,NR 327 Maternal-Child Nursing Final Exam
Prep Comprehensive Maternal-Child Review +
Practice MCQs chamberlain collage of nursing
2026/2027
1. A nurse is providing prenatal education to a client at 10 weeks' gestation. Which instruction
regarding folic acid supplementation should the nurse include?
A. "Folic acid is only needed during the first trimester."
B. "Take 400–800 mcg of folic acid daily to prevent neural tube defects."
C. "Folic acid prevents gestational diabetes."
D. "You can get enough folic acid from diet alone."
Correct Answer: B
Rationale: Folic acid supplementation of 400–800 mcg daily is recommended before conception
and during early pregnancy to prevent neural tube defects. Neural tube closure occurs within
the first 28 days of gestation, often before pregnancy is confirmed.
2. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on March 10. Using Naegele's rule, what is the EDD?
A. December 10
B. December 17
C. December 3
D. December 24
Correct Answer: B
,Rationale: Naegele's rule: Subtract 3 months from the first day of the LMP and add 7 days.
March 10 − 3 months = December 10; December 10 + 7 days = December 17.
3. A nurse is assessing a client at 32 weeks' gestation. Which finding should the nurse report to
the provider?
A. Fundal height of 32 cm
B. Blood pressure of 118/76 mm Hg
C. Generalized edema of the face and hands
D. Fetal heart rate of 140 bpm
Correct Answer: C
Rationale: Generalized edema of the face and hands at 32 weeks may indicate preeclampsia and
should be reported. Fundal height approximating gestational age, normal blood pressure, and a
normal FHR are expected findings.
4. A nurse is teaching a client about the signs of true labor. Which statement by the client
indicates understanding?
A. "Contractions are irregular and relieved by walking."
B. "Contractions become stronger and more regular with walking."
C. "The pain is only in my back."
D. "Contractions stop when I change position."
Correct Answer: B
Rationale: True labor contractions become stronger, more regular, and closer together with
activity such as walking. False labor contractions are irregular, relieved by walking or position
changes, and felt primarily in the abdomen.
, 5. A nurse is assessing a client at 36 weeks' gestation who reports a sudden gush of fluid from
the vagina. Which action should the nurse take first?
A. Perform a sterile vaginal examination.
B. Assess the fetal heart rate.
C. Test the fluid with nitrazine paper.
D. Place the client in a supine position.
Correct Answer: B
Rationale: When rupture of membranes is suspected, the priority is to assess the fetal heart rate
for signs of cord compression or prolapse. A sterile vaginal examination should be avoided until
the FHR is assessed and cord prolapse is ruled out.
6. A nurse is caring for a client with hyperemesis gravidarum. Which laboratory value should the
nurse monitor?
A. Hemoglobin
B. Potassium
C. Platelet count
D. INR
Correct Answer: B
Rationale: Hyperemesis gravidarum causes severe vomiting, leading to hypokalemia,
hyponatremia, and metabolic alkalosis. Potassium levels should be monitored closely.
7. A nurse is teaching a pregnant client about the danger signs that require immediate medical
attention. Which finding should the nurse include?
Prep Comprehensive Maternal-Child Review +
Practice MCQs chamberlain collage of nursing
2026/2027
1. A nurse is providing prenatal education to a client at 10 weeks' gestation. Which instruction
regarding folic acid supplementation should the nurse include?
A. "Folic acid is only needed during the first trimester."
B. "Take 400–800 mcg of folic acid daily to prevent neural tube defects."
C. "Folic acid prevents gestational diabetes."
D. "You can get enough folic acid from diet alone."
Correct Answer: B
Rationale: Folic acid supplementation of 400–800 mcg daily is recommended before conception
and during early pregnancy to prevent neural tube defects. Neural tube closure occurs within
the first 28 days of gestation, often before pregnancy is confirmed.
2. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on March 10. Using Naegele's rule, what is the EDD?
A. December 10
B. December 17
C. December 3
D. December 24
Correct Answer: B
,Rationale: Naegele's rule: Subtract 3 months from the first day of the LMP and add 7 days.
March 10 − 3 months = December 10; December 10 + 7 days = December 17.
3. A nurse is assessing a client at 32 weeks' gestation. Which finding should the nurse report to
the provider?
A. Fundal height of 32 cm
B. Blood pressure of 118/76 mm Hg
C. Generalized edema of the face and hands
D. Fetal heart rate of 140 bpm
Correct Answer: C
Rationale: Generalized edema of the face and hands at 32 weeks may indicate preeclampsia and
should be reported. Fundal height approximating gestational age, normal blood pressure, and a
normal FHR are expected findings.
4. A nurse is teaching a client about the signs of true labor. Which statement by the client
indicates understanding?
A. "Contractions are irregular and relieved by walking."
B. "Contractions become stronger and more regular with walking."
C. "The pain is only in my back."
D. "Contractions stop when I change position."
Correct Answer: B
Rationale: True labor contractions become stronger, more regular, and closer together with
activity such as walking. False labor contractions are irregular, relieved by walking or position
changes, and felt primarily in the abdomen.
, 5. A nurse is assessing a client at 36 weeks' gestation who reports a sudden gush of fluid from
the vagina. Which action should the nurse take first?
A. Perform a sterile vaginal examination.
B. Assess the fetal heart rate.
C. Test the fluid with nitrazine paper.
D. Place the client in a supine position.
Correct Answer: B
Rationale: When rupture of membranes is suspected, the priority is to assess the fetal heart rate
for signs of cord compression or prolapse. A sterile vaginal examination should be avoided until
the FHR is assessed and cord prolapse is ruled out.
6. A nurse is caring for a client with hyperemesis gravidarum. Which laboratory value should the
nurse monitor?
A. Hemoglobin
B. Potassium
C. Platelet count
D. INR
Correct Answer: B
Rationale: Hyperemesis gravidarum causes severe vomiting, leading to hypokalemia,
hyponatremia, and metabolic alkalosis. Potassium levels should be monitored closely.
7. A nurse is teaching a pregnant client about the danger signs that require immediate medical
attention. Which finding should the nurse include?
