Page 1 of 73
CHAMBERLAIN MATERNAL-CHILD NURSING — NR-327
NURSING MASTER GUIDE COMPREHENSIVE EXAM
PREPARATION & NURSING KNOWLEDGE REVIEW QUESTIONS
LATEST VERSION QUESTIONS AND ANSWERS 2026 EDITION
CHAMBERLAIN MATERNAL-CHILD NURSING — NR-327: 250 MULTIPLE CHOICE
QUESTIONS WITH RATIONALES
SECTION A: FOUNDATIONS OF MATERNAL-CHILD NURSING (QUESTIONS 1-15)
1. A nursing student is learning about the history of maternal care in the United
States. Which statement accurately describes a major concern in maternal and
infant care before the 20th century?
A) Most births occurred in hospitals with advanced medical technology
B) Increased maternal and neonatal mortality rates due to home births and
complications after delivery
C) All births were attended by certified nurse-midwives with formal training
D) Maternal mortality was lower than it is today due to natural birthing methods
Answer: B) Increased maternal and neonatal mortality rates due to home births and
complications after delivery
Rationale: Before the 20th century, births typically occurred at home, often without
trained attendants. This resulted in higher rates of maternal and neonatal mortality due
to complications such as hemorrhage and infection that could not be managed in the
home setting.
2. A nurse is explaining the levels of hospital care for maternal and infant services
to a group of nursing students. Which statement accurately describes Level III
care?
, Page 2 of 73
A) Level III care provides care for low-risk clients only
B) Level III care provides the highest level of care, managing high-risk pregnancies,
complex conditions, and offering comprehensive neonatal intensive care
C) Level III care is limited to uncomplicated vaginal deliveries
D) Level III care provides care for babies born at 36 weeks or later
Answer: B) Level III care provides the highest level of care, managing high-risk
pregnancies, complex conditions, and offering comprehensive neonatal intensive
care
Rationale: Level III care represents the highest level of maternal and newborn care,
typically found in regional perinatal centers. These facilities manage high-risk
pregnancies, provide complex neonatal intensive care, and have subspecialists
available.
3. A nurse is providing care to a client who is 8 weeks pregnant and reports frequent
urination and fatigue. The nurse documents these findings as which type of
pregnancy sign?
A) Positive signs
B) Probable signs
C) Presumptive signs
D) Definitive signs
Answer: C) Presumptive signs
Rationale: Presumptive signs are subjective symptoms reported by the patient, such as
amenorrhea, nausea, fatigue, and urinary frequency. They are the least reliable
indicators of pregnancy as they can be caused by other conditions.
4. A nurse is reviewing the GTPAL classification system with a group of nursing
students. A client's GTPAL indicates she has had one term birth, one preterm birth,
two abortions, and has three living children. What is the correct GTPAL?
A) G4 T1 P1 A2 L3
B) G5 T1 P1 A2 L3
C) G4 T2 P1 A2 L3
D) G4 T1 P1 A1 L3
Answer: A) G4 T1 P1 A2 L3
Rationale: GTPAL stands for: Gravida (total number of pregnancies), Term births (at
term), Preterm births (preterm), Abortions (spontaneous or therapeutic), Living children.
Gravida = 1 + 1 + 2 = 4; Term = 1; Preterm = 1; Abortions = 2; Living = 3.
, Page 3 of 73
5. A nurse is calculating a client's expected date of birth using Naegele's rule. The
client's last menstrual period began on July 10th. What is the correct expected date
of birth?
A) April 17th
B) April 3rd
C) March 17th
D) May 10th
Answer: A) April 17th
Rationale: Naegele's rule involves subtracting 3 months from the first day of the LMP
and adding 7 days and 1 year. July 10 minus 3 months = April 10, plus 7 days = April 17.
6. A nurse is counseling a client who is trying to make a decision about family
planning after a previous C-section. Which statement reflects the nurse's
appropriate understanding of informed consent?
A) The client must consent to all medical procedures without exception
B) Informed consent is the legal and ethical right of the client to make decisions about
their own body and healthcare
C) Informed consent is only required for surgical procedures
D) The client's partner must consent for the procedure
Answer: B) Informed consent is the legal and ethical right of the client to make
decisions about their own body and healthcare
Rationale: Informed consent is a fundamental ethical and legal principle that respects a
client's autonomy and right to self-determination. It requires healthcare providers to
give clients adequate information about benefits, risks, and alternatives so the client
can make a voluntary decision.
7. A nurse is providing care to a client in the first trimester of pregnancy. According
to the QSEN competencies, which action best demonstrates patient-centered
care?
