Page 1 of 52
NR 327 – MATERNAL-CHILD NURSING EXAM 1 2026/2027
COMPLETE (150) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare effectively for the NR 327 Exam with this focused study resource. It supports
review of key nursing concepts, patient assessment, clinical judgment, nursing
interventions, safety, and evidence-based practice relevant to the course. Use the
material to reinforce your knowledge, review high-yield topics, and identify areas that
may require additional study. This resource is suited for nursing students, NR 327
learners, and candidates preparing for the NR 327 examination.
MULTIPLE CHOICE.
Section 1: Foundations of Maternal-Child Nursing & Healthcare Trends
(Questions 1–15)
A nurse is explaining the role of a Certified Nurse-Midwife (CNM) to a group of
nursing students. Which statement accurately describes this role?
A) A CNM provides labor support but does not perform clinical care.
B) A CNM is an advanced practice RN who provides comprehensive care to
low-risk women during pregnancy, childbirth, and the postpartum period.
C) A CNM is a licensed professional who only provides care in hospital
settings.
D) A CNM primarily focuses on high-risk pregnancies and performs cesarean
sections.
Answer: B) A CNM is an advanced practice RN who provides
comprehensive care to low-risk women during pregnancy, childbirth, and
the postpartum period.
Rationale: CNMs provide complete care for low-risk pregnancies,
including deliveries, and focus on a noninterventionist, supportive
approach. They refer high-risk patients to physicians. This distinguishes
them from Nurse Practitioners (who do not perform deliveries) and Doulas
(who provide labor support but not clinical care).
, Page 2 of 52
A student asks the instructor about the primary goal of the Healthy People
2030 initiative as it relates to maternal-child nursing. What is the best
response by the instructor?
A) To reduce the number of home births in the United States
B) To prevent pregnancy complications and reduce maternal deaths by
promoting health and well-being for women before, during, and after
pregnancy
C) To standardize the use of technology in all childbirth settings
D) To increase the number of cesarean sections performed in hospitals
Answer: B) To prevent pregnancy complications and reduce maternal
deaths by promoting health and well-being for women before, during, and
after pregnancy
Rationale: Healthy People 2030 emphasizes preventing complications
and maternal deaths, recognizing that a woman's health directly impacts
the health of future generations.
Which factor significantly contributed to the shift from home births to hospital
births in the early 20th century?
A) The discovery of prenatal vitamins
B) The development of forceps to facilitate difficult births
C) The recognition that puerperal sepsis was a risk factor in labor and delivery
D) The availability of electronic fetal monitoring
Answer: C) The recognition that puerperal sepsis was a risk factor in labor
and delivery
Rationale: The shift from home to hospital births was significantly
influenced by the identification of puerperal sepsis as a serious risk,
leading to improvements in sterile techniques and infection control
practices in hospital settings.
A nurse is caring for a client who is 38 weeks pregnant and reports decreased
fetal movement. What is the priority nursing action?
A) Reassure the client that fetal movement decreases near term
B) Instruct the client to drink orange juice and count fetal movements
C) Notify the healthcare provider and prepare for further assessment
D) Discharge the client with instructions to return if movement stops
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Answer: C) Notify the healthcare provider and prepare for further
assessment
Rationale: Decreased fetal movement near term can be a sign of fetal
compromise and requires immediate further assessment. The nurse
should notify the provider and prepare for evaluation, including non-
stress testing or biophysical profile.
A nurse is teaching a group of nursing students about the history of maternal-
child nursing. Which statement about maternal care before the 20th century
is accurate?
A) Most births occurred in hospitals with sterile techniques.
B) Maternal mortality rates were low due to effective medical interventions.
C) Many women died from puerperal sepsis and hemorrhage during childbirth.
D) Prenatal care was widely available and standardized.
Answer: C) Many women died from puerperal sepsis and hemorrhage
during childbirth.
Rationale: Before the 20th century, maternal mortality rates were high,
with puerperal sepsis (childbed fever) and hemorrhage being leading
causes of death. Hospital births were uncommon, and sterile techniques
were not yet established.
A nurse is providing education to a pregnant client about the importance of
preconception care. Which statement by the client indicates understanding of
the teaching?
