. Which
document should the nurse consult first to ensure compliance with legal
standards of care?
,A) The American Nurses Association Code of Ethics
B) The hospital's policy and procedure manual
C) The state's Nurse Practice Act
D) The Joint Commission standards
Correct Answer: The state's Nurse Practice Act
Rationale: Nurse Practice Acts are state laws that determine the legal scope
of practice for RNs and specify what tasks can be delegated. While other
documents provide guidance, the Nurse Practice Act is the primary legal
authority for nursing practice and delegation.
5. A nurse is providing preconception counseling to a client who is planning a
pregnancy. Which supplement should the nurse recommend to help prevent
neural tube defects in the fetus?
A) Calcium
B) Iron
C) Folic acid
D) Vitamin D
Correct Answer: Folic acid
Rationale: Folic acid supplementation before conception and during early
pregnancy significantly reduces the risk of neural tube defects such as spina
bifida and anencephaly. The recommended daily dose is 400-800 mcg. Iron is
important for preventing anemia, calcium for bone health, and vitamin D for
calcium absorption.
, 6. A nurse in a prenatal clinic is caring for a client at 7 weeks of gestation.
The client reports urinary frequency and asks if this will continue throughout
the pregnancy. Which response by the nurse is most appropriate?
A) "Urinary frequency occurs only during the first trimester."
B) "Urinary frequency is common during the first trimester and again near
the end of pregnancy."
C) "Urinary frequency is a sign of a urinary tract infection and should be
evaluated."
D) "Urinary frequency will continue throughout the entire pregnancy without
relief."
Correct Answer: "Urinary frequency is common during the first trimester and
again near the end of pregnancy."
Rationale: Urinary frequency is common in the first trimester due to
hormonal changes and the enlarging uterus pressing on the bladder. It often
improves in the second trimester as the uterus rises into the abdominal
cavity. It returns in the third trimester as the fetus descends into the pelvis,
increasing pressure on the bladder.
7. A nurse is caring for a client during the first trimester. After reviewing the
client's blood work, the nurse notes that the client does not have immunity
to rubella. At which time should the nurse understand that rubella
immunization is recommended?
A) Immediately during the first trimester
B) Shortly after birth
C) At the 28-week prenatal visit
D) During the third trimester
Correct Answer: Shortly after birth
Child Q&A | Maternal-Child Nursing.
1. A nurse is explaining the role of a Certified Nurse-Midwife (CNM) to a
group of nursing students. Which statement accurately describes this role?
A) A CNM is a registered nurse who provides physical and emotional support
during labor but does not perform clinical tasks
B) A CNM is an advanced practice RN who provides comprehensive care to
low-risk women during pregnancy, childbirth, and the postpartum period
C) A CNM is a physician who specializes in high-risk obstetrics and performs
cesarean sections
D) A CNM is a layperson who provides continuous support during labor but
has no formal medical training
Correct Answer: A CNM is an advanced practice RN who provides
comprehensive care to low-risk women during pregnancy, childbirth, and the
postpartum period
Rationale: Certified Nurse-Midwives (CNMs) are advanced practice registered
nurses who provide complete care for low-risk pregnancies, including
deliveries, and focus on a noninterventionist, supportive approach. They
consult with physicians when complications arise. Doulas provide emotional
and physical support but do not perform clinical care.
2. A nurse is reviewing the characteristics of a functional family. Which
finding should the nurse identify as supporting a healthy family dynamic?
A) Family members rarely communicate with one another about feelings
B) Roles within the family are rigid and unchangeable
C) Family members demonstrate open communication with one another
D) The family avoids discussing parenting principles to prevent conflict
,Correct Answer: Family members demonstrate open communication with one
another
Rationale: Functional families are characterized by open communication,
flexibility in role assignments, agreement on basic parenting principles, and
resiliency. These traits help the family adapt to the stressors of adding a new
member. Rigid roles and avoidance of communication are signs of
dysfunctional family dynamics.
3. A nursing student is applying the deontological model to an ethical
dilemma in maternity nursing. Which action by the student is consistent with
this theory?
A) The student evaluates each situation individually and varies the solution
based on the specific circumstances
B) The student applies the same ethical rule to all patients regardless of the
specific circumstances
C) The student makes decisions based on achieving the greatest good for the
greatest number of people
D) The student bases decisions on the potential outcomes and consequences
of each action
Correct Answer: The student applies the same ethical rule to all patients
regardless of the specific circumstances
Rationale: The deontological model bases decisions on applying ethical
principles and moral rules universally, without varying the solution according
to individual situations. In contrast, utilitarianism focuses on the greatest
good for the greatest number, and consequentialism focuses on outcomes.
4. The nurse manager is updating the unit's policies on delegation. Which
document should the nurse consult first to ensure compliance with legal
standards of care?
,A) The American Nurses Association Code of Ethics
B) The hospital's policy and procedure manual
C) The state's Nurse Practice Act
D) The Joint Commission standards
Correct Answer: The state's Nurse Practice Act
Rationale: Nurse Practice Acts are state laws that determine the legal scope
of practice for RNs and specify what tasks can be delegated. While other
documents provide guidance, the Nurse Practice Act is the primary legal
authority for nursing practice and delegation.
5. A nurse is providing preconception counseling to a client who is planning a
pregnancy. Which supplement should the nurse recommend to help prevent
neural tube defects in the fetus?
A) Calcium
B) Iron
C) Folic acid
D) Vitamin D
Correct Answer: Folic acid
Rationale: Folic acid supplementation before conception and during early
pregnancy significantly reduces the risk of neural tube defects such as spina
bifida and anencephaly. The recommended daily dose is 400-800 mcg. Iron is
important for preventing anemia, calcium for bone health, and vitamin D for
calcium absorption.
, 6. A nurse in a prenatal clinic is caring for a client at 7 weeks of gestation.
The client reports urinary frequency and asks if this will continue throughout
the pregnancy. Which response by the nurse is most appropriate?
A) "Urinary frequency occurs only during the first trimester."
B) "Urinary frequency is common during the first trimester and again near
the end of pregnancy."
C) "Urinary frequency is a sign of a urinary tract infection and should be
evaluated."
D) "Urinary frequency will continue throughout the entire pregnancy without
relief."
Correct Answer: "Urinary frequency is common during the first trimester and
again near the end of pregnancy."
Rationale: Urinary frequency is common in the first trimester due to
hormonal changes and the enlarging uterus pressing on the bladder. It often
improves in the second trimester as the uterus rises into the abdominal
cavity. It returns in the third trimester as the fetus descends into the pelvis,
increasing pressure on the bladder.
7. A nurse is caring for a client during the first trimester. After reviewing the
client's blood work, the nurse notes that the client does not have immunity
to rubella. At which time should the nurse understand that rubella
immunization is recommended?
A) Immediately during the first trimester
B) Shortly after birth
C) At the 28-week prenatal visit
D) During the third trimester
Correct Answer: Shortly after birth
