NR-327 Maternal-Child Nursing Final Exam Practice |Chamberlain
College
1. A nurse is calculating a pregnant woman’s estimated date of delivery (EDD)
using Naegele’s rule. The client’s last menstrual period (LMP) began on May
10th. What is the EDD?
A. February 17th
B. February 3rd
C. January 17th
D. March 10th
Answer: A
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP, adding 7 days, and adding 1 year. May 10 minus 3 months is February 10, plus 7 days
is February 17.
2. A nurse is monitoring a client in labor and observes late decelerations on the
fetal heart rate monitor. Which of the following is the priority nursing action?
A. Increase the oxytocin infusion rate
B. Assist the client into a supine position
C. Perform a vaginal exam to check for dilation
D. Administer oxygen via nonrebreather mask
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority actions include
repositioning the client (side-lying), administering oxygen, and discontinuing oxytocin if
running.
,3. A nurse is caring for a 4-year-old child who is post-operative. According to
Erikson, which developmental stage is this child in?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Answer: D
Rationale: Preschoolers (ages 3 to 6) are in the Initiative vs. Guilt stage, where they begin
to assert power and control through play and social interaction.
4. Which of the following medications is administered to a newborn to prevent
ophthalmia neonatorum caused by gonorrhea or chlamydia?
A. Vitamin K (Phytonadione)
B. Hepatitis B vaccine
C. Erythromycin ophthalmic ointment
D. Nystatin
Answer: C
Rationale: Erythromycin ointment is legally required in many jurisdictions to prevent
neonatal blindness from infections acquired during birth.
5. A nurse is assessing a client who is 2 hours postpartum and finds a boggy
uterus displaced to the right of the midline. What is the nurse’s first action?
A. Assist the client to the bathroom to void
B. Notify the provider
C. Perform fundal massage
D. Administer oxytocin IV bolus
Answer: A
Rationale: A displaced uterus to the right usually indicates a full bladder, which prevents
the uterus from contracting. Emptying the bladder is the first step.
, 6. A client at 32 weeks gestation is diagnosed with preeclampsia. Which
assessment finding should the nurse report immediately?
A. Epigastric pain
B. Blood pressure of 142/92 mmHg
C. 1+ pitting edema in the feet
D. Trace protein in the urine
Answer: A
Rationale: Epigastric pain is a sign of liver involvement or impending eclampsia/seizure
and is a critical warning sign in preeclampsia.
7. A newborn is being assessed for an Apgar score at 1 minute. Heart rate is 110,
respiratory effort is slow and irregular, muscle tone shows some flexion, the
baby grimaces when suctioned, and the body is pink with blue extremities.
What is the score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: Heart rate (2), Respiration (1), Muscle tone (1), Reflex irritability (1), Color (1).
Total = 6.
8. A nurse is teaching parents about safety for their 6-month-old infant. Which
statement indicates a need for further teaching?
A. I will keep the crib free of pillows and blankets
B. I will place my baby on their back to sleep
C. I will always keep one hand on the baby during bath time
D. I can start giving my baby small pieces of raw carrots
Answer: D
College
1. A nurse is calculating a pregnant woman’s estimated date of delivery (EDD)
using Naegele’s rule. The client’s last menstrual period (LMP) began on May
10th. What is the EDD?
A. February 17th
B. February 3rd
C. January 17th
D. March 10th
Answer: A
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP, adding 7 days, and adding 1 year. May 10 minus 3 months is February 10, plus 7 days
is February 17.
2. A nurse is monitoring a client in labor and observes late decelerations on the
fetal heart rate monitor. Which of the following is the priority nursing action?
A. Increase the oxytocin infusion rate
B. Assist the client into a supine position
C. Perform a vaginal exam to check for dilation
D. Administer oxygen via nonrebreather mask
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority actions include
repositioning the client (side-lying), administering oxygen, and discontinuing oxytocin if
running.
,3. A nurse is caring for a 4-year-old child who is post-operative. According to
Erikson, which developmental stage is this child in?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Answer: D
Rationale: Preschoolers (ages 3 to 6) are in the Initiative vs. Guilt stage, where they begin
to assert power and control through play and social interaction.
4. Which of the following medications is administered to a newborn to prevent
ophthalmia neonatorum caused by gonorrhea or chlamydia?
A. Vitamin K (Phytonadione)
B. Hepatitis B vaccine
C. Erythromycin ophthalmic ointment
D. Nystatin
Answer: C
Rationale: Erythromycin ointment is legally required in many jurisdictions to prevent
neonatal blindness from infections acquired during birth.
5. A nurse is assessing a client who is 2 hours postpartum and finds a boggy
uterus displaced to the right of the midline. What is the nurse’s first action?
A. Assist the client to the bathroom to void
B. Notify the provider
C. Perform fundal massage
D. Administer oxytocin IV bolus
Answer: A
Rationale: A displaced uterus to the right usually indicates a full bladder, which prevents
the uterus from contracting. Emptying the bladder is the first step.
, 6. A client at 32 weeks gestation is diagnosed with preeclampsia. Which
assessment finding should the nurse report immediately?
A. Epigastric pain
B. Blood pressure of 142/92 mmHg
C. 1+ pitting edema in the feet
D. Trace protein in the urine
Answer: A
Rationale: Epigastric pain is a sign of liver involvement or impending eclampsia/seizure
and is a critical warning sign in preeclampsia.
7. A newborn is being assessed for an Apgar score at 1 minute. Heart rate is 110,
respiratory effort is slow and irregular, muscle tone shows some flexion, the
baby grimaces when suctioned, and the body is pink with blue extremities.
What is the score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: Heart rate (2), Respiration (1), Muscle tone (1), Reflex irritability (1), Color (1).
Total = 6.
8. A nurse is teaching parents about safety for their 6-month-old infant. Which
statement indicates a need for further teaching?
A. I will keep the crib free of pillows and blankets
B. I will place my baby on their back to sleep
C. I will always keep one hand on the baby during bath time
D. I can start giving my baby small pieces of raw carrots
Answer: D
