CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
NR 327 Exam 2
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Maternal-Child Nursing — Comprehensive Review
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Maternal-Child Nursing 2
NR 327 · Chamberlain University Page 1
,NR 327 EXAM 2 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Maternal-Child Nursing — Comprehensive Review
1 A nurse is performing a newborn assessment. Which of the following should the
nurse identify as a sign of spina bifida?
A Sacral dimple
B Tuft of hair
C Mongolian spot
D Strawberry hemangioma
Why B is correct: A tuft of hair over the lower spine is a sign of spina bifida occulta.
A — A sacral dimple may be normal if shallow and at the base of the coccyx, but deep
dimples require evaluation.
C — Mongolian spots are benign birthmarks common in dark-skinned newborns.
D — Strawberry hemangiomas are benign vascular birthmarks.
, 2 A nurse is assessing a client that is 12-hours postpartum. The client's fundus is 2
fingerbreadths above the umbilicus, deviated to the right of midline, and less firm
than previously noted. Which action should the nurse take?
A Assist the client to the restroom to void
B Massage the fundus vigorously
C Notify the healthcare provider
D Administer oxytocin
Why A is correct: A fundus that is above the umbilicus, deviated to the right, and less firm
indicates a full bladder displacing the uterus. The nurse should assist the client to void.
B — Massage alone will not correct a displaced fundus caused by a full bladder.
C — Notification is not the first action; bladder emptying should be attempted first.
D — Oxytocin is not indicated until bladder is emptied.
3 A nurse is teaching a client who is 36 weeks gestation and has a prescription for a
non-stress test. Which of the following statements should the nurse include in her
teaching?
A "You will need to have a full bladder for this test."
B "You will be offered orange juice and a snack during your test."
C "You will be required to lie flat on your back for 30 minutes."
D "This test measures the strength of your contractions."
Why B is correct: Orange juice and a snack are offered during a non-stress test to stimulate
fetal movement and promote a reactive test result.
A — A full bladder is required for ultrasound, not NST.
C — Side-lying position is preferred to avoid supine hypotension.
D — NST measures fetal heart rate response to movement, not contraction strength.
NR 327 Exam 2
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Maternal-Child Nursing — Comprehensive Review
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Maternal-Child Nursing 2
NR 327 · Chamberlain University Page 1
,NR 327 EXAM 2 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Maternal-Child Nursing — Comprehensive Review
1 A nurse is performing a newborn assessment. Which of the following should the
nurse identify as a sign of spina bifida?
A Sacral dimple
B Tuft of hair
C Mongolian spot
D Strawberry hemangioma
Why B is correct: A tuft of hair over the lower spine is a sign of spina bifida occulta.
A — A sacral dimple may be normal if shallow and at the base of the coccyx, but deep
dimples require evaluation.
C — Mongolian spots are benign birthmarks common in dark-skinned newborns.
D — Strawberry hemangiomas are benign vascular birthmarks.
, 2 A nurse is assessing a client that is 12-hours postpartum. The client's fundus is 2
fingerbreadths above the umbilicus, deviated to the right of midline, and less firm
than previously noted. Which action should the nurse take?
A Assist the client to the restroom to void
B Massage the fundus vigorously
C Notify the healthcare provider
D Administer oxytocin
Why A is correct: A fundus that is above the umbilicus, deviated to the right, and less firm
indicates a full bladder displacing the uterus. The nurse should assist the client to void.
B — Massage alone will not correct a displaced fundus caused by a full bladder.
C — Notification is not the first action; bladder emptying should be attempted first.
D — Oxytocin is not indicated until bladder is emptied.
3 A nurse is teaching a client who is 36 weeks gestation and has a prescription for a
non-stress test. Which of the following statements should the nurse include in her
teaching?
A "You will need to have a full bladder for this test."
B "You will be offered orange juice and a snack during your test."
C "You will be required to lie flat on your back for 30 minutes."
D "This test measures the strength of your contractions."
Why B is correct: Orange juice and a snack are offered during a non-stress test to stimulate
fetal movement and promote a reactive test result.
A — A full bladder is required for ultrasound, not NST.
C — Side-lying position is preferred to avoid supine hypotension.
D — NST measures fetal heart rate response to movement, not contraction strength.
