2025 NR 327 Exam 2 Review: Maternal-Child Nursing
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY TESTED
QUESTIONS |RECENTLY TESTING REAL EXAM
Eye prophylaxis - ANSWER-Receive prophylactic agent in their eyes within the first 2 hours after
birth to prevent ophthalmic neonatorum.
Recommended agents for Eye prophylaxis - 1%. ANSWER-Erythromycin 0.5% & tetracycline
Importance of follow-up appointments - ANSWER-Be sure to keep up with appointments for
immunization & pediatrician visits.
Encouraging parental confidence - ANSWER-Very important to encourage parents to increase
confidence & comfortability with their new addition to the family.
Cultural respect in newborn care - ANSWER-Respect family's cultural beliefs, practices, & health
beliefs regarding newborn care.
Car seat safety - ANSWER-Encourage use of car seat & proper use of it to prevent accident &
injury to infant.
Childproofing the house - ANSWER-Childproof the house, such as the use of wall outlet safety
plugs that can be inserted into the outlets.
,SIDS prevention - ANSWER-Place infant on back while sleeping to prevent SIDS.
Maintaining a smoke-free environment - ANSWER-Maintain smoke-free environment for the
health of the infant.
Emergency preparedness - ANSWER-Keep poison control & any other emergency numbers
nearby.
Infant supervision - ANSWER-Be sure to stay close & provide adequate supervision of the infant.
Sun exposure prevention - ANSWER-Use sunshields to prevent overexposure to sunlight.
Normal FHR - ANSWER-110-160
Accelerations - ANSWER-Temporary increase; reassuring no interventions
Early deceleration - ANSWER-Mirror mom's contractions; cause: compression of baby's head on
pelvis/soft tissue; normal - no interventions, expected finding
Late deceleration - ANSWER-Responds after contraction; cause: uteroplacental insufficiency;
non-reassuring needs intervention
Nursing interventions for late deceleration - ANSWER-Side-lying position, IV fluids, discontinue
oxytocin, administer O2, palpate uterus for tachysystole, notify provider
Variable deceleration - ANSWER-Not uniform look for Vs; cause: cord compression; requires
intervention
, Nursing interventions for variable deceleration - ANSWER-Knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
VEAL CHOP MINE - ANSWER-V - variable, C - cord compression, M - move side left; E - early
decels, H - head compression, I - identify labor progression; A - acceleration, O - OK, N - no
intervention; L - late decels, P - placental insufficiency
Fetal bradycardia - ANSWER-FHR drops below 110 for at least 10 minutes; causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic meds
mom received
Interventions for fetal bradycardia - ANSWER-Stop oxytocin, left side position, O2, notify
provider
Fetal tachycardia - ANSWER-FHR increases above 160 for over 10 minutes; causes: infection,
cocaine use, dehydration
Interventions for fetal tachycardia - ANSWER-Antipyretics, oxygen, IV fluid bolus
Increment - ANSWER-Beginning, building of pressure
Acme - ANSWER-Most intense part of the contraction
Decrement - ANSWER-Diminishing of the contraction
Rest - ANSWER-Period of time between contractions
COMPREHENSIVE EXAM QUESTIONS |FREQUENTLY TESTED
QUESTIONS |RECENTLY TESTING REAL EXAM
Eye prophylaxis - ANSWER-Receive prophylactic agent in their eyes within the first 2 hours after
birth to prevent ophthalmic neonatorum.
Recommended agents for Eye prophylaxis - 1%. ANSWER-Erythromycin 0.5% & tetracycline
Importance of follow-up appointments - ANSWER-Be sure to keep up with appointments for
immunization & pediatrician visits.
Encouraging parental confidence - ANSWER-Very important to encourage parents to increase
confidence & comfortability with their new addition to the family.
Cultural respect in newborn care - ANSWER-Respect family's cultural beliefs, practices, & health
beliefs regarding newborn care.
Car seat safety - ANSWER-Encourage use of car seat & proper use of it to prevent accident &
injury to infant.
Childproofing the house - ANSWER-Childproof the house, such as the use of wall outlet safety
plugs that can be inserted into the outlets.
,SIDS prevention - ANSWER-Place infant on back while sleeping to prevent SIDS.
Maintaining a smoke-free environment - ANSWER-Maintain smoke-free environment for the
health of the infant.
Emergency preparedness - ANSWER-Keep poison control & any other emergency numbers
nearby.
Infant supervision - ANSWER-Be sure to stay close & provide adequate supervision of the infant.
Sun exposure prevention - ANSWER-Use sunshields to prevent overexposure to sunlight.
Normal FHR - ANSWER-110-160
Accelerations - ANSWER-Temporary increase; reassuring no interventions
Early deceleration - ANSWER-Mirror mom's contractions; cause: compression of baby's head on
pelvis/soft tissue; normal - no interventions, expected finding
Late deceleration - ANSWER-Responds after contraction; cause: uteroplacental insufficiency;
non-reassuring needs intervention
Nursing interventions for late deceleration - ANSWER-Side-lying position, IV fluids, discontinue
oxytocin, administer O2, palpate uterus for tachysystole, notify provider
Variable deceleration - ANSWER-Not uniform look for Vs; cause: cord compression; requires
intervention
, Nursing interventions for variable deceleration - ANSWER-Knee-chest position or side-side
repositioning, discontinue oxytocin, administer O2, notify provider
VEAL CHOP MINE - ANSWER-V - variable, C - cord compression, M - move side left; E - early
decels, H - head compression, I - identify labor progression; A - acceleration, O - OK, N - no
intervention; L - late decels, P - placental insufficiency
Fetal bradycardia - ANSWER-FHR drops below 110 for at least 10 minutes; causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic meds
mom received
Interventions for fetal bradycardia - ANSWER-Stop oxytocin, left side position, O2, notify
provider
Fetal tachycardia - ANSWER-FHR increases above 160 for over 10 minutes; causes: infection,
cocaine use, dehydration
Interventions for fetal tachycardia - ANSWER-Antipyretics, oxygen, IV fluid bolus
Increment - ANSWER-Beginning, building of pressure
Acme - ANSWER-Most intense part of the contraction
Decrement - ANSWER-Diminishing of the contraction
Rest - ANSWER-Period of time between contractions
