Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
normal fetal HR
110-160 beat/min
Accelerations in FHR
■ Temporary increase -
■ Reassuring - no interventions
Early decelerations
■ Normal - no interventions, expected finding
■ Cause: compression of head on the pelvis
Late deceleration: response after contraction
■Non-reassuring - needs intervention
■ Interventions: side-lying position, fluids, d/c oxytocin, O2, notify the provider, palpate uterus
for tachysystole
■ Cause: uteroplacental insufficiency
, Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
Variable decelerations
■ Requires intervention
■ Intervention: knee to chest position or side-side reposition, d/c oxytocin, O2,
notify provider
■ Cause: cord compression
VEAL CHOP MINE
Menomic for decelerations
■ Variable Cord compression Move the patient
■ Early Head compression Identify labor progress
■ Accelearate Okay No action
■ Late Placental insufficiency Execute "STOP"
(stop
Pitocin, turn patient on side, O2 via face mask, plain IV fluid increased)
, Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
Fetal bradycardia
FHR drops below 110 for at least 10 minutes
Fetal Bradycardia - Cause & Intervention
■ Causes: uteroplacental insufficiency, umbilical cord prolapses, maternal
hypotension, anesthetic meds mom received
■ Interventions: stop oxytocin, left side position, O2, notify provider
Fetal tachycardia
FHR increases above 160 for over 10 minutes
Fetal tachycardia - Cause & Intervention
■ Causes: infection, cocaine use, dehydration
■ Interventions: antipyretics, oxygen, IV fluid bolus
, Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
(B)UBBLE
Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking, inverted,
bleeding)
B(U)BBLE
Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis pubis
■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1 cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular motion until it
becomes firm
BUB(B)LE
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
normal fetal HR
110-160 beat/min
Accelerations in FHR
■ Temporary increase -
■ Reassuring - no interventions
Early decelerations
■ Normal - no interventions, expected finding
■ Cause: compression of head on the pelvis
Late deceleration: response after contraction
■Non-reassuring - needs intervention
■ Interventions: side-lying position, fluids, d/c oxytocin, O2, notify the provider, palpate uterus
for tachysystole
■ Cause: uteroplacental insufficiency
, Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
Variable decelerations
■ Requires intervention
■ Intervention: knee to chest position or side-side reposition, d/c oxytocin, O2,
notify provider
■ Cause: cord compression
VEAL CHOP MINE
Menomic for decelerations
■ Variable Cord compression Move the patient
■ Early Head compression Identify labor progress
■ Accelearate Okay No action
■ Late Placental insufficiency Execute "STOP"
(stop
Pitocin, turn patient on side, O2 via face mask, plain IV fluid increased)
, Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
Fetal bradycardia
FHR drops below 110 for at least 10 minutes
Fetal Bradycardia - Cause & Intervention
■ Causes: uteroplacental insufficiency, umbilical cord prolapses, maternal
hypotension, anesthetic meds mom received
■ Interventions: stop oxytocin, left side position, O2, notify provider
Fetal tachycardia
FHR increases above 160 for over 10 minutes
Fetal tachycardia - Cause & Intervention
■ Causes: infection, cocaine use, dehydration
■ Interventions: antipyretics, oxygen, IV fluid bolus
, Exam 2 Study guide: NR327 / NR 327
Maternal Child Nursing (Latest 2026 /
2027 Update) | Questions and Verified
Answers | 100% Correct | Grade A -
Chamberlain
(B)UBBLE
Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking, inverted,
bleeding)
B(U)BBLE
Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis pubis
■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1 cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular motion until it
becomes firm
BUB(B)LE
