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NACE Care Of Childbearing Family
Actual Exam Newest Preparation
Complete Questions And Correct
Answers
1. After a client received an epidural anesthesia, a nurse should make which of
these assessments first?
· Determine whether the client has bladder distention
· Determine whether the client has sensory impairment in the legs
· Determine the frequency of the client's contractions
Determine the clients blood pressure
ANSWER: The nurse should determine the client's blood pressure first. Since
epidural anesthesia may cause the blood pressure to drop, it is important to ensure
there is adequate blood flow to the baby. The other options may be subsequent
assessments the nurse would make, but should not be the first assessment.
2. The client who is 16 weeks pregnant attends the antepartal clinic. She
makes all of these comments to a nurse. Which of these comments by this
client requires FURTHER discussion by the nurse?
· I drink about 2.5 quarts of fluids every day
· I've gained about 7 pounds so far. I'll probably gain another 20 pounds by the
time I deliver
· I had a problem with hemorrhoids with my other pregnancy, so now I eat a large
serving of bran every evening
· I'm being careful to eat mostly salt-free and to use no salt in my cooking
ANSWER: The fourth statement requires further discussion. Sodium requirements
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increase during pregnancy. However, the sodium provided by the average diet is
likely to be adequate for expectant mothers. Use of additional salt is rarely
warranted.
3. A nurse teaches pregnancy exercises to a group of pregnant women. The
nurse should include an explanation that pelvic rock will be helpful at any
time in their lives should the women develop which of these conditions?
· Hemorrhoids
· Intestinal flatus
· Lower back pain
· Leg cramps
ANSWER: Pelvic rock helps to relieve lower back pains. Pelvic rocking helps to
relieve a sore back by stretching the lower back muscles. Pelvic rocking also helps
stimulate the digestive system, realigns the uterus, and keeps the stomach muscles
toned.
4. A client who is in active labor has a vaginal examination which reveals she
is 5cm dilated and 100% effaced at a -1 station. At the peak of a contraction,
the amniotic fluid ruptures. Which of these actions should a nurse take first?
· Records the findings and notify the provider
· Change the linen and make the client comfortable
· Check the perineal area and assess for crowning
· Assess the fetal heart rate and check for regularity
ANSWER: After rupture of the membranes, there is a danger of cord prolapse;
therefore, the nurse should assess the fetal heart rate for regularity. Variable
decelerations can occur as a result of cord compression secondary to cord prolapse.
There is also a risk for infection after membrane rupture.
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5. After teaching a class about relieving leg cramps during pregnancy, a nurse
evaluates the effectiveness of the instructions. Which of these comments, if
made by the participants, would require FURTHER instruction?
· When I get a leg cramps in the middle of the night, my husband presses on my
knee and pushes my foot toward my leg
· Sometimes when I'm sitting at my typewriter, I get a horrible leg cramp. First, I
stand and bear weight on my leg in the middle of the night
· I take a heating pad to bed with me so that I can use it if I get a leg cramp in the
middle of the night
· When I get a leg cramp while sitting at my desk, I flex my knee and extend my
foot
ANSWER: The fourth comment would require further education. With leg
cramps, the leg should be straightened and toes should be flexed toward the shin.
6. A client who is scheduled for a cesarean delivery has the following written
preoperative orders. Which should the nurse question?
· Nothing by mouth after midnight
· Atropine sulfate 0.4mg IM on call
· Indwelling urinary catheter to be inserted in the morning
· Cleansing enema this evening
ANSWER: The order for a cleansing enema in the evening should be discussed
with the physician. A cleansing enema is not usually done prior to a cesarean
section.
7. A client who is G1P0 is receiving IV oxytocin injection for labor
augmentation. Because of the effects of Pitocin, a nurse should assess the
client for which of these adverse effects of Pitocin?
NACE Care Of Childbearing Family
Actual Exam Newest Preparation
Complete Questions And Correct
Answers
1. After a client received an epidural anesthesia, a nurse should make which of
these assessments first?
· Determine whether the client has bladder distention
· Determine whether the client has sensory impairment in the legs
· Determine the frequency of the client's contractions
Determine the clients blood pressure
ANSWER: The nurse should determine the client's blood pressure first. Since
epidural anesthesia may cause the blood pressure to drop, it is important to ensure
there is adequate blood flow to the baby. The other options may be subsequent
assessments the nurse would make, but should not be the first assessment.
2. The client who is 16 weeks pregnant attends the antepartal clinic. She
makes all of these comments to a nurse. Which of these comments by this
client requires FURTHER discussion by the nurse?
· I drink about 2.5 quarts of fluids every day
· I've gained about 7 pounds so far. I'll probably gain another 20 pounds by the
time I deliver
· I had a problem with hemorrhoids with my other pregnancy, so now I eat a large
serving of bran every evening
· I'm being careful to eat mostly salt-free and to use no salt in my cooking
ANSWER: The fourth statement requires further discussion. Sodium requirements
,2|Page
increase during pregnancy. However, the sodium provided by the average diet is
likely to be adequate for expectant mothers. Use of additional salt is rarely
warranted.
3. A nurse teaches pregnancy exercises to a group of pregnant women. The
nurse should include an explanation that pelvic rock will be helpful at any
time in their lives should the women develop which of these conditions?
· Hemorrhoids
· Intestinal flatus
· Lower back pain
· Leg cramps
ANSWER: Pelvic rock helps to relieve lower back pains. Pelvic rocking helps to
relieve a sore back by stretching the lower back muscles. Pelvic rocking also helps
stimulate the digestive system, realigns the uterus, and keeps the stomach muscles
toned.
4. A client who is in active labor has a vaginal examination which reveals she
is 5cm dilated and 100% effaced at a -1 station. At the peak of a contraction,
the amniotic fluid ruptures. Which of these actions should a nurse take first?
· Records the findings and notify the provider
· Change the linen and make the client comfortable
· Check the perineal area and assess for crowning
· Assess the fetal heart rate and check for regularity
ANSWER: After rupture of the membranes, there is a danger of cord prolapse;
therefore, the nurse should assess the fetal heart rate for regularity. Variable
decelerations can occur as a result of cord compression secondary to cord prolapse.
There is also a risk for infection after membrane rupture.
, 3|Page
5. After teaching a class about relieving leg cramps during pregnancy, a nurse
evaluates the effectiveness of the instructions. Which of these comments, if
made by the participants, would require FURTHER instruction?
· When I get a leg cramps in the middle of the night, my husband presses on my
knee and pushes my foot toward my leg
· Sometimes when I'm sitting at my typewriter, I get a horrible leg cramp. First, I
stand and bear weight on my leg in the middle of the night
· I take a heating pad to bed with me so that I can use it if I get a leg cramp in the
middle of the night
· When I get a leg cramp while sitting at my desk, I flex my knee and extend my
foot
ANSWER: The fourth comment would require further education. With leg
cramps, the leg should be straightened and toes should be flexed toward the shin.
6. A client who is scheduled for a cesarean delivery has the following written
preoperative orders. Which should the nurse question?
· Nothing by mouth after midnight
· Atropine sulfate 0.4mg IM on call
· Indwelling urinary catheter to be inserted in the morning
· Cleansing enema this evening
ANSWER: The order for a cleansing enema in the evening should be discussed
with the physician. A cleansing enema is not usually done prior to a cesarean
section.
7. A client who is G1P0 is receiving IV oxytocin injection for labor
augmentation. Because of the effects of Pitocin, a nurse should assess the
client for which of these adverse effects of Pitocin?
