NR327/NR 327 Exam 1 V2 | Maternal Child Nursing
Q&A with Rationale | Chamberlain University
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
nonstress test (NST). Which of the following instructions should the nurse provide to the
client?
A. You should press the button when you feel the baby move.
B. You will need to remain NPO for 4 hours before the test.
C. The test will take about 2 hours to complete.
D. We will use a needle to obtain a sample of amniotic fluid.
Correct Answer: A
Explanation: A nonstress test is a non-invasive procedure used to evaluate fetal well-being
by monitoring the fetal heart rate response to fetal movement. The client is instructed to
press a button every time she feels fetal movement so the nurse can correlate the
movement with fetal heart rate accelerations. This test typically lasts 20 to 30 minutes and
does not require fasting or invasive procedures.
2. A nurse is assessing a client who is 12 hours postpartum. The nurse notes that the fundus is
firm, 2 cm above the umbilicus, and deviated to the right. Which of the following actions
should the nurse take?
A. Massage the fundus until it remains firm.
,B. Administer oxytocin per provider orders.
C. Assist the client to the bathroom to void.
D. Notify the provider of a possible hemorrhage.
Correct Answer: C
Explanation: A fundus that is displaced upward and to the right usually indicates a
distended bladder. A full bladder prevents the uterus from contracting effectively, which
increases the risk of postpartum hemorrhage. The nurse should assist the client to void to
allow the uterus to return to its proper midline position and descend.
3. Using Nagele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on November 15?
A. September 22
B. August 15
C. August 8
D. August 22
Correct Answer: D
Explanation: Nagele’s rule is calculated by subtracting 3 months from the first day of the
last menstrual period and then adding 7 days and 1 year. For an LMP of November 15,
subtracting 3 months gives August 15. Adding 7 days results in an EDD of August 22.
, 4. A nurse is teaching a pregnant client about presumptive signs of pregnancy. Which of the
following should the nurse include in the teaching?
A. Positive pregnancy test
B. Fetal heart sounds
C. Chadwick’s sign
D. Amenorrhea
Correct Answer: D
Explanation: Presumptive signs of pregnancy are subjective changes experienced by the
woman that could be caused by conditions other than pregnancy. Amenorrhea, fatigue, and
nausea are classic presumptive signs. Positive pregnancy tests and Chadwick’s sign are
considered probable signs, while fetal heart sounds are a positive sign.
5. A nurse is monitoring a client in the first stage of labor. The nurse observes a pattern of
early decelerations on the fetal heart rate monitor. Which of the following actions should the
nurse take?
A. Prepare for an emergency cesarean birth.
B. Increase the rate of IV fluid administration.
C. Continue to monitor the client.
D. Place the client in a knee-chest position.
Correct Answer: C
Q&A with Rationale | Chamberlain University
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
nonstress test (NST). Which of the following instructions should the nurse provide to the
client?
A. You should press the button when you feel the baby move.
B. You will need to remain NPO for 4 hours before the test.
C. The test will take about 2 hours to complete.
D. We will use a needle to obtain a sample of amniotic fluid.
Correct Answer: A
Explanation: A nonstress test is a non-invasive procedure used to evaluate fetal well-being
by monitoring the fetal heart rate response to fetal movement. The client is instructed to
press a button every time she feels fetal movement so the nurse can correlate the
movement with fetal heart rate accelerations. This test typically lasts 20 to 30 minutes and
does not require fasting or invasive procedures.
2. A nurse is assessing a client who is 12 hours postpartum. The nurse notes that the fundus is
firm, 2 cm above the umbilicus, and deviated to the right. Which of the following actions
should the nurse take?
A. Massage the fundus until it remains firm.
,B. Administer oxytocin per provider orders.
C. Assist the client to the bathroom to void.
D. Notify the provider of a possible hemorrhage.
Correct Answer: C
Explanation: A fundus that is displaced upward and to the right usually indicates a
distended bladder. A full bladder prevents the uterus from contracting effectively, which
increases the risk of postpartum hemorrhage. The nurse should assist the client to void to
allow the uterus to return to its proper midline position and descend.
3. Using Nagele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on November 15?
A. September 22
B. August 15
C. August 8
D. August 22
Correct Answer: D
Explanation: Nagele’s rule is calculated by subtracting 3 months from the first day of the
last menstrual period and then adding 7 days and 1 year. For an LMP of November 15,
subtracting 3 months gives August 15. Adding 7 days results in an EDD of August 22.
, 4. A nurse is teaching a pregnant client about presumptive signs of pregnancy. Which of the
following should the nurse include in the teaching?
A. Positive pregnancy test
B. Fetal heart sounds
C. Chadwick’s sign
D. Amenorrhea
Correct Answer: D
Explanation: Presumptive signs of pregnancy are subjective changes experienced by the
woman that could be caused by conditions other than pregnancy. Amenorrhea, fatigue, and
nausea are classic presumptive signs. Positive pregnancy tests and Chadwick’s sign are
considered probable signs, while fetal heart sounds are a positive sign.
5. A nurse is monitoring a client in the first stage of labor. The nurse observes a pattern of
early decelerations on the fetal heart rate monitor. Which of the following actions should the
nurse take?
A. Prepare for an emergency cesarean birth.
B. Increase the rate of IV fluid administration.
C. Continue to monitor the client.
D. Place the client in a knee-chest position.
Correct Answer: C