A) "Preconception care is only necessary for women who have had previous
pregnancy complications."
B) "I should start taking folic acid supplements before I become pregnant to
prevent neural tube defects."
C) "Preconception care is not important if I am healthy and have no medical
conditions."
D) "I can stop taking my medications once I become pregnant."
Answer: B) "I should start taking folic acid supplements before I become
pregnant to prevent neural tube defects."
Rationale: Preconception care is essential for all women of childbearing
age. Folic acid supplementation (400–800 mcg) is recommended before
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conception and during early pregnancy to reduce the risk of neural tube
defects.
A nurse is discussing the role of a Doula with a client. Which statement
accurately describes the role of a Doula?
A) A Doula provides clinical care and performs deliveries.
B) A Doula is an advanced practice RN who manages high-risk pregnancies.
C) A Doula provides continuous physical, emotional, and informational
support to the mother before, during, and after childbirth.
D) A Doula prescribes medications and performs cesarean sections.
Answer: C) A Doula provides continuous physical, emotional, and
informational support to the mother before, during, and after childbirth.
Rationale: A Doula provides nonclinical support, including comfort
measures, advocacy, and education, but does not perform clinical tasks
or deliveries.
The nurse is caring for a client in the first trimester of pregnancy. The client
asks about the purpose of prenatal visits. What is the best response by the
nurse?
A) "Prenatal visits are primarily to check the baby's gender."
B) "Prenatal visits help monitor the health of both you and your baby and
detect potential complications early."
C) "Prenatal visits are only necessary if you have pregnancy complications."
D) "Prenatal visits are mostly for completing paperwork and insurance forms."
Answer: B) "Prenatal visits help monitor the health of both you and your
baby and detect potential complications early."
Rationale: The primary purpose of prenatal care is to monitor maternal
and fetal health, provide education, and detect and manage
complications early.
A nursing student asks the instructor about the primary goal of maternal-child
nursing. What is the best response?
A) To promote the health and well-being of women, infants, and families
B) To reduce the cost of childbirth
C) To increase the use of technology in labor and delivery
D) To standardize all childbirth practices
NR 327 – MATERNAL-CHILD NURSING EXAM 1 2026/2027
COMPLETE (150) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare effectively for the NR 327 Exam with this focused study resource. It supports
review of key nursing concepts, patient assessment, clinical judgment, nursing
interventions, safety, and evidence-based practice relevant to the course. Use the
material to reinforce your knowledge, review high-yield topics, and identify areas that
may require additional study. This resource is suited for nursing students, NR 327
learners, and candidates preparing for the NR 327 examination.
MULTIPLE CHOICE.
Section 1: Foundations of Maternal-Child Nursing & Healthcare Trends
(Questions 1–15)
A nurse is explaining the role of a Certified Nurse-Midwife (CNM) to a group of
nursing students. Which statement accurately describes this role?
A) A CNM provides labor support but does not perform clinical care.
B) A CNM is an advanced practice RN who provides comprehensive care to
low-risk women during pregnancy, childbirth, and the postpartum period.
C) A CNM is a licensed professional who only provides care in hospital
settings.
D) A CNM primarily focuses on high-risk pregnancies and performs cesarean
sections.
Answer: B) A CNM is an advanced practice RN who provides
comprehensive care to low-risk women during pregnancy, childbirth, and
the postpartum period.
Rationale: CNMs provide complete care for low-risk pregnancies,
including deliveries, and focus on a noninterventionist, supportive
approach. They refer high-risk patients to physicians. This distinguishes
them from Nurse Practitioners (who do not perform deliveries) and Doulas
(who provide labor support but not clinical care).
, Page 2 of 52
A student asks the instructor about the primary goal of the Healthy People
2030 initiative as it relates to maternal-child nursing. What is the best
response by the instructor?
A) To reduce the number of home births in the United States
B) To prevent pregnancy complications and reduce maternal deaths by
promoting health and well-being for women before, during, and after
pregnancy
C) To standardize the use of technology in all childbirth settings
D) To increase the number of cesarean sections performed in hospitals
Answer: B) To prevent pregnancy complications and reduce maternal
deaths by promoting health and well-being for women before, during, and
after pregnancy
Rationale: Healthy People 2030 emphasizes preventing complications
and maternal deaths, recognizing that a woman's health directly impacts
the health of future generations.
