NACE Care of Childbearing Family Exam
2026| Actual Exam Questions and Correct
Answers for Guaranteed Pass
A nurse is explaining physiological jaundice to a nursing student. Which of the following
should the nurse include when discussing risk factors for neonatal physiological jaundice?
A. Gestational age of 35–38 weeks
B. Term gestation of 39–40 weeks
C. Exclusive formula feeding from birth
D. Maternal age under 20 years
Correct answer: A
Late-preterm infants (35–38 weeks) have immature hepatic enzyme systems and increased
bilirubin load, placing them at higher risk for physiological jaundice.
A baby boy is circumcised on the day of discharge. Which observation should the nurse
make prior to the infant’s discharge?
A. Make sure the baby can urinate normally without pain; note the time and amount of the first
post-procedure voiding
B. Confirm the infant has had a bowel movement
C. Assess for jaundice only
D. Check that the infant has slept for at least 4 hours
Correct answer: A
The nurse must verify that the infant can void freely after circumcision, documenting the first
void to rule out urinary obstruction or excessive edema.
A patient who is 38 weeks pregnant is admitted to the hospital in active labor. On
admission, the patient says, “For the past ten hours, I have been leaking small amounts of
urine.” Which action should the nurse take initially?
A. Test the patient’s vaginal secretions with nitrazine paper
B. Immediately start an IV infusion
C. Perform a vaginal examination
D. Restrict oral fluids
Correct answer: A
Nitrazine testing differentiates amniotic fluid (alkaline, turns blue) from urine, confirming or
ruling out ruptured membranes.
,A nurse is caring for a female client who suspects she is pregnant. Which question, if asked
by the nurse, is consistent with signs of early pregnancy?
A. “Have you noticed any tenderness in your breasts?”
B. “Have you felt fetal movement?”
C. “Have you had any vaginal bleeding?”
D. “Do you have frequent headaches?”
Correct answer: A
Breast tenderness is an early presumptive sign of pregnancy caused by hormonal changes.
A nurse is caring for a newborn with a gestational age of 42 weeks. Which finding would
the nurse expect during the assessment of this newborn?
A. Dryness and flaking of the skin on the hands and feet
B. Abundant vernix caseosa
C. Soft, abundant lanugo
D. Smooth, shiny skin
Correct answer: A
Post-term infants commonly exhibit dry, peeling, cracked skin, especially on the palms and soles,
due to prolonged exposure to amniotic fluid.
A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the labor
and delivery unit for induction. The patient is placed on an external fetal monitor and
receives epidural anesthesia. Which action should the nurse take to identify a potential side
effect of the epidural?
A. Monitor the patient’s blood pressure
B. Assess deep tendon reflexes hourly
C. Check blood glucose every 15 minutes
D. Auscultate lung sounds every hour
Correct answer: A
Epidural anesthesia commonly causes maternal hypotension secondary to sympathetic blockade,
which can compromise placental perfusion.
Epidural anesthesia can cause
A. Hypertension
B. Hypotension which can affect placental blood flow and fetal oxygenation
C. Hyperglycemia
D. Increased uterine contractility
Correct answer: B
Sympathetic blockade from epidural anesthesia leads to vasodilation and maternal hypotension,
reducing uteroplacental blood flow.
, Preeclampsia is characterized by
A. Hypotension, weight loss, and glucosuria
B. Hypertension, edema, and proteinuria
C. Bradycardia, polyuria, and hyperreflexia
D. Hypoglycemia, fever, and leukocytosis
Correct answer: B
Classic triad of preeclampsia is hypertension, proteinuria, and edema (or other end-organ
involvement).
Deep tendon reflexes can be affected by
A. Oxytocin
B. Magnesium
C. Insulin
D. Terbutaline
Correct answer: B
Magnesium sulfate is a CNS depressant that diminishes deep tendon reflexes; loss of reflexes is
an early sign of magnesium toxicity.
A medication used to prevent seizures in patients with preeclampsia
A. Oxytocin
B. Magnesium sulfate
C. Terbutaline
D. Methylergonovine
Correct answer: B
Magnesium sulfate is the drug of choice for seizure prophylaxis in preeclampsia/eclampsia.
A patient is receiving magnesium sulfate. Which side effect should the nurse monitor for
with this patient?
A. Increased respirations
B. Decreased respirations (it can slow down or stop breathing)
C. Hypertension
D. Hyperreflexia
Correct answer: B
Respiratory depression is a serious sign of magnesium toxicity; respirations must be monitored
closely.
