CARE OF CHILDBEARING FAMILY-NACE Questions and
Answers with Complete Solutions UPDATED!!!
Subjective Changes - ANSWER Amenorrhea, nausea and
vomiting, fatigue, urinary frequency, breast changes,
quickening, abdominal enlargement.
Objective Changes - ANSWER Pregnancy test, fetal heart
sounds, fundal height.
Developmental task of becoming a parent - ANSWER Love and
protect the child, parents identify changing roles and are willing
to make the lifestyle changes, parents identify with parents
roles, parents discuss what roles mean, couple incorporates
child into relationship, couples support each other.
Preparation of Siblings/Grandparents - ANSWER Grandparents-
Delighted with newborn. May feel negativity towards growing
older. Provides long term help. Demands of helping raise the
grandchild can be stressful.
,2|Page
Siblings- Often experience jealousy towards the newborn. Let
the sibling help with care of the infant. Continue you to show
affection to all children.
Iron and Folic Acid Supplements - ANSWER Folic acid- Decreases
risk of neural tube defects.
Iron supplements- A woman is anticipating a short time period
between pregnancies is atrium for iron-deficiency anemia.
Encourage iron rich foods.
Parent Classes - ANSWER Educate on how to hold, suction, bath,
and dress the newborn.
True/False Labor - ANSWER Braxton Hicks contractions are
irregular contractions that begin during early pregnancy and are
perceived by the pregnant woman. If cervix is not dilated and
contractions remain irregular or stop, it is known as false labor
(prodromal labor). True labor has cervical change, regular
contractions, and pink mucous.
, 3|Page
Common Discomforts of Pregnancy - ANSWER Nausea,
vomiting, heartburn, constipation, leg cramps, backache,
urinary frequency.
Alpho-feto Protein - ANSWER Determines the level of this
protein in the pregnant women's blood serum or in a sample of
amniotic fluid. Correct interpretation requires accurate
gestational age. Test usually preformed at 16-18 weeks
gestation. High levels may cause spina bifida. Low levels may
cause chromosomal anomalies or hydatidiform mole.
Amniocentesis - ANSWER Performed to obtain amniotic fluid
containing fetal cells. Under direct visualization of ultrasound a
thin needle is inserted through the abdominal and uterine walls
to withdraw amniotic fluid into a syringe. Sufficient fluid must
be present for the test to be done, usually 15 to 17 weeks
gestation. Check for genetic disorder, levels of AFP, neural tube
defects, and chromosomal defects. Minimal risk of abortion in
late pregnancy. Check Rh compatibility.
Fetal Biophysical Profile - ANSWER Monitors the fetal breathing,
gross fetal movements, FHR variability and reactivity to NST,