CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
NR 327 Exam 2
Intrapartum Practice
Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Intrapartum Care — Labor and Delivery
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NR 327 · Chamberlain University Page 1
,NR 327 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: Intrapartum Care — Labor and Delivery
1 When admitting a client to the labor and delivery unit, which is the priority
assessment?
A Gravida and para status
B Time of last meal
C Presence of a labor partner
D Contraction frequency and duration
Correct Answer: D — Contraction frequency and duration is the priority assessment to
determine labor status and fetal well-being.
A — Gravida/para is important but not the priority.
B — Time of last meal is important for anesthesia risk but not the priority.
C — Support system is important but not the priority.
, 2 The nurse is caring for a client in labor who is receiving oxytocin. Which assessment
finding requires immediate action?
A Six contractions in 10 minutes
B Urine output 75 mL in 2 hours
C Fetal heart rate 125 bpm with moderate variability
D Contraction duration 50-60 seconds
Correct Answer: A — Six contractions in 10 minutes indicates
tachysystole/hyperstimulation, which requires immediate action.
B — Urine output 75 mL in 2 hours is adequate (37.5 mL/hr).
C — FHR 125 with moderate variability is normal.
D — Contraction duration 50-60 seconds is within normal range.
3 What are indications for labor induction? Select all that apply.
A Placenta previa
B Prolonged rupture of membranes
C History of precipitous labor
D Post-term gestation
E Client request to select the delivery date
Correct Answer: B, C, D — Prolonged ROM, history of precipitous labor, and post-term
gestation are indications for induction. Placenta previa is a contraindication; client request is
not an indication.
A — Placenta previa is a contraindication to induction.
E — Client request is not a medical indication for induction.
NR 327 Exam 2
Intrapartum Practice
Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Intrapartum Care — Labor and Delivery
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NR 327 · Chamberlain University Page 1
,NR 327 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: Intrapartum Care — Labor and Delivery
1 When admitting a client to the labor and delivery unit, which is the priority
assessment?
A Gravida and para status
B Time of last meal
C Presence of a labor partner
D Contraction frequency and duration
Correct Answer: D — Contraction frequency and duration is the priority assessment to
determine labor status and fetal well-being.
A — Gravida/para is important but not the priority.
B — Time of last meal is important for anesthesia risk but not the priority.
C — Support system is important but not the priority.
, 2 The nurse is caring for a client in labor who is receiving oxytocin. Which assessment
finding requires immediate action?
A Six contractions in 10 minutes
B Urine output 75 mL in 2 hours
C Fetal heart rate 125 bpm with moderate variability
D Contraction duration 50-60 seconds
Correct Answer: A — Six contractions in 10 minutes indicates
tachysystole/hyperstimulation, which requires immediate action.
B — Urine output 75 mL in 2 hours is adequate (37.5 mL/hr).
C — FHR 125 with moderate variability is normal.
D — Contraction duration 50-60 seconds is within normal range.
3 What are indications for labor induction? Select all that apply.
A Placenta previa
B Prolonged rupture of membranes
C History of precipitous labor
D Post-term gestation
E Client request to select the delivery date
Correct Answer: B, C, D — Prolonged ROM, history of precipitous labor, and post-term
gestation are indications for induction. Placenta previa is a contraindication; client request is
not an indication.
A — Placenta previa is a contraindication to induction.
E — Client request is not a medical indication for induction.
