NR 327 Exam 2 Review: Maternal-Child Nursing 2025
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
Normal FHR - (ANSWERS)110-160 !@#$$$$$$$$$$%
Accelerations - (ANSWERS)Temporary increase; reassuring no interventions
Early deceleration - (ANSWERS)Mirror mom's contractions; cause: compression of baby's head
on pelvis/soft tissue; normal - no interventions, expected finding
Late deceleration - (ANSWERS)Responds after contraction; cause: uteroplacental
insufficiency; non-reassuring needs intervention
Nursing interventions for late deceleration - (ANSWERS)Side-lying position, IV fluids,
discontinue oxytocin, administer O2, palpate uterus for tachysystole, notify provider
Variable deceleration - (ANSWERS)Not uniform look for Vs; cause: cord compression; requires
intervention
Nursing interventions for variable deceleration - (ANSWERS)Knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
VEAL CHOP MINE - (ANSWERS)V - variable, C - cord compression, M - move side left; E - early
decels, H - head compression, I - identify labor progression; A - acceleration, O - OK, N - no
intervention; L - late decels, P - placental insufficiency
Fetal bradycardia - (ANSWERS)FHR drops below 110 for at least 10 minutes; causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic
meds mom received
Interventions for fetal bradycardia - (ANSWERS)Stop oxytocin, left side position, O2, notify
provider
Fetal tachycardia - (ANSWERS)FHR increases above 160 for over 10 minutes; causes: infection,
cocaine use, dehydration
Interventions for fetal tachycardia - (ANSWERS)Antipyretics, oxygen, IV fluid bolus
Increment - (ANSWERS)Beginning, building of pressure
Acme - (ANSWERS)Most intense part of the contraction
,NR 327 Exam 2 Review: Maternal-Child Nursing 2025
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
Decrement - (ANSWERS)Diminishing of the contraction !@#$$$$$$$$$$%
Rest - (ANSWERS)Period of time between contractions
BUBBLE HER - (ANSWERS)Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, and Recovery
Breasts assessment - (ANSWERS)Inspect for size, contour, asymmetry, engorgement, or
erythema; check the nipples for cracks, redness, fissures, or bleeding
Uterus assessment - (ANSWERS)Assess the fundus to determine the degree of uterine
involution; fundus should be midline and should not feel boggy or relaxed
Fundus location after birth - (ANSWERS)1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at the level of the
umbilicus
Fundus progression - (ANSWERS)The fundus progresses downward at a rate of 1 fingerbreadth
or 1 cm per day after childbirth
Bladder assessment - (ANSWERS)Assess the bladder for distention & adequate emptying after
efforts to void; a full bladder tends to displace the uterus up & to the right
Signs of bladder infection - (ANSWERS)Infrequent or insufficient voiding (less than 200 ml),
discomfort, burning, urgency, or foul-smelling urine
Lochia assessment - (ANSWERS)Assess the amount, color, and odor of lochia; color:
Rubra/red: 1-3 days, Serosa/pink: 3-10 days, Alba/white: 10-14 days
Late deceleration - (ANSWERS)Responds after contraction; Cause: uteroplacental
insufficiency; Non-reassuring needs intervention; Nursing interventions: side-lying position, IV
fluids, discontinue oxytocin, administer O2, palpate uterus for tachysystole, notify provider
Variable deceleration - (ANSWERS)Not uniform look for Vs; Cause: cord compression; Requires
intervention; Nursing interventions: knee-chest position or side-side repositioning, discontinue
oxytocin, administer O2, notify provider
Fetal bradycardia - (ANSWERS)FHR drops below 110 for at least 10 minutes; Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic
meds mom received; Interventions: stop oxytocin, left side position, O2, notify provider
, NR 327 Exam 2 Review: Maternal-Child Nursing 2025
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
!@#$$$$$$$$$$%
Fetal tachycardia - (ANSWERS)FHR increases above 160 for over 10 minutes; Causes:
infection, cocaine use, dehydration; Interventions: antipyretics, oxygen, IV fluid bolus
BUBBLE HER - (ANSWERS)A mnemonic for postpartum assessment
Fundus position after birth - (ANSWERS)1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at the level of the
umbilicus
Postpartum fundus location - (ANSWERS)On the first postpartum day, the top of the fundus is
located 1 cm below the umbilicus and is recorded as U/1
Bladder assessment - (ANSWERS)Assess the bladder for distention & adequate emptying after
efforts to void
Lochia assessment - (ANSWERS)Assess the amount, color, and odor of lochia; Ask about the #
of perineal pads used in the past 2-4 hours & how much drainage was on each pad
Lochia color Rubra - (ANSWERS)Red: 1-3 days
Lochia color Serosa - (ANSWERS)Pink: 3-10 days
Lochia color Alba - (ANSWERS)White: 10-14 days
Scant lochia - (ANSWERS)1-2-inch lochia stain or approx. A 10 ml loss
4-inch stain - (ANSWERS)A stain with an estimated loss of 10-25 ml.
Moderate stain - (ANSWERS)A 4-6-inch stain with an estimated loss of 25-50 ml.
Large or heavy stain - (ANSWERS)A pad is saturated within 1 hour after changing it.
Abnormal findings - (ANSWERS)Heavy, bright-red lochia with large tissue fragments or a foul
odor should be reported to the physician.
Perineal pad changing - (ANSWERS)Patients should be taught about frequent changing of
perineal pads, continuous use of the peribottle, and proper handwashing before and after
changing the pad.
