NR327 Exam 1 – Maternal-Child Nursing Review with
Verified Answers (2026/2027) Chamberlain
Maternal-Child Nursing Foundations | Key Domains: Reproductive Health & Family Planning,
Normal Pregnancy (Antepartum), Fetal Development & Assessment, Intrapartum Care & Pain
Management, Postpartum Adaptation, and Newborn Immediate Care & Adaptation | Expert-Aligned
Structure | Comprehensive Review Format
Introduction
This structured NR327 Exam 1 Review for Chamberlain University for 2026/2027 provides a
focused set of practice questions with correct answers and rationales. It emphasizes the
foundational nursing care of the childbearing family during normal pregnancy, labor, birth, and the
immediate postpartum/newborn period, including health promotion, assessment techniques, and
supportive interventions.
Review Structure:
• Exam 1 Review Set: (60 PRACTICE QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the normal physiological change in pregnancy, the appropriate assessment finding for a
given gestational age, the correct nursing intervention during a stage of labor, the key principle of
newborn transitional care, and why alternative options represent abnormal findings, incorrect
procedures, or unsafe practices for a normal maternity client.
Domain 1: Reproductive Health & Family Planning
1. A client asks about fertility awareness methods (FAM). Which statement indicates
understanding?
A. “I’ll track my basal body temperature and cervical mucus daily.”
B. “I can have unprotected sex during my period.”
C. “FAM is 98% effective with typical use.”
, D. “I only need to track my cycle for one month.”
A. “I’ll track my basal body temperature and cervical mucus daily.”
FAM requires daily tracking of fertility signs: basal body temperature (rises after ovulation) and
cervical mucus (clear, stretchy at ovulation). Effectiveness is ~76–88% with typical use (C is false). No
time in the cycle is 100% safe (B). Tracking must be consistent over multiple cycles (D).
2. Which contraceptive method provides protection against sexually transmitted infections
(STIs)?
A. Oral contraceptives
B. Intrauterine device (IUD)
C. Male condom
D. Depo-Provera injection
C. Male condom
Only barrier methods (male/female condoms, dental dams) reduce STI transmission. Hormonal
methods (A, D) and IUDs (B) prevent pregnancy but not STIs.
Domain 2: Normal Pregnancy (Antepartum)
3. A pregnant client’s last menstrual period (LMP) was February 14. Using Nagele’s rule, what
is the estimated due date?
A. November 7
B. November 21
C. December 7
D. December 21
B. November 21
, Nagele’s Rule: February 14 minus 3 months = November 14; add 7 days = November 21. This assumes a
28-day cycle and ovulation on day 14.
4. Which finding is a normal physiological change in pregnancy?
A. Blood pressure of 142/90 mm Hg at 28 weeks
B. Glycosuria on routine urine dipstick
C. Severe headaches in the first trimester
D. Absent fetal movement at 20 weeks
B. Glycosuria on routine urine dipstick
Glycosuria is common in pregnancy due to increased glomerular filtration rate (GFR) exceeding
tubular reabsorption. Hypertension (A) suggests preeclampsia. Headaches (C) may indicate underlying
issues. Fetal movement is typically felt by 18–22 weeks (D is abnormal).
Domain 3: Fetal Development & Assessment
5. At 20 weeks’ gestation, where should the nurse expect to palpate the uterine fundus?
A. Midway between the symphysis pubis and umbilicus
B. At the level of the umbilicus
C. Two fingerbreadths above the umbilicus
D. At the xiphoid process
B. At the level of the umbilicus
Fundal height in cm approximately equals gestational age in weeks. At 20 weeks, the fundus is at the
umbilicus. It reaches the xiphoid at ~36 weeks.
6. A client at 12 weeks’ gestation asks when she will feel the baby move. What is the best
response?
Verified Answers (2026/2027) Chamberlain
Maternal-Child Nursing Foundations | Key Domains: Reproductive Health & Family Planning,
Normal Pregnancy (Antepartum), Fetal Development & Assessment, Intrapartum Care & Pain
Management, Postpartum Adaptation, and Newborn Immediate Care & Adaptation | Expert-Aligned
Structure | Comprehensive Review Format
Introduction
This structured NR327 Exam 1 Review for Chamberlain University for 2026/2027 provides a
focused set of practice questions with correct answers and rationales. It emphasizes the
foundational nursing care of the childbearing family during normal pregnancy, labor, birth, and the
immediate postpartum/newborn period, including health promotion, assessment techniques, and
supportive interventions.
Review Structure:
• Exam 1 Review Set: (60 PRACTICE QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the normal physiological change in pregnancy, the appropriate assessment finding for a
given gestational age, the correct nursing intervention during a stage of labor, the key principle of
newborn transitional care, and why alternative options represent abnormal findings, incorrect
procedures, or unsafe practices for a normal maternity client.
Domain 1: Reproductive Health & Family Planning
1. A client asks about fertility awareness methods (FAM). Which statement indicates
understanding?
A. “I’ll track my basal body temperature and cervical mucus daily.”
B. “I can have unprotected sex during my period.”
C. “FAM is 98% effective with typical use.”
, D. “I only need to track my cycle for one month.”
A. “I’ll track my basal body temperature and cervical mucus daily.”
FAM requires daily tracking of fertility signs: basal body temperature (rises after ovulation) and
cervical mucus (clear, stretchy at ovulation). Effectiveness is ~76–88% with typical use (C is false). No
time in the cycle is 100% safe (B). Tracking must be consistent over multiple cycles (D).
2. Which contraceptive method provides protection against sexually transmitted infections
(STIs)?
A. Oral contraceptives
B. Intrauterine device (IUD)
C. Male condom
D. Depo-Provera injection
C. Male condom
Only barrier methods (male/female condoms, dental dams) reduce STI transmission. Hormonal
methods (A, D) and IUDs (B) prevent pregnancy but not STIs.
Domain 2: Normal Pregnancy (Antepartum)
3. A pregnant client’s last menstrual period (LMP) was February 14. Using Nagele’s rule, what
is the estimated due date?
A. November 7
B. November 21
C. December 7
D. December 21
B. November 21
, Nagele’s Rule: February 14 minus 3 months = November 14; add 7 days = November 21. This assumes a
28-day cycle and ovulation on day 14.
4. Which finding is a normal physiological change in pregnancy?
A. Blood pressure of 142/90 mm Hg at 28 weeks
B. Glycosuria on routine urine dipstick
C. Severe headaches in the first trimester
D. Absent fetal movement at 20 weeks
B. Glycosuria on routine urine dipstick
Glycosuria is common in pregnancy due to increased glomerular filtration rate (GFR) exceeding
tubular reabsorption. Hypertension (A) suggests preeclampsia. Headaches (C) may indicate underlying
issues. Fetal movement is typically felt by 18–22 weeks (D is abnormal).
Domain 3: Fetal Development & Assessment
5. At 20 weeks’ gestation, where should the nurse expect to palpate the uterine fundus?
A. Midway between the symphysis pubis and umbilicus
B. At the level of the umbilicus
C. Two fingerbreadths above the umbilicus
D. At the xiphoid process
B. At the level of the umbilicus
Fundal height in cm approximately equals gestational age in weeks. At 20 weeks, the fundus is at the
umbilicus. It reaches the xiphoid at ~36 weeks.
6. A client at 12 weeks’ gestation asks when she will feel the baby move. What is the best
response?