Which factor significantly contributed to the shift from home births to hospital
births in the early 20th century?
A) The discovery of prenatal vitamins
B) The development of forceps to facilitate difficult births
C) The recognition that puerperal sepsis was a risk factor in labor and delivery
D) The availability of electronic fetal monitoring
Answer: C) The recognition that puerperal sepsis was a risk factor in labor
and delivery
Rationale: The shift from home to hospital births was significantly
influenced by the identification of puerperal sepsis as a serious risk,
leading to improvements in sterile techniques and infection control
practices in hospital settings.
A nurse is caring for a client who is 38 weeks pregnant and reports decreased
fetal movement. What is the priority nursing action?
A) Reassure the client that fetal movement decreases near term
B) Instruct the client to drink orange juice and count fetal movements
C) Notify the healthcare provider and prepare for further assessment
D) Discharge the client with instructions to return if movement stops
, Page 3 of 52
Answer: C) Notify the healthcare provider and prepare for further
assessment
Rationale: Decreased fetal movement near term can be a sign of fetal
compromise and requires immediate further assessment. The nurse
should notify the provider and prepare for evaluation, including non-
stress testing or biophysical profile.
A nurse is teaching a group of nursing students about the history of maternal-
child nursing. Which statement about maternal care before the 20th century
is accurate?
A) Most births occurred in hospitals with sterile techniques.
B) Maternal mortality rates were low due to effective medical interventions.
C) Many women died from puerperal sepsis and hemorrhage during childbirth.
D) Prenatal care was widely available and standardized.
Answer: C) Many women died from puerperal sepsis and hemorrhage
during childbirth.
Rationale: Before the 20th century, maternal mortality rates were high,
with puerperal sepsis (childbed fever) and hemorrhage being leading
causes of death. Hospital births were uncommon, and sterile techniques
were not yet established.
A nurse is providing education to a pregnant client about the importance of
preconception care. Which statement by the client indicates understanding of
the teaching?
A) "Preconception care is only necessary for women who have had previous
pregnancy complications."
B) "I should start taking folic acid supplements before I become pregnant to
prevent neural tube defects."
C) "Preconception care is not important if I am healthy and have no medical
conditions."
D) "I can stop taking my medications once I become pregnant."
Answer: B) "I should start taking folic acid supplements before I become
pregnant to prevent neural tube defects."
Rationale: Preconception care is essential for all women of childbearing
age. Folic acid supplementation (400–800 mcg) is recommended before
, Page 4 of 52
conception and during early pregnancy to reduce the risk of neural tube
defects.
A nurse is discussing the role of a Doula with a client. Which statement
accurately describes the role of a Doula?
A) A Doula provides clinical care and performs deliveries.
B) A Doula is an advanced practice RN who manages high-risk pregnancies.
C) A Doula provides continuous physical, emotional, and informational
support to the mother before, during, and after childbirth.
D) A Doula prescribes medications and performs cesarean sections.
Answer: C) A Doula provides continuous physical, emotional, and
informational support to the mother before, during, and after childbirth.
Rationale: A Doula provides nonclinical support, including comfort
measures, advocacy, and education, but does not perform clinical tasks
or deliveries.
The nurse is caring for a client in the first trimester of pregnancy. The client
asks about the purpose of prenatal visits. What is the best response by the
nurse?
A) "Prenatal visits are primarily to check the baby's gender."
B) "Prenatal visits help monitor the health of both you and your baby and
detect potential complications early."
C) "Prenatal visits are only necessary if you have pregnancy complications."
D) "Prenatal visits are mostly for completing paperwork and insurance forms."
Answer: B) "Prenatal visits help monitor the health of both you and your
baby and detect potential complications early."
Rationale: The primary purpose of prenatal care is to monitor maternal
and fetal health, provide education, and detect and manage
complications early.
A nursing student asks the instructor about the primary goal of maternal-child
nursing. What is the best response?
A) To promote the health and well-being of women, infants, and families
B) To reduce the cost of childbirth
C) To increase the use of technology in labor and delivery
D) To standardize all childbirth practices