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
Normal FHR - (ANSWERS)110-160 !@#$$$$$$$$$$%
Accelerations - (ANSWERS)Temporary increase; reassuring no interventions
Early deceleration - (ANSWERS)Mirror mom's contractions; cause: compression of baby's head
on pelvis/soft tissue; normal - no interventions, expected finding
Late deceleration - (ANSWERS)Responds after contraction; cause: uteroplacental
insufficiency; non-reassuring needs intervention
Nursing interventions for late deceleration - (ANSWERS)Side-lying position, IV fluids,
discontinue oxytocin, administer O2, palpate uterus for tachysystole, notify provider
Variable deceleration - (ANSWERS)Not uniform look for Vs; cause: cord compression; requires
intervention
Nursing interventions for variable deceleration - (ANSWERS)Knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
VEAL CHOP MINE - (ANSWERS)V - variable, C - cord compression, M - move side left; E - early
decels, H - head compression, I - identify labor progression; A - acceleration, O - OK, N - no
intervention; L - late decels, P - placental insufficiency
Fetal bradycardia - (ANSWERS)FHR drops below 110 for at least 10 minutes; causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic
meds mom received
Interventions for fetal bradycardia - (ANSWERS)Stop oxytocin, left side position, O2, notify
provider
Fetal tachycardia - (ANSWERS)FHR increases above 160 for over 10 minutes; causes: infection,
cocaine use, dehydration
Interventions for fetal tachycardia - (ANSWERS)Antipyretics, oxygen, IV fluid bolus
Increment - (ANSWERS)Beginning, building of pressure
Acme - (ANSWERS)Most intense part of the contraction
,NR 327 Exam 2 Review: Maternal-Child Nursing 2025
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
Decrement - (ANSWERS)Diminishing of the contraction !@#$$$$$$$$$$%
Rest - (ANSWERS)Period of time between contractions
BUBBLE HER - (ANSWERS)Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, and Recovery
Breasts assessment - (ANSWERS)Inspect for size, contour, asymmetry, engorgement, or
erythema; check the nipples for cracks, redness, fissures, or bleeding
Uterus assessment - (ANSWERS)Assess the fundus to determine the degree of uterine
involution; fundus should be midline and should not feel boggy or relaxed
Fundus location after birth - (ANSWERS)1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at the level of the
umbilicus
Fundus progression - (ANSWERS)The fundus progresses downward at a rate of 1 fingerbreadth
or 1 cm per day after childbirth
Bladder assessment - (ANSWERS)Assess the bladder for distention & adequate emptying after
efforts to void; a full bladder tends to displace the uterus up & to the right
Signs of bladder infection - (ANSWERS)Infrequent or insufficient voiding (less than 200 ml),
discomfort, burning, urgency, or foul-smelling urine
Lochia assessment - (ANSWERS)Assess the amount, color, and odor of lochia; color:
Rubra/red: 1-3 days, Serosa/pink: 3-10 days, Alba/white: 10-14 days
Late deceleration - (ANSWERS)Responds after contraction; Cause: uteroplacental
insufficiency; Non-reassuring needs intervention; Nursing interventions: side-lying position, IV
fluids, discontinue oxytocin, administer O2, palpate uterus for tachysystole, notify provider
Variable deceleration - (ANSWERS)Not uniform look for Vs; Cause: cord compression; Requires
intervention; Nursing interventions: knee-chest position or side-side repositioning, discontinue
oxytocin, administer O2, notify provider
Fetal bradycardia - (ANSWERS)FHR drops below 110 for at least 10 minutes; Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic
meds mom received; Interventions: stop oxytocin, left side position, O2, notify provider
, NR 327 Exam 2 Review: Maternal-Child Nursing 2025
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
!@#$$$$$$$$$$%
Fetal tachycardia - (ANSWERS)FHR increases above 160 for over 10 minutes; Causes:
infection, cocaine use, dehydration; Interventions: antipyretics, oxygen, IV fluid bolus
BUBBLE HER - (ANSWERS)A mnemonic for postpartum assessment
Fundus position after birth - (ANSWERS)1-2 hours after birth, the fundus is between the
umbilicus & the symphysis pubis; 6-12 hours after birth, the fundus is usually at the level of the
umbilicus
Postpartum fundus location - (ANSWERS)On the first postpartum day, the top of the fundus is
located 1 cm below the umbilicus and is recorded as U/1
Bladder assessment - (ANSWERS)Assess the bladder for distention & adequate emptying after
efforts to void
Lochia assessment - (ANSWERS)Assess the amount, color, and odor of lochia; Ask about the #
of perineal pads used in the past 2-4 hours & how much drainage was on each pad
Lochia color Rubra - (ANSWERS)Red: 1-3 days
Lochia color Serosa - (ANSWERS)Pink: 3-10 days
Lochia color Alba - (ANSWERS)White: 10-14 days
Scant lochia - (ANSWERS)1-2-inch lochia stain or approx. A 10 ml loss
4-inch stain - (ANSWERS)A stain with an estimated loss of 10-25 ml.
Moderate stain - (ANSWERS)A 4-6-inch stain with an estimated loss of 25-50 ml.
Large or heavy stain - (ANSWERS)A pad is saturated within 1 hour after changing it.
Abnormal findings - (ANSWERS)Heavy, bright-red lochia with large tissue fragments or a foul
odor should be reported to the physician.
Perineal pad changing - (ANSWERS)Patients should be taught about frequent changing of
perineal pads, continuous use of the peribottle, and proper handwashing before and after
changing the pad.
