NR 327 MATERNAL EXAM 2
Chamberlain College of Nursing – Comprehensive Practice – 2026/2027 Edition
Aligned with the NR 327 Maternal-Child Nursing Exam 2 Blueprint & NCLEX-RN Maternal-Newborn Standards
60 Questions | 5 Content Domains | Multiple Choice (A–D)
Contents
Section 1: Intrapartum Care & Labor Stages – Stages of Labor, Dilation, Contractions, Nursing Care (12 questions)
Section 2: Fetal Monitoring & Assessment – FHR, Variability, Decelerations, Interventions (12 questions)
Section 3: Obstetric Complications – Preterm Labor, PROM, Prolapsed Cord, Abruption, Hemorrhage (12 questions)
Section 4: Postpartum Assessment & Care – BUBBLE-HE, Fundal Height, Lochia, Breastfeeding (12 questions)
Section 5: Newborn Assessment & Care – APGAR, Reflexes, Thermoregulation, Jaundice (12 questions)
How to use this exam: Work through each section sequentially. One answer choice per question is correct; the correct answer
and a rationale follow each question. Use the rationales to reinforce clinical judgment and core content. A reference answer key is
provided on the final page.
NR 327 Maternal Exam 2 – Chamberlain College of Nursing (2026/2027 Edition) Page 1
, Section 1: Intrapartum Care & Labor Stages – Stages of Labor, Dilation,
Section 1
Contractions, Nursing Care (12 questions)
Q1: A nurse performs a vaginal examination and finds the client's cervix is 7 cm dilated and 100% effaced,
with contractions every 2 to 3 minutes lasting 45 to 60 seconds. The client is in which phase of labor?
A. Latent phase
B. Active phase [CORRECT]
C. Transition phase
D. Second stage
Correct Answer: B
Rationale: Cervical dilation of 4 to 7 cm with regular, stronger contractions characterizes the active phase of the first
stage of labor. Latent phase is 0 to 3 cm, transition is 8 to 10 cm, and the second stage begins at full dilation.
Q2: Which assessment finding indicates the client has entered the transition phase of the first stage of
labor?
A. Cervix 2 cm dilated with mild, irregular contractions
B. Cervix 9 cm dilated with an urge to push, irritability, and nausea [CORRECT]
C. Delivery of the placenta
D. Cervix 5 cm dilated with contractions every 5 minutes
Correct Answer: B
Rationale: Transition (8 to 10 cm) is marked by strong contractions every 2 to 3 minutes, irritability, nausea, and an urge
to push. Delivery of the placenta is the third stage.
Q3: The second stage of labor begins and ends with which events?
A. Begins with full cervical dilation (10 cm) and ends with delivery of the newborn [CORRECT]
B. Begins with delivery of the newborn and ends with delivery of the placenta
C. Begins with the first contraction and ends with full dilation
D. Begins with placental delivery and ends with maternal stabilization
Correct Answer: A
Rationale: The second stage extends from complete cervical dilation to the birth of the infant. The third stage ends with
placental delivery, and the fourth stage is the immediate postpartum period.
Q4: Which finding indicates that placental separation has occurred during the third stage of labor?
A. A gush of blood, lengthening of the cord, and a firmly contracted uterus [CORRECT]
B. The newborn's first breath
C. Complete cervical dilation
D. Rupture of membranes
Correct Answer: A
Rationale: Signs of placental separation include a sudden gush of blood, lengthening of the umbilical cord, and a rise of
the firmly contracted fundus.
Q5: A client delivered 30 minutes ago and is in the fourth stage of labor. Which nursing action is the
PRIORITY?
A. Assess the fundus and lochia every 15 minutes during the first hour [CORRECT]
B. Encourage the client to ambulate immediately
C. Administer a full meal
D. Discontinue all vital sign monitoring
Correct Answer: A
Rationale: The fourth stage is the critical first 1 to 4 hours after birth; the fundus and lochia are assessed frequently
(every 15 minutes for the first hour) to detect hemorrhage early.