A) Following standard protocols for all clients
B) Incorporating the client's preferences, values, and cultural beliefs into the plan of
care
C) Delegating client education to the nursing assistant
D) Focusing primarily on the provider's orders
Answer: B) Incorporating the client's preferences, values, and cultural beliefs into
the plan of care
, Page 4 of 73
Rationale: Patient-centered care is a QSEN competency that involves providing care
that is respectful of and responsive to individual patient preferences, needs, and values,
ensuring that patient values guide all clinical decisions.
8. A nurse is applying the Chamberlain Care Model in a maternal-child setting.
Which action best demonstrates the principle of caring for colleagues?
A) Competing with colleagues to achieve the best patient outcomes
B) Working independently to complete assigned tasks
C) Offering support to a stressed colleague and engaging in collaborative
communication
D) Delegating all difficult tasks to the most experienced nurse
Answer: C) Offering support to a stressed colleague and engaging in collaborative
communication
Rationale: The Chamberlain Care Model emphasizes caring for self, caring for
colleagues, and caring for patients and their families. Supporting colleagues through
collaboration and teamwork is essential for maintaining a healthy work environment.
9. A nurse is providing discharge teaching to a client who is postpartum. Which
statement by the client indicates an understanding of safe newborn sleeping
practices?
A) "I will place the baby on the stomach to prevent aspiration"
B) "I will place my baby to sleep on the back in a crib with a firm mattress"
C) "I will place a soft blanket in the crib to keep the baby warm"
D) "I will put the baby to sleep in my bed for easier feeding"
Answer: B) "I will place my baby to sleep on the back in a crib with a firm mattress"
Rationale: Safe sleep practices recommend placing infants on their backs, in a crib with
a firm mattress, without loose bedding or soft objects to reduce the risk of sudden
infant death syndrome (SIDS).
10. A nurse is caring for a new mother who states, "I feel so guilty I had a C-section,
I didn't really give birth." What is the nurse's best response?
A) "You should not feel guilty. You did what was best for your baby."
B) "Your feelings are valid. Let's talk about your birth experience."
C) "Don't worry, a C-section is still a legitimate way to give birth."
D) "Many mothers feel this way. You'll get over it."
Answer: B) "Your feelings are valid. Let's talk about your birth experience."
CHAMBERLAIN MATERNAL-CHILD NURSING — NR-327
NURSING MASTER GUIDE COMPREHENSIVE EXAM
PREPARATION & NURSING KNOWLEDGE REVIEW QUESTIONS
LATEST VERSION QUESTIONS AND ANSWERS 2026 EDITION
CHAMBERLAIN MATERNAL-CHILD NURSING — NR-327: 250 MULTIPLE CHOICE
QUESTIONS WITH RATIONALES
SECTION A: FOUNDATIONS OF MATERNAL-CHILD NURSING (QUESTIONS 1-15)
1. A nursing student is learning about the history of maternal care in the United
States. Which statement accurately describes a major concern in maternal and
infant care before the 20th century?
A) Most births occurred in hospitals with advanced medical technology
B) Increased maternal and neonatal mortality rates due to home births and
complications after delivery
C) All births were attended by certified nurse-midwives with formal training
D) Maternal mortality was lower than it is today due to natural birthing methods
Answer: B) Increased maternal and neonatal mortality rates due to home births and
complications after delivery
Rationale: Before the 20th century, births typically occurred at home, often without
trained attendants. This resulted in higher rates of maternal and neonatal mortality due
to complications such as hemorrhage and infection that could not be managed in the
home setting.
2. A nurse is explaining the levels of hospital care for maternal and infant services
to a group of nursing students. Which statement accurately describes Level III
care?
, Page 2 of 73
A) Level III care provides care for low-risk clients only
B) Level III care provides the highest level of care, managing high-risk pregnancies,
complex conditions, and offering comprehensive neonatal intensive care
C) Level III care is limited to uncomplicated vaginal deliveries
D) Level III care provides care for babies born at 36 weeks or later
Answer: B) Level III care provides the highest level of care, managing high-risk
pregnancies, complex conditions, and offering comprehensive neonatal intensive
care
Rationale: Level III care represents the highest level of maternal and newborn care,
typically found in regional perinatal centers. These facilities manage high-risk
pregnancies, provide complex neonatal intensive care, and have subspecialists
available.
3. A nurse is providing care to a client who is 8 weeks pregnant and reports frequent
urination and fatigue. The nurse documents these findings as which type of
pregnancy sign?
