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 an APGAR assessment on a newborn. The newborn has a limp
body, absent pulse, no response to stimulation, pallor, and no spontaneous
respirations. What APGAR score should the nurse assign?
A 1
B 2
C 3
D 0
Why D is correct: An APGAR score of 0 indicates no signs of life in any category: Activity
(limp), Pulse (absent), Grimace (no response), Appearance (pallor/cyanosis), and Respiration
(no spontaneous respirations).
A — Score of 1 would indicate some response in one or more categories.
B — Score of 2 indicates normal findings across all categories.
C — Score of 3 indicates moderate compromise.
,2 A newborn has an APGAR score of 2. Which assessment findings would the nurse
expect? Select all that apply.
A Heart rate less than 100 bpm
B Spontaneous lusty cry
C Flexed body posture
D Prompt response to stimulation
E Pink mucous membranes
F Pallor or cyanosis
Why B, C, D, and E are correct: An APGAR score of 2 in each category indicates: heart rate
>100 bpm, spontaneous lusty cry, flexed body posture, prompt response, and pink mucous
membranes.
A — Score of 2 for pulse requires >100 bpm.
F — Pallor or cyanosis would receive a score of 0 for appearance.
3 A nurse is preparing to administer medications to a newborn at delivery. Which
medication is administered intramuscularly in the vastus lateralis muscle?
A Erythromycin ophthalmic ointment
B Vitamin K (Phytonadione)
C Hepatitis B vaccine
D Hepatitis B immune globulin
Why B is correct: Vitamin K (Phytonadione) is administered intramuscularly in the vastus
lateralis muscle of the newborn.
A — Erythromycin is administered as eye ointment, not IM.
C — Hepatitis B vaccine is given IM but typically in the deltoid or anterolateral thigh, and at a
different site than vitamin K.
D — HBIG is given IM but in a different site.
, 4 The nurse is administering erythromycin ophthalmic ointment to a newborn. Which
technique should the nurse use?
A Apply from outer to inner canthus
B Apply from inner to outer canthus
C Apply a thick layer over the entire eye
D Apply only if the mother has an STI
Why B is correct: Erythromycin ophthalmic ointment should be applied from the inner to
outer canthus to prevent infection and ensure even distribution.
A — Applying from outer to inner canthus may contaminate the tear duct.
C — A thin ribbon is applied, not a thick layer.
D — Erythromycin is standard for all newborns regardless of maternal STI status.
5 The nurse is providing education to a new mother about the hepatitis B
immunization schedule for her newborn. Which schedule is correct?
A At birth, 2 months, and 4 months
B At birth, 1 month, and 6 months
C At birth, 6 weeks, and 12 months
D At 2 months, 4 months, and 6 months
Why B is correct: The hepatitis B immunization schedule is at birth, 1 month, and 6 months.
A — This is the DTaP/IPV/Hib schedule, not hepatitis B.
C — This is an incorrect schedule.
D — This is the 2-month, 4-month, 6-month schedule for other vaccines.
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 an APGAR assessment on a newborn. The newborn has a limp
body, absent pulse, no response to stimulation, pallor, and no spontaneous
respirations. What APGAR score should the nurse assign?
A 1
B 2
C 3
D 0
Why D is correct: An APGAR score of 0 indicates no signs of life in any category: Activity
(limp), Pulse (absent), Grimace (no response), Appearance (pallor/cyanosis), and Respiration
(no spontaneous respirations).
A — Score of 1 would indicate some response in one or more categories.
B — Score of 2 indicates normal findings across all categories.
C — Score of 3 indicates moderate compromise.
,2 A newborn has an APGAR score of 2. Which assessment findings would the nurse
expect? Select all that apply.
A Heart rate less than 100 bpm
B Spontaneous lusty cry
C Flexed body posture
D Prompt response to stimulation
E Pink mucous membranes
F Pallor or cyanosis
Why B, C, D, and E are correct: An APGAR score of 2 in each category indicates: heart rate
>100 bpm, spontaneous lusty cry, flexed body posture, prompt response, and pink mucous
membranes.
A — Score of 2 for pulse requires >100 bpm.
F — Pallor or cyanosis would receive a score of 0 for appearance.
3 A nurse is preparing to administer medications to a newborn at delivery. Which
medication is administered intramuscularly in the vastus lateralis muscle?
A Erythromycin ophthalmic ointment
B Vitamin K (Phytonadione)
C Hepatitis B vaccine
D Hepatitis B immune globulin
Why B is correct: Vitamin K (Phytonadione) is administered intramuscularly in the vastus
lateralis muscle of the newborn.
A — Erythromycin is administered as eye ointment, not IM.
C — Hepatitis B vaccine is given IM but typically in the deltoid or anterolateral thigh, and at a
different site than vitamin K.
D — HBIG is given IM but in a different site.
, 4 The nurse is administering erythromycin ophthalmic ointment to a newborn. Which
technique should the nurse use?
A Apply from outer to inner canthus
B Apply from inner to outer canthus
C Apply a thick layer over the entire eye
D Apply only if the mother has an STI
Why B is correct: Erythromycin ophthalmic ointment should be applied from the inner to
outer canthus to prevent infection and ensure even distribution.
A — Applying from outer to inner canthus may contaminate the tear duct.
C — A thin ribbon is applied, not a thick layer.
D — Erythromycin is standard for all newborns regardless of maternal STI status.
5 The nurse is providing education to a new mother about the hepatitis B
immunization schedule for her newborn. Which schedule is correct?
A At birth, 2 months, and 4 months
B At birth, 1 month, and 6 months
C At birth, 6 weeks, and 12 months
D At 2 months, 4 months, and 6 months
Why B is correct: The hepatitis B immunization schedule is at birth, 1 month, and 6 months.
A — This is the DTaP/IPV/Hib schedule, not hepatitis B.
C — This is an incorrect schedule.
D — This is the 2-month, 4-month, 6-month schedule for other vaccines.