NR 327 Maternal Exam 2 – Chamberlain College of Nursing (2026/2027 Edition) Page 2
Chamberlain College of Nursing – Comprehensive Practice – 2026/2027 Edition
Aligned with the NR 327 Maternal-Child Nursing Exam 2 Blueprint & NCLEX-RN Maternal-Newborn Standards
60 Questions | 5 Content Domains | Multiple Choice (A–D)
Contents
Section 1: Intrapartum Care & Labor Stages – Stages of Labor, Dilation, Contractions, Nursing Care (12 questions)
Section 2: Fetal Monitoring & Assessment – FHR, Variability, Decelerations, Interventions (12 questions)
Section 3: Obstetric Complications – Preterm Labor, PROM, Prolapsed Cord, Abruption, Hemorrhage (12 questions)
Section 4: Postpartum Assessment & Care – BUBBLE-HE, Fundal Height, Lochia, Breastfeeding (12 questions)
Section 5: Newborn Assessment & Care – APGAR, Reflexes, Thermoregulation, Jaundice (12 questions)
How to use this exam: Work through each section sequentially. One answer choice per question is correct; the correct answer
and a rationale follow each question. Use the rationales to reinforce clinical judgment and core content. A reference answer key is
provided on the final page.
NR 327 Maternal Exam 2 – Chamberlain College of Nursing (2026/2027 Edition) Page 1
, Section 1: Intrapartum Care & Labor Stages – Stages of Labor, Dilation,
Section 1
Contractions, Nursing Care (12 questions)
Q1: A nurse performs a vaginal examination and finds the client's cervix is 7 cm dilated and 100% effaced,
with contractions every 2 to 3 minutes lasting 45 to 60 seconds. The client is in which phase of labor?
A. Latent phase
B. Active phase [CORRECT]
C. Transition phase
D. Second stage
Correct Answer: B
Rationale: Cervical dilation of 4 to 7 cm with regular, stronger contractions characterizes the active phase of the first
stage of labor. Latent phase is 0 to 3 cm, transition is 8 to 10 cm, and the second stage begins at full dilation.
Q2: Which assessment finding indicates the client has entered the transition phase of the first stage of
labor?
A. Cervix 2 cm dilated with mild, irregular contractions
B. Cervix 9 cm dilated with an urge to push, irritability, and nausea [CORRECT]
C. Delivery of the placenta
D. Cervix 5 cm dilated with contractions every 5 minutes
Correct Answer: B
Rationale: Transition (8 to 10 cm) is marked by strong contractions every 2 to 3 minutes, irritability, nausea, and an urge
to push. Delivery of the placenta is the third stage.
Q3: The second stage of labor begins and ends with which events?
A. Begins with full cervical dilation (10 cm) and ends with delivery of the newborn [CORRECT]
B. Begins with delivery of the newborn and ends with delivery of the placenta
C. Begins with the first contraction and ends with full dilation
D. Begins with placental delivery and ends with maternal stabilization
Correct Answer: A
Rationale: The second stage extends from complete cervical dilation to the birth of the infant. The third stage ends with
placental delivery, and the fourth stage is the immediate postpartum period.
Q4: Which finding indicates that placental separation has occurred during the third stage of labor?
A. A gush of blood, lengthening of the cord, and a firmly contracted uterus [CORRECT]
B. The newborn's first breath
C. Complete cervical dilation
D. Rupture of membranes
Correct Answer: A
Rationale: Signs of placental separation include a sudden gush of blood, lengthening of the umbilical cord, and a rise of
the firmly contracted fundus.
Q5: A client delivered 30 minutes ago and is in the fourth stage of labor. Which nursing action is the
PRIORITY?
A. Assess the fundus and lochia every 15 minutes during the first hour [CORRECT]
B. Encourage the client to ambulate immediately
C. Administer a full meal
D. Discontinue all vital sign monitoring
Correct Answer: A
Rationale: The fourth stage is the critical first 1 to 4 hours after birth; the fundus and lochia are assessed frequently
(every 15 minutes for the first hour) to detect hemorrhage early.
NR 327 Maternal Exam 2 – Chamberlain College of Nursing (2026/2027 Edition) Page 2