Babinski reflex
A. Toes curl downward when the sole is stroked
B. Big toe bends upward and the other toes fan out when the sole of the foot is stroked
2026| Actual Exam Questions and Correct
Answers for Guaranteed Pass
A nurse is explaining physiological jaundice to a nursing student. Which of the following
should the nurse include when discussing risk factors for neonatal physiological jaundice?
A. Gestational age of 35–38 weeks
B. Term gestation of 39–40 weeks
C. Exclusive formula feeding from birth
D. Maternal age under 20 years
Correct answer: A
Late-preterm infants (35–38 weeks) have immature hepatic enzyme systems and increased
bilirubin load, placing them at higher risk for physiological jaundice.
A baby boy is circumcised on the day of discharge. Which observation should the nurse
make prior to the infant’s discharge?
A. Make sure the baby can urinate normally without pain; note the time and amount of the first
post-procedure voiding
B. Confirm the infant has had a bowel movement
C. Assess for jaundice only
D. Check that the infant has slept for at least 4 hours
Correct answer: A
The nurse must verify that the infant can void freely after circumcision, documenting the first
void to rule out urinary obstruction or excessive edema.
A patient who is 38 weeks pregnant is admitted to the hospital in active labor. On
admission, the patient says, “For the past ten hours, I have been leaking small amounts of
urine.” Which action should the nurse take initially?
A. Test the patient’s vaginal secretions with nitrazine paper
B. Immediately start an IV infusion
C. Perform a vaginal examination
D. Restrict oral fluids
Correct answer: A
Nitrazine testing differentiates amniotic fluid (alkaline, turns blue) from urine, confirming or
ruling out ruptured membranes.
,A nurse is caring for a female client who suspects she is pregnant. Which question, if asked
by the nurse, is consistent with signs of early pregnancy?
A. “Have you noticed any tenderness in your breasts?”
B. “Have you felt fetal movement?”
C. “Have you had any vaginal bleeding?”
D. “Do you have frequent headaches?”
Correct answer: A
Breast tenderness is an early presumptive sign of pregnancy caused by hormonal changes.
A nurse is caring for a newborn with a gestational age of 42 weeks. Which finding would
the nurse expect during the assessment of this newborn?
A. Dryness and flaking of the skin on the hands and feet
B. Abundant vernix caseosa
C. Soft, abundant lanugo
D. Smooth, shiny skin
Correct answer: A
Post-term infants commonly exhibit dry, peeling, cracked skin, especially on the palms and soles,
due to prolonged exposure to amniotic fluid.
A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the labor
and delivery unit for induction. The patient is placed on an external fetal monitor and
receives epidural anesthesia. Which action should the nurse take to identify a potential side
effect of the epidural?
A. Monitor the patient’s blood pressure
B. Assess deep tendon reflexes hourly
C. Check blood glucose every 15 minutes
D. Auscultate lung sounds every hour
Correct answer: A
Epidural anesthesia commonly causes maternal hypotension secondary to sympathetic blockade,
which can compromise placental perfusion.
Epidural anesthesia can cause
A. Hypertension
B. Hypotension which can affect placental blood flow and fetal oxygenation
C. Hyperglycemia
D. Increased uterine contractility
Correct answer: B
Sympathetic blockade from epidural anesthesia leads to vasodilation and maternal hypotension,
reducing uteroplacental blood flow.
, Preeclampsia is characterized by
A. Hypotension, weight loss, and glucosuria
B. Hypertension, edema, and proteinuria
C. Bradycardia, polyuria, and hyperreflexia
D. Hypoglycemia, fever, and leukocytosis
Correct answer: B
Classic triad of preeclampsia is hypertension, proteinuria, and edema (or other end-organ
involvement).
Deep tendon reflexes can be affected by
A. Oxytocin
B. Magnesium
C. Insulin
D. Terbutaline
Correct answer: B
Magnesium sulfate is a CNS depressant that diminishes deep tendon reflexes; loss of reflexes is
an early sign of magnesium toxicity.
A medication used to prevent seizures in patients with preeclampsia
A. Oxytocin
B. Magnesium sulfate
C. Terbutaline
D. Methylergonovine
Correct answer: B
Magnesium sulfate is the drug of choice for seizure prophylaxis in preeclampsia/eclampsia.
A patient is receiving magnesium sulfate. Which side effect should the nurse monitor for
with this patient?
A. Increased respirations
B. Decreased respirations (it can slow down or stop breathing)
C. Hypertension
D. Hyperreflexia
Correct answer: B
Respiratory depression is a serious sign of magnesium toxicity; respirations must be monitored
closely.
Babinski reflex
A. Toes curl downward when the sole is stroked
B. Big toe bends upward and the other toes fan out when the sole of the foot is stroked