A) Positive signs
B) Probable signs
C) Presumptive signs
D) Definitive signs
Answer: C) Presumptive signs
Rationale: Presumptive signs are subjective symptoms reported by the patient, such as
amenorrhea, nausea, fatigue, and urinary frequency. They are the least reliable
indicators of pregnancy as they can be caused by other conditions.
4. A nurse is reviewing the GTPAL classification system with a group of nursing
students. A client's GTPAL indicates she has had one term birth, one preterm birth,
two abortions, and has three living children. What is the correct GTPAL?
A) G4 T1 P1 A2 L3
B) G5 T1 P1 A2 L3
C) G4 T2 P1 A2 L3
D) G4 T1 P1 A1 L3
Answer: A) G4 T1 P1 A2 L3
Rationale: GTPAL stands for: Gravida (total number of pregnancies), Term births (at
term), Preterm births (preterm), Abortions (spontaneous or therapeutic), Living children.
Gravida = 1 + 1 + 2 = 4; Term = 1; Preterm = 1; Abortions = 2; Living = 3.
, Page 3 of 73
5. A nurse is calculating a client's expected date of birth using Naegele's rule. The
client's last menstrual period began on July 10th. What is the correct expected date
of birth?
A) April 17th
B) April 3rd
C) March 17th
D) May 10th
Answer: A) April 17th
Rationale: Naegele's rule involves subtracting 3 months from the first day of the LMP
and adding 7 days and 1 year. July 10 minus 3 months = April 10, plus 7 days = April 17.
6. A nurse is counseling a client who is trying to make a decision about family
planning after a previous C-section. Which statement reflects the nurse's
appropriate understanding of informed consent?
A) The client must consent to all medical procedures without exception
B) Informed consent is the legal and ethical right of the client to make decisions about
their own body and healthcare
C) Informed consent is only required for surgical procedures
D) The client's partner must consent for the procedure
Answer: B) Informed consent is the legal and ethical right of the client to make
decisions about their own body and healthcare
Rationale: Informed consent is a fundamental ethical and legal principle that respects a
client's autonomy and right to self-determination. It requires healthcare providers to
give clients adequate information about benefits, risks, and alternatives so the client
can make a voluntary decision.
7. A nurse is providing care to a client in the first trimester of pregnancy. According
to the QSEN competencies, which action best demonstrates patient-centered
care?
A) Following standard protocols for all clients
B) Incorporating the client's preferences, values, and cultural beliefs into the plan of
care
C) Delegating client education to the nursing assistant
D) Focusing primarily on the provider's orders
Answer: B) Incorporating the client's preferences, values, and cultural beliefs into
the plan of care
, Page 4 of 73
Rationale: Patient-centered care is a QSEN competency that involves providing care
that is respectful of and responsive to individual patient preferences, needs, and values,
ensuring that patient values guide all clinical decisions.
8. A nurse is applying the Chamberlain Care Model in a maternal-child setting.
Which action best demonstrates the principle of caring for colleagues?
A) Competing with colleagues to achieve the best patient outcomes
B) Working independently to complete assigned tasks
C) Offering support to a stressed colleague and engaging in collaborative
communication
D) Delegating all difficult tasks to the most experienced nurse
Answer: C) Offering support to a stressed colleague and engaging in collaborative
communication
Rationale: The Chamberlain Care Model emphasizes caring for self, caring for
colleagues, and caring for patients and their families. Supporting colleagues through
collaboration and teamwork is essential for maintaining a healthy work environment.
9. A nurse is providing discharge teaching to a client who is postpartum. Which
statement by the client indicates an understanding of safe newborn sleeping
practices?
A) "I will place the baby on the stomach to prevent aspiration"
B) "I will place my baby to sleep on the back in a crib with a firm mattress"
C) "I will place a soft blanket in the crib to keep the baby warm"
D) "I will put the baby to sleep in my bed for easier feeding"
Answer: B) "I will place my baby to sleep on the back in a crib with a firm mattress"
Rationale: Safe sleep practices recommend placing infants on their backs, in a crib with
a firm mattress, without loose bedding or soft objects to reduce the risk of sudden
infant death syndrome (SIDS).
10. A nurse is caring for a new mother who states, "I feel so guilty I had a C-section,
I didn't really give birth." What is the nurse's best response?
A) "You should not feel guilty. You did what was best for your baby."
B) "Your feelings are valid. Let's talk about your birth experience."
C) "Don't worry, a C-section is still a legitimate way to give birth."
D) "Many mothers feel this way. You'll get over it."
Answer: B) "Your feelings are valid. Let's talk about your birth experience."
